Pathways Healthcare is seeking a Billing Specialist for Home Health, Hospice, and Part B billing. This role supports revenue cycle operations by auditing patient accounts, reviewing billing accuracy, resolving discrepancies, and helping ensure compliance with payer requirements. The position is based in Westwood, MA and follows a Monday-Friday schedule with a hybrid remote arrangement.
The ideal candidate will work across billing, prebill, intake, authorization, clinical, and scheduling teams to resolve account issues, monitor outstanding work queues, and support revenue cycle quality improvement.
Requirements & Qualifications
Required
- High school diploma or equivalent
- Previous healthcare billing, accounts receivable, claims, audit, or revenue cycle experience
- Experience in Home Health, Hospice, Medicare Part B, or another Medicare-focused healthcare billing environment
- Strong understanding of healthcare reimbursement, insurance requirements, denials, and accounts receivable processes
- Ability to review patient accounts and identify billing discrepancies or missing information
- Ability to interpret EOBs, remittance advice, denial codes, claim status responses, and payer correspondence
- Strong analytical, problem-solving, and attention-to-detail skills
- Ability to manage multiple accounts and priorities while meeting deadlines
- Ability to work independently and collaborate across departments
- Proficiency with Microsoft Office and healthcare billing or electronic medical record systems
Preferred
- Home Health or Hospice revenue cycle experience
- Medicare Part B billing or auditing experience
- Knowledge of Medicare Home Health and Hospice billing requirements
- Experience reviewing denials, underpayments, and aging accounts
- Experience with Medicare Advantage, Medicaid, and commercial insurance plans
- Experience with Homecare Homebase (HCHB), Inovalon, clearinghouses, or similar revenue cycle systems
- Experience conducting billing audits or quality reviews
Benefits & Perks
Benefits
- 3 weeks of PTO annually, accrued
- 1 week of paid sick time
- 8 paid federal holidays
- 401(k) retirement plan with employer match
- Blue Cross Blue Shield medical coverage with HMO/PPO options
- Dental, vision, and life insurance
- 100% company-paid short-term disability coverage
- Flexible Spending Accounts for healthcare and dependent care
- Professional development and training opportunities
- Employee assistance and benefits support through Bennie
- Voluntary benefits including supplemental life, accident, and disability insurance
Location
Massachusetts, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
1 month ago