Eligibility Representative

General information Press space or enter keys to toggle section visibility Job Title Eligibility Representative Functional Area Teammate - Credentialing/Licensing City Remote Work Location Type Remote State Remote Employment Type Full-time (30+ hrs/week)/FULLTIME Description & Requirements Press space or enter keys to toggle section visibility Position Description & Requirements WHO WE ARE AND WHAT WE DO: Radiology Partners , through its owned and affiliated practices, is a leading radiology practice in the U.S., serving hospitals and other healthcare facilities across the nation. As a physician-led and physician-owned practice, our mission is to transform radiology by innovating across clinical value, technology, service, and economics, while elevating the role of radiology and radiologists in healthcare. Using a proven healthcare services model, Radiology Partners provides consistent, high-quality care to patients, while delivering enhanced value to the hospitals, clinics, imaging centers and referring physicians we serve. POSITION SUMMARY: Verify and correct patient insurance and policy information to ensure clean claims prior to payer submission and minimize reimbursement delays. Identify and resolve eligibility denials, verification failures, payer mapping issues, and system errors to improve claim accuracy. Analyze eligibility trends and communicate findings to leadership to support process improvements and operational performance. Collaborate with offshore teams and internal partners to improve eligibility accuracy, reduce denials, and optimize revenue cycle outcomes. Maintain productivity, quality, and accuracy standards while delivering exceptional service in a fast-paced remote environment. DESIRED PROFESSIONAL SKILLS AND EXPERIENCE: High school diploma required; Associate's degree preferred with 2+ years of medical billing, eligibility, or healthcare revenue cycle experience. Knowledge of payer requirements, coordination of benefits, claim processing, eli