Prebill Specialist I - Digitech - Remote
SARNOVA HC, LLC
Summary
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.
Job description
Summary
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.
Essential Duties and 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, maintaining confidentiality and security of sensitive patient information
- Additional job duties as assigned
Skills/Experience Required
- Education: High School Diploma or equivalent
- 1+ year of revenue cycle management experience preferred
- 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
- RCM experience preferred
- Working knowledge of health insurance verification and basic understanding of major payor groups (Medicare, Medicaid, Commercial), preferred
- 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
Requirements
- High School Diploma or equivalent
- 1+ year of revenue cycle management experience preferred
- 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
- RCM experience preferred
- Working knowledge of health insurance verification and basic understanding of major payor groups (Medicare, Medicaid, Commercial), preferred
- 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
Benefits
- 401(k) Plan
Company overview
SARNOVA HC, LLC, commonly known as Sarnova, is a leading U.S. specialty distributor of health and safety products, services, and technology solutions serving the emergency medical services (EMS) and acute care markets. Founded in 2008 and headquartered in Dublin, Ohio, the company operates as a family of four major business units: Bound Tree Medical (EMS supplies and pharmaceuticals), Cardio Partners (AED sales and cardiac emergency preparedness), Tri-anim Health Services (respiratory and critical care products), and Digitech (EMS billing and technology services). With nearly 50 years of collective industry experience across its subsidiaries, Sarnova offers over 100,000 innovative healthcare products to thousands of national emergency care providers, hospitals, educational institutions, businesses, and government agencies. The company's mission is to be the best partner for those who save and improve patients' lives, providing mission-critical products and value-added services to first responders, healthcare professionals, and patient care facilities nationwide. Sarnova is a portfolio company of Patricia Industries, part of Investor AB, and has earned Great Place to Work Certification for its employee-centric culture.