Eligibility Specialist Salary
|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|
|Hourly Rate||$11.88 - $21.49|
|Overtime||$13.00 - $31.48|
|Bonus||$496.65 - $4,894|
|Total Pay (||$25,246 - $48,050|
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
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
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Rated 4 out of 5
based on 64 votes.