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))