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

Work where every moment matters.

Every day, almost 40,000 Hartford HealthCare colleagues come to work with one thing in common : Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network as a Pre-Billing Specialist.

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.

Review patient charts in HCHB to ensure all required documentation is complete and compliant before billing. This includes :

Validating visit frequencies, orders and care plans against billing requirements.

Ensures that all disciplines have signed and locked note 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, while also assisting 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.

Qualifications :

High school diploma, Bachelor's Degree Preferred

Experience

1 Year of Administrative Healthcare Experience, 2 years of experience in home health billing, auditing, or clinical documentation review Preferred

Knowledge, Skills and Ability Requirements

The Pre-Billing Specialist must have healthcare experience, preferably in a home health or hospice environment, and a strong working knowledge of auditing or clinical documentation review. Demonstrates good communication and excellent attention to details and organizational skills. Demonstrates autonomy, assertiveness, flexibility and cooperation in performing job responsibilities

We take great care of careers

With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth. Here, you are part of an organization on the cutting edge - helping to bring new technologies, breakthrough treatments and community education to countless men, women and children. We know that a thriving organization starts with thriving colleagues we provide a competitive benefits program designed to ensure work / life balance. Every moment matters. And this is your moment.