Eligibility Specialist

SCP Health; Lafayette (LA); On-site; USD 18,000 - 26,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401(k) with company match

Paid time off

Job summary

SCP Health is seeking a detail-oriented billing specialist to update patient demographics and insurance data. You will verify carrier information, use Centricity and payor sites to ensure accuracy, and resolve complex edits while adhering to policies.

The role supports a collaborative team focused on quality and efficiency. We offer a comprehensive benefits package including medical, dental, vision, a 401(k) with company match, PTO provisions, holidays, professional development support, and

Qualifications

• Detail oriented and organized.
• Self-motivated with ability to track data and meet deadlines.
• Strong interpersonal and communication skills.
• Proficient with Word, Excel, Windows and Outlook.

Responsibilities

• Update demographics and/or insurance information in the billing system based on feedback.
• Determine insurance carrier and billing information from medical records for updates.
• Use Centricity or payor sites to verify data for edits.
• Request additional insurance data from carriers when needed.
• Identify and resolve complex edits from multiple sources.
• Report issues impacting billing quality to improve accuracy.
• Maintain adherence to departmental policies and procedures.

Skills

Detail oriented

Self-motivated

Interpersonal skills

Teamwork

Professional attitude

Written and oral communication

Computer literacy

Quick learner

Data entry

Tools

Centricity

Word

Excel

Windows

Outlook

Job description

At SCP Health, what you do mattersAs part of the SCP Health team, you have an opportunity to make a difference. At our core, we work to bring hospitals and healers together in the pursuit of clinical effectiveness. With a portfolio of over 8 million patients, 7500 providers, 30 states, and 400 healthcare facilities, SCP Health is a leader in clinical practice management spanning the entire continuum of care, including emergency medicine, hospital medicine, wellness, telemedicine, intensive care, and ambulatory care.Why you will love working here:- Strong track record of providing excellent work/life balance.- Comprehensive benefits package and competitive compensation.- Commitment to fostering an inclusive culture of belonging and empowerment through our core values - collaboration, courage, agility, and respect.Responsibilities:Update demographics and/or insurance information based on feedback provided by internal or payor edits, using available resources: face sheets, insurance cards, eligibility results etc.Determine the appropriate insurance carrier and billing information from the data contained in the patient’s medical record and use that information to accurately update a patient’s account in the billing systemWhen insufficient or questionable data is supplied in the medical record, contact the appropriate insurance carrier or facility to acquire accurate dataUtilize the Eligibility process/data in Centricity or on the payors’ websites to obtain more accurate information on each patient returned with an editRequest additional insurance company entries in Centricity when necessaryRequest direction and clarification from supervisor or lead when necessary, in order to assure accurate resolution of editsIdentify and work complex edits presented from various sourcesIdentify and report results of user and/or system issues that impact billing qualityMaintain understanding of current departmental policies and proceduresPromote a team environment that will support the growth of every department member and achievement of all department goals as a result of team workActively participate in meetings and educational programs in an effort to improve both individual and team quality and effectivenessKnowledge, Skills and Abilities:Detail oriented and organizedSelf-motivated; capable of compiling/tracking data to meet deadlines and goalsExcellent interpersonal skillsAbility to work equally well individually and in a team environmentProfessional attitude and demeanorWritten and oral communication skillsProficient computer knowledge of Word, Excel, Windows and OutlookQuick learner with an aptitude for custom computer systemsPrevious success and comfort with entering data for extended time periods and limited interruptionsPay Range:13.00 - 19.00 USD per hourThis range represents the anticipated base salary for this role. Actual compensation will be determined based on experience, qualifications, and internal equity considerations.-We offer a comprehensive benefits package designed to support your health, financial well-being, and work-life balance, including medical dental, vision insurance, a 401(k) plan with a company match, paid time off and holidays, professional development support, and employee wellness resources.Visit our website for further information. https://myscpbenefits.com/Login name: corp-guestPassword: weheal