Eligibility Specialist Salary

The average Eligibility Specialist in the United States earns approximately $14.55 per hour. The most influential factor affecting pay for this group is the company, though geography and years of experience have a (lesser) impact as well. The vast majority of Eligibility Specialists (85 percent) who responded to the survey are women. A strong majority report receiving medical coverage from their employers and a fair number collect dental insurance. The majority of Eligibility Specialists claim high levels of job satisfaction. This snapshot results from replies to PayScale's salary survey.
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$25,079 - $49,306
(Median)
$25K
$35K
$49K
MEDIAN: $34,881
10%
50%
90%

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$11.50 - $20.07
(Median)
$11
$15
$20
MEDIAN: $14.00
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$17K$34K$51K
Salary
$25,079 - $49,306  
   
Bonus
$0.00 - $2,061  
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).
)
$24,559 - $45,575  
Country: United States | Currency: USD | Updated: 12 Jan 2016 | Individuals Reporting: 115
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$11$22$33
Hourly Rate
$11.50 - $20.07  
   
Overtime
$18.59 - $32.30  
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$22K$44K$66K
Bonus
$0.00 - $2,061  
   
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).
)
$24,559 - $45,575  
Country: United States | Currency: USD | Updated: 12 Jan 2016 | Individuals Reporting: 182
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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.

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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


With a median salary of only $26K (about half the top paying employer's rate), Xerox Corporation lags significantly in the earnings department.

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 $35K. On average, Eligibility Specialists make $35K following one to two decades on the job. Survey participants with more than two decades under their belts actually report earning less than people with less experience; the former take home only $31K on average.

Eligibility Specialist Reviews

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.

What is it like working as an Eligibility Specialist at State of Michigan (MI)?

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.

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Experience Affects Eligibility Specialist Salaries

Mid-Career
up arrow 10%

Experienced
up arrow 10%

National Average
$32,000

Late-Career
up arrow 2%

Entry-Level
up arrow 4%

Skills That Affect Eligibility Specialist Salaries

Data Entry
up arrow 16%

Medicaid Eligibility
up arrow 5%

Knowledge of Medicaid & Medicare
up arrow 3%

Customer Service
up arrow 1%

National Average
$32,000

Microsoft Office
up arrow 10%

Job Satisfaction

Highly satisfied
Rated 4 out of 5
based on 31 votes.

Gender

Female
85 %
Male
15 %

Years of Experience

Less than 1 year
7%
1-4 years
56%
5-9 years
20%
10-19 years
12%
20 years or more
5%

Common Health Benefits

medical benefits
Medical: 78%
dental benefits
Dental: 72%
medical benefits
Vision: 58%
dental benefits
None: 17%
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