Eligibility Specialist Salary
Job Description for Eligibility Specialist
Eligibility specialists work primarily in hospitals, clinics, and other medical institutions to determine patients' eligibility based on insurance, financial aid, and financing programs. They typically screen and evaluate patients and also help them submit paperwork for any funding programs for which they are eligible, which may involve collecting various documents, such as proof of income.Read More...
Much of the work is done within a medical institution, and some home visits may occasionally be necessary, as well. These specialists often work with insurance companies to verify coverage, and strong verbal and written communication skills are important in this position, as are computer skills and proficiency with Microsoft Word. They may also assist with transferring paperwork from one health organization to another and inform patients when payments are due. They may need to collect co-payments and other fees, and multitasking skills are also important to follow-up on cases to determine progress and anything that should be modified. Patients may also need to be monitored to ensure continuous coverage in the chosen programs.
A strong focus on customer service and the well-being of patients is essential in this position, and all functions should be carried out in compliance with patient privacy laws and policies such as HIPAA. A high school diploma is usually a minimum requirement, and many employers offer on-the-job training.
Eligibility Specialist Tasks
- Facilitate appointments, referrals, hand-offs and translation assistance.
- Provide resources and materials to clients, enabling them to apply and receive services.
- Interview clients and determine benefits and assistance eligibility.
- Interact with federal agencies and private institutions to determine services.
Eligibility Specialist Job Listings
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Popular Employer Salaries for Eligibility Specialist
Heading up the field in terms of compensation, State of Michigan (MI) offers the most; Eligibility Specialists earn $51K on average there.
Xerox Corporation lags the field greatly in terms of pay, offering a median salary about half the top paying employer's rate ($26K).
Popular Skills for Eligibility Specialist
Eligibility Specialists report using a wide range of professional skills. Most notably, skills in Medicaid Case Management, Insurance, Medicaid Eligibility, and Customer Service are correlated to pay that is above average, with boosts between 6 percent and 16 percent. Skills that pay less than market rate include Microsoft Office and Case Management. Most people who know Customer Service also know Insurance.
Pay by Experience Level for Eligibility Specialist
Median of all compensation (including tips, bonus, and overtime) by years of experience.
Workers in their first five years can expect to earn $31K, but people who have been around for five to 10 years earn a noticeably bigger sum of $36K. Eligibility Specialists who work for 10 to 20 years in their occupation tend to earn about $39K. Survey respondents who have worked for more than 20 years actually report somewhat lower incomes of $38K.