Prebill Compliance Specialist

Pathways Healthcare

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

Posted 9/17/2026full-timeWestwood • Massachusetts • United StatesMid-LevelSenior💰 $18 - $25 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in auditing and preparing home health and hospice claims for accurate billing while maintaining compliance. Strong ability to communicate effectively and collaborate with various teams to support patient care and resolve billing issues.

Highest-signal resume keywords

Home Health Claims AuditingHospice Claims PreparationCustomer Service SkillsProfessional CommunicationMultitasking and Prioritization

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims AuditingBilling ComplianceDocumentation ReviewPrebill ReportingTechnology Savvy

Soft Skills

Customer ServiceCommunicationAdaptabilityTime ManagementCollaboration

Industry Keywords

Home HealthHospicePatient CareFinancial BarriersConfidentiality

About the role

Key responsibilities & impact

Audit and prepare home health and hospice claims for accurate, compliant, and timely billing
Make outbound calls to resolve documentation and billing needs
Review face-to-face documentation, unsigned orders, and visit notes
Follow up on missing or incomplete information
Run daily and weekly prebill reports to identify billing issues and help prevent claim denials
Collaborate with Clinical, Marketing, and Administrative teams to remove financial barriers and support patient care
Meet individual and team productivity goals
Maintain confidentiality and uphold Pathways’ TRUST values

Requirements

What you’ll need

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

Benefits

Comp & perks

Choice of HMO and PPO medical plans
Comprehensive dental and vision coverage
Employer-provided life insurance
3 weeks of PTO annually, accrued throughout the year
4 weeks of PTO annually accrued throughout the year, after two years of service
1 week (40 hours) of paid sick time per year
100% company-paid short-term disability coverage
Flexible Spending Accounts (FSA) 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