Eligibility Specialist

SCP Health

  • Lafayette, Louisiana
  • 15 days ago

    Highlights

    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. 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.

    Numbers & Facts

    LocationLafayette, Louisiana

    Description

    At SCP Health, what you do matters

    As 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 system
    • When insufficient or questionable data is supplied in the medical record, contact the appropriate insurance carrier or facility to acquire accurate data
    • Utilize the Eligibility process/data in Centricity or on the payors’ websites to obtain more accurate information on each patient returned with an edit
    • Request additional insurance company entries in Centricity when necessary
    • Request direction and clarification from supervisor or lead when necessary, in order to assure accurate resolution of edits
    • Identify and work complex edits presented from various sources
    • Identify and report results of user and/or system issues that impact billing quality
    • Maintain understanding of current departmental policies and procedures
    • Promote a team environment that will support the growth of every department member and achievement of all department goals as a result of team work
    • Actively participate in meetings and educational programs in an effort to improve both individual and team quality and effectiveness

    Knowledge, Skills and Abilities:

    • Detail oriented and organized
    • Self-motivated; capable of compiling/tracking data to meet deadlines and goals
    • Excellent interpersonal skills
    • Ability to work equally well individually and in a team environment
    • Professional attitude and demeanor
    • Written and oral communication skills
    • Proficient computer knowledge of Word, Excel, Windows and Outlook
    • Quick learner with an aptitude for custom computer systems
    • Previous success and comfort with entering data for extended time periods and limited interruptions

    Pay Range:

    13.00 - 19.00 USD per hour

    This range represents the anticipated base salary for this role. Actual compensation will be determined based on experience, qualifications, and internal equity considerations.

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    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/

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