Eligibility Representative

Job Summary

A company is looking for an Eligibility Representative to manage patient insurance verification and resolve eligibility issues.

Key Responsibilities

• Verify and correct patient insurance and policy information to ensure clean claims
• Identify and resolve eligibility denials and verification failures
• Analyze eligibility trends and collaborate with teams to improve accuracy

Required Qualifications

• High school diploma required; Associate's degree preferred
• 2+ years of medical billing, eligibility, or revenue cycle experience
• Knowledge of payer requirements and claim processing
• Experience with insurance eligibility verification and denials management
• Strong independent work style and ability to maintain productivity in a remote environment