Patient Eligibility & Demographics Specialist

SCP Health; Lafayette (LA); On-site; USD 21,000 - 29,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401(k) with company match

Paid time off

Holidays

Professional development support

Employee wellness resources

Job summary

SCP Health is seeking an Eligibility Specialist to resolve demographic and insurance edits and support PreBilling processes. You will update patient data, determine carriers, and verify information with payors or internal resources. The role emphasizes accuracy, teamwork, and adherence to department policies.

The position operates within Centricity-based workflows and requires strong data entry, communication, and problem-solving skills in a fast-paced setting.

Qualifications

• Detail oriented and organized.
• Self-motivated with data tracking to meet deadlines.
• Excellent interpersonal and communication skills.
• Proficient in Word, Excel, Windows and Outlook.
• Experience with data entry for extended periods.

Responsibilities

• Update demographics and/or insurance information based on feedback from internal or payor edits.
• Determine the appropriate insurance carrier and billing information from the patient record.
• Contact insurance carriers to verify data when data is insufficient or questionable.
• Utilize Centricity or payor websites to obtain accurate patient information.
• Request additional insurance entries in Centricity when necessary.
• Refer to supervisor for direction to ensure accurate resolution of edits.
• Identify and report system issues impacting billing quality.
• Promote teamwork to support department goals and quality.
• Participate in meetings and training to improve performance.

Skills

Detail oriented

Organized

Interpersonal skills

Communication

Team player

Tools

Centricity

Excel

Word

Outlook

Windows OS

Job description

SCP Health is seeking an Eligibility Specialist to resolve demographic and insurance edits and support PreBilling processes. You will update patient data, determine carriers, and verify information with payors or internal resources. The role emphasizes accuracy, teamwork, and adherence to department policies.

The position operates within Centricity-based workflows and requires strong data entry, communication, and problem-solving skills in a fast-paced setting.