Eligibility Representative

Radiology Partners

1d • $18 - $20 • Remote

About The Position

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 submissions Identify and resolve eligibility denials, verification failures, and payer mapping/system errors Analyze eligibility trends and communicate findings to leadership Collaborate with offshore teams to improve eligibility accuracy and reduce denials Maintain productivity and accuracy standards in a fast-paced remote environment

Requirements

• High school diploma required; Associate’s degree preferred
• 2+ years of medical billing, eligibility, or revenue cycle experience
• Knowledge of payer requirements, coordination of benefits, claim processing, clearinghouses (277/278 EDI files), and eligibility portals
• Experience with insurance eligibility verification, denials management, and reimbursement processes
• Strong attention to detail, problem-solving ability, independent work style, and clear written and verbal communication skills

Responsibilities

• Verify and correct patient insurance and policy information to ensure clean claims prior to payer submissions
• Identify and resolve eligibility denials, verification failures, and payer mapping/system errors
• Analyze eligibility trends and communicate findings to leadership
• Collaborate with offshore teams to improve eligibility accuracy and reduce denials
• Maintain productivity and accuracy standards in a fast-paced remote environment

Benefits

• Competitive benefits package – Eligibility starts the month after hire, with tiered options to choose from
• Compensation reviews and career growth opportunities
• Flexible remote schedules
• Nashville, TN preferred, not required
• Generous PTO plans and paid holidays
• Proudly Certified as a Great Place to Work for Five Consecutive Years

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED