Eligibility Specialist

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.

-

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-guest

Password: weheal