Remote Prebill Specialist - Revenue Cycle Support

Tri-anim Health Services, Inc.; Northern (KY); Hybrid; USD 25,000 - 39,000; Full time

Benefits offered by this job

401(k) Plan

Competitive salary

Comprehensive benefits

Job summary

Tri-anim Health Services, Inc. is seeking a Prebill Specialist I to support Digitech’s revenue cycle management by accurately verifying prebill information including patient demographics, payor details, and modifiers before coding.

The PBSI role emphasizes attention to detail, adherence to the Master Billing Guide, and collaboration with Prebill Leads to ensure timely, compliant claims processing.

Qualifications

• High School Diploma or equivalent required.
• 1+ year of revenue cycle management experience preferred.
• Ability to identify problems and elevate issues to Prebill Lead.
• Motivated self-starter, independent thinker able to work independently and in a team.
• RCM experience preferred.
• Working knowledge of health insurance verification and major payor groups preferred.
• Ability to work remotely and manage all aspects of the role.

Responsibilities

• Locate insurance and patient demographics using hospital systems.
• Place claims in Insurance Discovery workflow when no insurance is found.
• Enter patient demographics accurately.
• Select appropriate modifiers and payors per Master Billing Guide and SOPs.
• Call facility payors to confirm transport modifiers if required.
• Participate in Prebill Huddles to review processes.
• Ensure claims are placed in the correct tag for next steps.
• Meet daily production and quality goals.
• Maintain HIPAA privacy and security of patient information.

Skills

Revenue cycle management

Remote work capability

Independent thinker

Collaborative team environment

Problem identification

Payor knowledge

Education

High School Diploma

Tools

Hospital registration system

HL7 feed

Job description

Tri-anim Health Services, Inc. is seeking a Prebill Specialist I to support Digitech’s revenue cycle management by accurately verifying prebill information including patient demographics, payor details, and modifiers before coding.

The PBSI role emphasizes attention to detail, adherence to the Master Billing Guide, and collaboration with Prebill Leads to ensure timely, compliant claims processing.