PreBilling Specialist (Medical Admin Support) - HomeCare

Hartford Healthcare•East Hartford, CT

About The Position

The Pre-Billing Specialist plays a critical role in ensuring accurate and timely revenue capture by reviewing clinical documentation and billing data before claim submission. Working in the Homecare Homebase (HCHB) system, the specialist validates documentation compliance, identifies billing-readiness issues, and collaborates with clinical and administrative teams to help prevent claim delays, denials, and reimbursement issues. The role is suited to a detail-oriented candidate with healthcare experience and an understanding of clinical documentation review and regulatory requirements.

Requirements

High school diploma required.
At least 1 year of healthcare administrative experience required.

Nice To Haves

Bachelor's degree preferred.
Experience in home health, hospice, billing, auditing, or clinical documentation review strongly preferred.
Two or more years of experience in home health billing, auditing, or clinical documentation review preferred.

Responsibilities

Review patient records in Homecare Homebase (HCHB) to ensure required documentation is complete, accurate, and compliant before billing.
Validate visit frequencies, physician orders, and care plans against billing requirements.
Confirm clinical disciplines have completed, signed, and locked visit notes, and that visits are properly scheduled and documented.
Identify and resolve documentation discrepancies, missing information, and compliance issues that may delay claim submission.
Collaborate with clinical and operational staff to obtain corrections or additional documentation.
Monitor and maintain knowledge of Medicare, Medicaid, and commercial payer regulations and billing requirements.
Support documentation and billing compliance through staff education and guidance.
Conduct proactive chart reviews and auditing to help reduce billing errors, claim denials, and reimbursement delays.
Maintain accurate records and comply with organizational policies and regulatory standards.
Perform other duties as assigned.