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Associate Enrollment Eligibility Representative Jobs

Radiology Partners

Eligibility Representative

$18 - $20/hr

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 ...

radiology partners

Eligibility Representative

$18 - $20/hr

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 ...

Cigna

Eligibility Representative - Accredo - Remote

As an Eligibility Representative, you'll be part of a dedicatedteam whichhelps our specialty pharmacy patients coordinate their medication needs and pharmacy insurance coverage for complex medical ...

usahs

Associate Enrollment Advisor

Austin, TX · On-site

GENERAL SUMMARY Associate Enrollment Advisors advise, educate, consult and support qualified ... Must be able to represent the University in a professional manner, recruit and work with a diverse ...

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How much do associate enrollment eligibility representative jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for associate enrollment eligibility representative in the United States is $22.59, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $25.72 per hour, depending on experience, location, and employer.

What does an associate enrollment eligibility representative do?

An Associate Enrollment Eligibility Representative is responsible for reviewing and processing enrollment applications for health insurance or other benefit programs. They verify applicants' information, ensure eligibility requirements are met, and resolve any discrepancies or issues that arise during the enrollment process. These professionals often communicate with applicants, employers, and insurance providers to obtain necessary documentation and provide updates on application status. Their work ensures that individuals receive the correct benefits coverage in a timely manner.

What skills and qualifications are needed to be an associate enrollment eligibility representative?

To thrive as an Associate Enrollment Eligibility Representative, you need strong attention to detail, knowledge of healthcare or insurance processes, and typically a high school diploma or equivalent. Familiarity with enrollment management software, claims processing systems, and Microsoft Office Suite is commonly required. Excellent communication, problem-solving, and customer service skills help you effectively assist clients and resolve eligibility issues. These skills ensure accurate enrollment processing, compliance with regulations, and a positive experience for clients and members.

What are common challenges faced by associate enrollment eligibility representatives, and how can they be addressed?

Associate Enrollment Eligibility Representatives often encounter challenges such as managing high volumes of enrollment applications, ensuring data accuracy, and staying current with frequently changing health plan regulations. To address these challenges, it's essential to develop strong organizational skills, be detail-oriented, and proactively seek clarification when guidelines change. Many teams offer ongoing training and encourage collaboration, so taking advantage of available resources and open communication with colleagues can help overcome these hurdles effectively.

What is the difference between Associate Enrollment Eligibility Representative vs Customer Service Representative?

AspectAssociate Enrollment Eligibility RepresentativeCustomer Service Representative
CredentialsHigh school diploma; some roles may require certifications in healthcare or insuranceHigh school diploma or equivalent; customer service training often preferred
Work EnvironmentHealthcare or insurance offices, call centersRetail, call centers, service centers
Employer & IndustryHealth insurance companies, healthcare providersVarious industries including retail, telecom, finance
Job FocusVerifying eligibility, processing enrollments, assisting with benefitsHandling customer inquiries, resolving issues, providing product info

The Associate Enrollment Eligibility Representative primarily focuses on verifying insurance eligibility and processing enrollments within healthcare or insurance settings. In contrast, Customer Service Representatives handle a broader range of customer inquiries across various industries. While both roles require strong communication skills, the Associate Enrollment Eligibility Representative specializes in benefits and eligibility, often requiring healthcare-related knowledge and certifications.

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What states have the most Associate Enrollment Eligibility Representative jobs?

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The top searched job categories for Associate Enrollment Eligibility Representative jobs are:

Associate Enrollment Eligibility Representative jobs near you
Infographic showing various Associate Enrollment Eligibility Representative job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 18% Part Time, and 2% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $46,986 per year, or $22.6 per hour.

Eligibility Representative

Radiology Partners

Remote

$18 - $20/hr

Full-time

Medical, Retirement, PTO

Posted 16 days ago

Radiology Partners rating

6.4

Company rating: 6.4 out of 10

Based on 42 frontline employees who took The Breakroom Quiz

644th of 891 rated healthcare providers

Job description

Description & Requirements

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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, eligibility verification, clearinghouses, and 277/278 EDI files.
  • Experience using insurance payer portals, eligibility verification tools, denials management, and reimbursement processes.
  • Strong attention to detail, analytical and problem-solving skills, with the ability to work independently and manage multiple priorities.
  • Excellent written and verbal communication skills with proficiency in Microsoft Office and a customer-focused approach.

WHY RADIOLOGY PARTNERS:

  • Competitive Benefits package - Eligibility starts the month after hire, with tiered options to choose from.
  • Compensation Reviews, Career Growth Opportunities
  • Flexible Remote Schedules
  • Generous PTO Plans and Paid Holidays
  • Proudly Certified as a Great Place to Work for Five Consecutive Years
FOR MORE INFORMATION:
Eligibility RepresentativeDEMOSPECJuly2026

COMPENSATION:
The hourly range for this position is $18.00-$20.00. Final determinations may vary based on several factors including but not limited to education, work experience, certifications, and geographic location. In addition to this range, Radiology Partners offers competitive total rewards packages, which include possible incentive and productivity programs, health & wellness coverage options, 401(k) benefits, and a broad range of other benefits such as family planning and telehealth (all benefits are subject to eligibility requirements).

Radiology Partners is an equal opportunity employer. RP is committed to being an inclusive, safe, and welcoming environment where everyone has equal access and equitable resources to reach their full potential. We are united by our Mission to Transform Radiology and in turn have an important impact on the patients we serve and the healthcare system overall. We hold that diversity is a key source of strength from which we will build a practice culture that is inclusive for all. Our goal is to empower and engage the voice of every teammate to promote awareness, compassion, and a healthy respect for differences.

CCPA Notice: When you submit a job application or resume, you are providing the Practice with the following categories of personal information that the Practice will use for the purpose of evaluating your candidacy for employment: (1) Personal Identifiers; and (2) Education and Employment History.

Radiology Partners participates in E-Verify.

Beware of Fraudulent Messages: Radiology Partners will never request payment, banking, or other financial information in exchange for interviews or as part of the hiring process. Additionally, we will not send checks for deposit into your bank account at any stage of recruitment. All communication during the interview and hiring process will come from an email address ending in @radpartners.com. If you suspect you are receiving a fraudulent job offer or solicitation, please email Talent@radpartners.com to notify our team.

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