An average Eligibility Specialist in the United States can expect to take home roughly $15.33 per hour. The most important factor affecting compensation for this group is the specific employer, followed by geography and tenure. Medical benefits are awarded to most, and a strong majority earn dental coverage. The majority of Eligibility Specialists claim high levels of job satisfaction. Among survey respondents, women are more common than men; 84 percent of Eligibility Specialists are female. The figures in this rundown are based on the results of PayScale's salary questionnaire.
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$25,893 - $54,767
$26K
$36K
$55K
MEDIAN: $36,377
10%
50%
90%

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$11.81 - $21.25
$12
$15
$21
MEDIAN: $15.00
10%
50%
90%

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National Salary Data (?
XAll compensation data shown are gross 10th to 90th percentile ranges. Take the PayScale Survey to find out how location influences pay for this job.
)
$0$19K$38K$57K
Salary
$25,893 - $54,767  
   
Bonus
$434.84 - $2,980  
Total Pay (?
XTotal Pay combines base annual salary or hourly wage, bonuses, profit sharing, tips, commissions, overtime pay and other forms of cash earnings, as applicable for this job. It does not include equity (stock) compensation, cash value of retirement benefits, or the value of other non-cash benefits (e.g. healthcare).
)
$25,195 - $48,847  
Country: United States | Currency: USD | Updated: 18 Jan 2017 | Individuals Reporting: 114
National Hourly Rate Data (?
XAll compensation data shown are gross 10th to 90th percentile ranges. Take the PayScale Survey to find out how location influences pay for this job.
)
$0$10$20$30
Hourly Rate
$11.81 - $21.25  
   
Overtime
$1.55 - $29.63  
National Annualized Data (?
XAll compensation data shown are gross 10th to 90th percentile ranges. Take the PayScale Survey to find out how location influences pay for this job.
)
$0$20K$40K$60K
Bonus
$434.84 - $2,980  
   
Total Pay (?
XTotal Pay combines base annual salary or hourly wage, bonuses, profit sharing, tips, commissions, overtime pay and other forms of cash earnings, as applicable for this job. It does not include equity (stock) compensation, cash value of retirement benefits, or the value of other non-cash benefits (e.g. healthcare).
)
$25,195 - $48,847  
Country: United States | Currency: USD | Updated: 18 Jan 2017 | Individuals Reporting: 190

Find Out Exactly What You Should Be Paid

United States (change)

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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.

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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.

Eligibility Specialist Reviews

Q: What is it like working as an Eligibility Specialist?

Eligibility Specialist in Dayton:
"More Complicated than it sounds."
Pros: Good coworkers, supervisors are very down to earth, family type environment.
Cons: Very low pay for the skill level & maturity the job calls for.

Eligibility Specialist in Lansing:
"Work Flexibility."
Pros: I am a mobile worker. I work in the field and have a flexible 40 hour work week. I am in the office 2 days out of the week. I am able to meet with clients in person.
Cons: The main things that I like least about my job is that they do not offer a Defined Pension plan anymore.

Related Job Salaries

Key Stats for Eligibility Specialist

Gender

Female
84 %
Male
16 %

Job Satisfaction

Highly satisfied
Rated 4 out of 5
based on 51 votes.
Less than 1 year
5%
1-4 years
53%
5-9 years
23%
10-19 years
13%
20 years or more
5%
Location:
Years in Fields/Career:
United States (change)

Experience Affects Eligibility Specialist Salaries


Late-Career
up arrow 13%


National Average
$34,000


Skills That Affect Eligibility Specialist Salaries

Medicaid Case Management
up arrow 14%

Medicaid Eligibility
up arrow 5%



Knowledge of Medicaid & Medicare
up arrow 1%

National Average
$34,000


Case Management
up arrow 11%

Microsoft Office
up arrow 13%

Job Satisfaction

Highly satisfied
Rated 4 out of 5
based on 51 votes.

Gender

Female
84 %
Male
16 %

Years of Experience

Less than 1 year
5%
1-4 years
53%
5-9 years
23%
10-19 years
13%
20 years or more
5%

Common Health Benefits

medical benefits
Medical: 82%
dental benefits
Dental: 74%
vision benefits
Vision: 66%
dental benefits
None: 15%
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