Prebill Specialist - Digitech - Remote

Sarnova

1d•Remote

About The Position

The Prebill Specialist I (PBSI) plays a key role in Digitech’s RCM process by accurately and efficiently verifying prebill information—including patient demographics, payor details, and transport modifiers—before coding. The PBSI ensures all required information is thoroughly reviewed and correctly entered on each transport claim prior to coding. This role is essential to upholding Digitech’s quality standards and supporting our vision of being the trusted partner of choice that 100% of our clients would recommend to a friend or colleague.

Requirements

High School Diploma or equivalent
Ability to identify problems and escalate issues appropriately to Prebill Lead
Motivated self-starter, independent thinker capable of working both independently and within a collaborative team environment
Ability to learn and maintain a growing knowledge of various state regulations and payor guidelines
Ability to independently manage all aspects of the job role including required goals and business practices in a remote environment

Nice To Haves

1+ year of revenue cycle management experience preferred
RCM experience preferred
Working knowledge of health insurance verification and basic understanding of major payor groups (Medicare, Medicaid, Commercial), preferred

Responsibilities

Utilize preferred system tools (hospital registration system, face sheet, HL7 feed, etc.) to locate insurance and patient demographic information
Place claims in the Insurance Discovery workflow when no insurance is found
Accurately enter patient demographics
Follow the Master Billing Guide instructions to select the appropriate modifiers and payors for the transport
Follow the SOPs to select the appropriate modifiers, tags, and payors
If required, call facility payor (SNF, Assisted Living, Hospice) to confirm appropriate transport modifiers
Participate in Prebill Huddles to review and align on processes
Upon verifying patient, payor, and modifier information, place the claim in the appropriate tag for the next step
Consistently achieve or exceed the Prebill Specialist’s daily production and quality goals
Adhere to all Digitech HIPAA privacy policies and procedures. This includes always maintaining the confidentiality and security of sensitive patient information
Additional job duties as assigned