Pre-Billing Specialist (Office, Billing, Audit) - HomeCare

Hartford HealthCare at Home•Southington, CT

10d•Onsite

About The Position

The Pre-Billing Specialist is responsible for reviewing and validating clinical documentation and billing data within the Homecare Homebase (HCHB) system prior to claim submission. This role ensures compliance with Medicare, Medicaid, and other Commercial payer requirements, helping to prevent billing errors and reduce denials. This position works closely with clinical, administrative, and billing teams to ensure accurate and timely revenue capture.

Requirements

High school diploma
1 Year of Administrative Healthcare Experience
Healthcare experience, preferably in a home health or hospice environment
Strong working knowledge of auditing or clinical documentation review
Good communication skills
Excellent attention to details and organizational skills
Autonomy, assertiveness, flexibility and cooperation in performing job responsibilities

Nice To Haves

Bachelor’s Degree
2 years of experience in home health billing, auditing, or clinical documentation review

Responsibilities

Review patient charts in HCHB to ensure all required documentation is complete and compliant before billing.
Validate visit frequencies, orders and care plans against billing requirements.
Ensure that all disciplines have signed and locked notes and that visits are properly scheduled and documented.
Maintain up-to-date knowledge of payer guidelines and regulatory changes to ensure billing readiness for Medicare, Medicaid, and commercial payers.
Assist in training staff on documentation and billing compliance best practices.
Identify and resolve discrepancies or missing documentation that could delay billing, collaborating with clinical staff to obtain corrections or additional information as needed.