Choice Rehab LLC

Role Description The Pre-Bill Audit Specialist plays a critical role in supporting timely and accurate reimbursement by performing pre-bill audits and ensuring billing requirements are met before home health claims are submitted. This position partners closely with billing teams and agency operations to identify and resolve documentation and claim issues efficiently while maintaining compliance and supporting quality patient care. This role is ideal for detail-oriented healthcare professionals who enjoy problem-solving, collaboration, and working in a fast-paced remote environment. - Perform pre-bill audits to verify all billing requirements are satisfied prior to claim submission. - Review medical documentation to ensure accuracy, completeness, and compliance with billing standards. - Coordinate with agency leadership, billing teams, and interdisciplinary teams to resolve issues delaying claim submission. - Communicate effectively with internal teams and contract agencies regarding audit findings and billing requirements. - Confirm visit documentation is complete and available for all services to be billed. - Troubleshoot claim holds and assist agencies in resolving outstanding issues in a timely manner. - Maintain current knowledge of home health billing requirements and regulatory expectations. - Escalate issues to leadership promptly and provide recommendations for resolution. - Demonstrate professionalism, accountability, and commitment to continuous improvement. Qualifications - High school diploma or GED required. - Active state license as one of the following (preferred): - Licensed Vocational Nurse (LVN) / Licensed Practical Nurse (LPN) - Multi-state license issued through the Nurse Licensure Compact (NLC) - Certified Occupational Therapy Assistant (COTA) - Physical Therapist Assistant (PTA) - Current driver’s license required. - Minimum two (2) years of healthcare experience required. - Home health and/or hospice experience strongly preferred. - Knowledge of auditing practices, medical documentation, and billing requirements. - Strong attention to detail and organizational skills. - Proficiency with computers, Excel, and/or Google Sheets. - Ability to manage multiple priorities and meet deadlines. - Strong communication and collaboration skills. - Ability to work independently and within a team environment. Work Environment - Remote work environment during standard business operating hours. - Occasional extended hours as business needs require. - Limited local travel may be required with potential exposure to varying weather conditions. Physical Requirements - Prolonged sitting with occasional standing. - Ability to work under deadlines and manage competing priorities. - Requires manual dexterity, hand-eye coordination, and analytical problem-solving skills. Join a team committed to operational excellence and supporting quality patient care through accurate and compliant billing practices.