Eligibility Specialist Salary

Eligibility Specialists in the United States take home an average $15.66 per hour. This group's pay is mainly influenced by the specific employer, followed by geography and tenure. The vast majority (87 percent) of Eligibility Specialists who took the survey are female. Work is enjoyable for Eligibility Specialists, who typically claim high levels of job satisfaction. A strong majority enjoy medical while more than half get dental coverage. Vision coverage is also available to the larger part. Respondents to the PayScale salary survey provided the data for this report.
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$26,322 - $53,331
$26K
$36K
$53K
MEDIAN: $36,229
10%
50%
90%

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$11.88 - $21.49
$12
$16
$21
MEDIAN: $15.66
10%
50%
90%

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$0$53K
Salary $26,322 - $53,331
Bonus $496.65 - $4,894
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).
)
$25,246 - $48,050
  • Country: United States
  • Currency: USD
  • Updated: 11 Jul 2017
  • Individuals Reporting: 109
Hourly Data $0$31
Hourly Rate $11.88 - $21.49
Overtime $13.00 - $31.48
Annual Data $0$48K
Bonus $496.65 - $4,894
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).
)
$25,246 - $48,050
  • Country: United States
  • Currency: USD
  • Updated: 11 Jul 2017
  • Individuals Reporting: 202

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

Popular Employer Salaries for Eligibility Specialist


State of Michigan (MI) attracts talent by shelling out the biggest paychecks in the area — the median in that office is $51K.

Xerox Corporation offers the lowest pay in the industry by far, with a median salary about half the top paying employer's rate ($26K).

Popular Skills for Eligibility Specialist


Eligibility Specialists report using a pretty varied skill set on the job. Most notably, skills in Medicaid Case Management, Knowledge of Medicaid & Medicare, Medicaid Eligibility, and Insurance are correlated to pay that is above average, with boosts between 8 percent and 12 percent. Skills that seem to negatively impact pay include Microsoft Office, Case Management, and Data Entry. Those educated in Customer Service tend to be well versed in Insurance.

Pay by Experience Level for Eligibility Specialist

Pay by Experience for an Eligibility Specialist has a positive trend. An entry-level Eligibility Specialist with less than 5 years of experience can expect to earn an average total compensation of $32,000 based on 195 salaries provided by anonymous users. Average total compensation includes tips, bonus, and overtime pay. An Eligibility Specialist with mid-career experience which includes employees with 5 to 10 years of experience can expect to earn an average total compensation of $37,000 based on 81 salaries. An experienced Eligibility Specialist which includes employees with 10 to 20 years of experience can expect to earn an average total compensation of $39,000 based on 48 salaries. An Eligibility Specialist with late-career experience which includes employees with greater than 20 years of experience can expect to earn an average total compensation of $38,000 based on 13 salaries.

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
87 %
Male
13 %

Job Satisfaction

Highly satisfied
Rated 4 out of 5
based on 64 votes.
Less than 1 year
5%
1-4 years
54%
5-9 years
22%
10-19 years
14%
20 years or more
5%
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Location:
Years in Fields/Career:
United States (change)

Experience Affects Eligibility Specialist Salaries

▲14%

Late-Career
▲10%

▲9%

National Average
$34,000

▼6%

Skills That Affect Eligibility Specialist Salaries

Medicaid Case Management
▲12%



▲7%


National Average
$34,000

▼3%

Case Management
▼12%

Microsoft Office
▼13%

Job Satisfaction

Highly satisfied
Rated 4 out of 5
based on 64 votes.

Gender

Female
87 %
Male
13 %

Years of Experience

Less than 1 year
5%
1-4 years
54%
5-9 years
22%
10-19 years
14%
20 years or more
5%

Common Health Benefits

medical benefits
Medical: 79%
dental benefits
Dental: 69%
vision benefits
Vision: 62%
no benefits
None: 18%
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