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
Compensation
We offer a competitive salary, commensurate with experience
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
Requirements
High School Diploma or equivalent
Nice to have: RCM experience
Nice to have: Understanding of major payor groups (Medicare, Medicaid, Commercial)
Authorization Specialist responsible for requesting authorization for home care services and acting as liaison between community-based Coordinators of Care and HMO/Managed Care Companies.
Responsibilities
Request authorization for home care services
Act as liaison between community-based COC and HMO/Managed Care Companies
The Patient Services Representative acts as the initial point of contact for front office activity and helps directs the patient flow process at the physician office. This position performs patient check-ins and appointment scheduling.
Locations (2)
Creve Coeur, Missouri, United States
Saint Louis, Missouri, United States
Responsibilities
Handles telephone calls from patients and staff; forwards calls requiring triage.
Performs receptionist duties with close attention to detail and professionalism.
Verifies health insurance payment information and educates patients on the applicable regulations; collects payments and records data.
Performs data entry of service charges, to include the assignment of diagnostic codes and the entering of all physician and clinic related charges.
Coordinates information with Central Billing Office to ensure all charges are captured and properly collected.
