Prebill Compliance Specialist

About Us:
 

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.

Position Details:

  • 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

Our Benefits:

  • 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

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))

Finance

Hybrid (Westwood, Massachusetts, US)

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