Eligibility and Benefits Specialist Per Diem

Eligibility and Benefits Specialist Per Diem at ScionHealth

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Empowering the Hands that Heal

Eligibility and Benefits Specialist Per Diem

Louisville, Kentucky

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• Overview
• Success profile
• Culture
• Responsibilities
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Overview

ScionHealth strives to provide quality-driven, patient-centered acute and post-acute hospital solutions. The health system is focused on driving innovation, serving its communities, and investing in people and technology to deliver compassionate patient care and excellent health outcomes. Based in Louisville, ScionHealth operates 79 hospital campuses in 25 states - 61 long-term acute care hospitals and 18 community hospital campuses and associated health systems.

Success Profile

What do you need to be successful at ScionHealth? Here are the top traits we're looking for:

• Communicator
• Creative
• Deadline-oriented
• Goal-oriented
• Problem-solver
• Strategic

Our Culture

• Driven by quality: We believe that if we focus on delivering quality care, exceeding expectations related to customer service and supporting our people, our business results will follow.
• We equip our hospitals and our people with the resources, technology and expertise they need to deliver the best possible care to patients.
• We're always looking to find better ways to support caregivers by improving what we do, sharing best practices, and responding to the changing needs of our people and the patients they serve.

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Eligibility and Benefits Specialist Per Diem

Louisville, Kentucky

Facility Kindred Hospitals Dallas/Ft Worth District

Req ID 553659 Post Date 03/31/2026 Category Accounting and Finance

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Description

At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.

Job Summary

The Eligibility & Benefits Specialist plays a crucial role in ensuring patients can access the care they need by verifying insurance benefits and eligibility before admission. With precision and attention to detail, this role reviews patient insurance policies to confirm active coverage, identify covered services, and understand financial responsibilities such as deductibles, co-pays, and out-of-pocket maximums.

Specialists proactively verify eligibility with insurance companies to prevent claim denials, delays, and costly errors. They also review visit limits, restrictions, benefit caps, and coordinate verification for secondary insurance when applicable. By ensuring every detail is correct on the front end, the Eligibility & Benefits Specialist safeguards revenue integrity, reduces administrative barriers, and supports a smooth patient admission process.

This role demands accuracy, strong organizational skills, and a commitment to operational excellence. As a key member of the Central Access and Authorizations Team (CAAT), the Eligibility & Benefits Specialist actively contributes to quality improvement, problem solving, and productivity initiatives within an interdisciplinary model.

Essential Functions

• Serves as key team member of the new Central Access and Authorizations Team (CAAT), focused exclusively on eligibility and benefit verification.

• Actively works a queue of patient referrals and references multiple sites to conduct E&B checks, Medicare status and entitlement, citizenship status, and any worker's compensation details.

• Accesses Medicare Common Working files and calculates Medicare days

• Accesses other insurance verification portals to determine benefits and eligibility coverage

• Verifies patient insurance coverage and eligibility for admission services with primary and secondary payors

• May assist in calling hospital (i.e., case management, nursing, etc.) for admissions dates and SNF dates

• May assist with the coordination of benefits, including outreach to patient and/or family to obtain and verify benefits information

• Obtains revocation letters where needed and appropriate to secure proper funding and reimbursement

• Review return to acute patients / interrupted stay patients prior to admission and apply the interrupted stay rules where applicable

• Reviews and documents benefit details, including deductibles, co-pays, co-insurance, and out-of-pocket maximums

• Identifies coverage limits, restrictions, benefit caps, and authorization requirements

• Confirms policy effective dates, termination dates, and coordination of benefits when applicable

• Accurately enters benefits data into the appropriate systems in a timely manner

• Communicates benefit details and potential patient responsibility to appropriate team members

• Participates in continuing education/ professional development activities

• Learns and develops full knowledge of the CAAT Admission Processes and actively seeks to continuously improve them

• Learns and has a full understanding of scheduling and pre-register routines in Meditech and any other referral platform utilized by the CAAT team (i.e., Referral Manager)

• And ad hoc duties as assigned that fall within scope of the CAAT team

Knowledge/Skills/Abilities/Expectations

• Team player, able to communicate and demonstrate a professional image/attitude
• Excellent oral and written communication and interpersonal skills
• Strong computer skills with both standard and proprietary applications
• Data entry with attention to detail
• Conducts job responsibilities in accordance with the standards set out in the Company's Code of Business Conduct, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards
• Communicates and demonstrates a professional image/attitude for patients, families, clients, coworkers and others
• Adheres to policies and practices of ScionHealth
• Must read, write, and speak fluent English
• Must have good and regular attendance
• Approximate percent of time required to travel: N/A

Qualifications

Education

• High School Diploma or GED required, Associates or Bachelors Degree preferred;
• Preference towards a healthcare related area of concentration or be a licensed health care provider or equivalent experience.

Licenses/Certifications

• Certified Benefits Specialist, preferred.
• In lieu of a healthcare related field certificate, 2+ years of experience performing the functions of the role will be accepted

Experience

• Experience in a healthcare-related area is strongly preferred
• Ideal candidates will be highly detail oriented, have benefits, medical terminology, revenue cycle management, knowledge of post-acute care industry, and long-term acute care hospital experience.

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Benefits

• Career Development

We support growth and development for all our employees through various means and in programs designed to foster inclusion.

• Healthcare

Your health is important to us. We offer a comprehensive benefits program and resources to support healthy lifestyles for you and your family.

• Retirement Plan

Employees can contribute to their retirement with plans that allow for pre-tax or after-tax contributions through payroll deductions.

• Paid Time Off

With paid holidays and unlimited PTO, you are encouraged to take the time you need to relax and recharge with family and friends.

• Work-Life Balance

Work-life balance is not just a perk, it is encouraged. We believe that our employees work their best when they're allowed to be their best selves in and out of the office.

• Miscellaneous Benefits

Whether you're looking for pet insurance, identity theft protection, or select discounts from hundreds of local and national merchants, we have a variety of benefits that help provide peace of mind.

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680 South Fourth St, Louisville, KY 40202 | 855.563.4473

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