Logo
Pathways Healthcare

Prebill Compliance Specialist

Pathways Healthcare, Westwood, Massachusetts, us, 02090

Save Job

Pathways Healthcare is a leading, physician- and nurse practitioner-led home health and hospice organization, committed to redefining recovery through comprehensive, patient-centered care. Our innovative Medical Rehabilitation Program offers a meaningful alternative to institutional rehab, helping people heal at home, with dignity and purpose.

We are proud to be ranked

#22 Best Places to Work in Massachusetts and #51 Best Places to Work in the United States!

Why Join Pathways?

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.

Main Office location: Westwood, MA

Job Type: Full Time

Schedule: Monday - Friday

Schedule: 8:30 AM - 5:00 PM

Responsibilities

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.

Qualifications

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

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

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

Pathways Healthcare is committed to providing exceptional care to our patients and fostering a positive work environment for our team members. If you're passionate about making a difference in people's lives and possess the required qualifications, we encourage you to apply for this exciting opportunity!

The pay range for this role is:

18 - 25 USD per hour (Hybrid (Westwood, Massachusetts, US))

#J-18808-Ljbffr