Prebill Compliance Specialist

Hybrid (Westwood, Massachusetts, US)Hybridmid

Legal & ComplianceCompliance Specialist

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Quick Summary

Key Responsibilities

Audit and prepare home health and hospice claims to ensure accurate, compliant, and timely billing.

Requirements Summary

High school diploma or equivalent required Strong customer service and professional communication skills, including comfort with outbound phone calls Computer and technology savvy,

Technical Tools

Legal & ComplianceCompliance Specialist

What We Offer

~1 min read

✓Join a mission-driven home health and hospice organization where your work directly supports patient care and timely services.

✓Be part of a collaborative, supportive team that values accuracy, accountability, and continuous improvement.

✓Hourly Rate: $18.00 - $25.00

✓Medical Coverage: Choice of HMO and PPO medical plans to meet the needs of you and your family

✓Dental & Vision: Comprehensive dental and vision coverage

✓Life Insurance: Employer-provided life insurance for added peace of mind

✓Paid Time Off:

✓3 weeks of PTO annually, accrued throughout the year

✓4 weeks of PTO annually accrued throughout the year, after two years of service

✓Sick Time: 1 week (40 hours) of paid sick time per year

✓Short-Term Disability: 100% company-paid short-term disability coverage

✓Flexible Spending Accounts (FSA): Pre-tax accounts available for healthcare and dependent care expenses

✓401(k) Retirement Plan with employer match

✓Employee Assistance & Benefits Support through Bennie

✓Voluntary Benefits including supplemental life, accident, and disability insurance

✓8 Paid Holidays observed annually

✓Professional Development & Training Opportunities

Main Office location: Westwood, MA
Job Type: Full Time
Schedule: Monday - Friday
Schedule: 8:30 AM - 5:00 PM

Responsibilities

~1 min read

→Audit and prepare home health and hospice claims to ensure accurate, compliant, and timely billing.
→Requires a high comfort level with making outbound calls to drive timely resolution of documentation and billing needs.
→Review face-to-face documentation, unsigned orders, and visit notes; follow up to resolve missing or incomplete information.
→Run daily and weekly prebill reports to identify billing issues and help prevent claim denials.
→Work closely with Clinical, Marketing, and Administrative teams to remove financial barriers and support patient care.
→Meet individual and team productivity goals while maintaining confidentiality and Pathways’ TRUST values.

Requirements

~1 min read

High school diploma or equivalent required
Strong customer service and professional communication skills, including comfort with outbound phone calls
Computer and technology savvy, with the ability to learn new systems quickly
Ability to multitask, prioritize, and manage follow-ups in a fast-paced environment
Thrives in a dynamic, forward-thinking organization with ongoing process improvements and change