Eligibility Specialist Salary
Job Description for Eligibility Specialist
Eligibility specialists play an important role in health care facilities by ensuring that patients receive the proper care through insurance. These specialists are responsible for keeping records of patients, fact-checking insurance policies to ensure that they match particular clients, and maintaining a strong level of advocacy among patients.Read More...
Eligibility specialists work with a variety of people to determine their eligibility for Medicare or other government-assisted programs, and most of these programs offer health care aid from the government in some form. This work involves great deal of communication with patients and applicants, as well as aid program representatives, and some may even mediate clients' eligibility and help them receive benefits they otherwise would not receive. Paperwork and computerized record-keeping are also necessary in this position to maintain clients' files, and they typically work full-time in an office setting.
An associate's or bachelor's degree in a business-related field is generally required for this position, and some employers also require several years of prior experience in a health care setting.
Eligibility Specialist Tasks
- Interview clients and determine benefits and assistance eligibility.
- Interact with federal agencies and private institutions to determine services.
- Facilitate appointments, referrals, hand-offs and translation assistance.
- Provide resources and materials to clients, enabling them to apply and receive services.
Eligibility Specialist Job Listings
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Popular Employer Salaries for Eligibility Specialist
State of Michigan (MI) leads the field in terms of pay, with a median salary of $51K.
The lowest salaries can be found at Xerox Corporation — median pay is $26K — and there is little variation in compensation, with paychecks starting at $24K and only reaching $40K.
Popular Skills for Eligibility Specialist
Eligibility Specialists report using a pretty varied skill set on the job. Most notably, skills in Medicaid Case Management, Medicaid Eligibility, Insurance, and Knowledge of Medicaid & Medicare are correlated to pay that is above average, with boosts between 4 percent and 14 percent. Skills that are correlated to lower pay, on the other hand, include Microsoft Office and Case Management. It is often found that people who know Customer Service are also skilled in Insurance.
Pay by Experience Level for Eligibility Specialist
Median of all compensation (including tips, bonus, and overtime) by years of experience.
Although individuals who have less than five years' experience earn $31K on average, people with five to 10 years benefit from a notably larger average of $37K. On average, Eligibility Specialists make $39K following one to two decades on the job. People who have worked for 20 years or more actually report earning less than people who are in the middle of their careers; the veterans take home a mere $38K by contrast.
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based on 51 votes.