Prebill Specialist I - Digitech - Remote

Summary

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. This includes always maintaining the 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
• Sarnova is an Equal Opportunity Employer. We offer a competitive salary, commensurate with experience, along with a comprehensive benefits package, including 401(k) Plan. EO/M/F/Veterans/Disabled.
• Our mission is to be the best partner for those who save and improve patients’ lives. Excellence in delivering upon our mission is dependent upon having a diverse team that is empowered to bring their full, authentic self to work each day. We strive to create a workplace that reflects the communities we serve, and we are passionate about creating an inclusive workplace that promotes and values diversity.
• #digitech