Eligibility Specialist Salary

For Eligibility Specialists, hourly average wages total $15.55 per hour. This group's pay is mainly influenced by the company, followed by geography and years of experience. Most report receiving medical coverage from their employers and a strong majority collect dental insurance. Job satisfaction for Eligibility Specialists is high. The vast majority (85 percent) of Eligibility Specialists who took the survey are female. The numbers in this rundown were provided by PayScale's salary survey participants.
Read More
$26,415 - $52,438
$26K
$36K
$52K
MEDIAN: $36,146
10%
50%
90%

Add this chart to your site: 640px    300px

$12.02 - $21.43
$12
$16
$21
MEDIAN: $15.55
10%
50%
90%

Add this chart to your site: 640px    300px

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$18K$36K$54K
Salary
$26,415 - $52,438  
   
Bonus
$489.36 - $3,624  
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).
)
$25,702 - $47,519  
Country: United States | Currency: USD | Updated: 25 Mar 2017 | Individuals Reporting: 108
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
$12.02 - $21.43  
   
Overtime
$16.00 - $31.37  
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
$489.36 - $3,624  
   
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).
)
$25,702 - $47,519  
Country: United States | Currency: USD | Updated: 25 Mar 2017 | Individuals Reporting: 183

Find Out Exactly What You Should Be Paid

United States (change)

Employers: Start Here »

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 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

Search for more jobs:

Popular Employer Salaries for Eligibility Specialist


Eligibility Specialists seeking a sizable paycheck can earn the most at State of Michigan (MI), where the average salary comes to $51K.

Xerox Corporation doles out the lowest salaries in town — median pay is $26K — not to mention workers can only make as much as $41K and scope of pay is rather limited.

Popular Skills for Eligibility Specialist


Survey results suggest that Eligibility Specialists put a wide range of professional skills to use. 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 9 percent and 13 percent. Skills that pay less than market rate include Microsoft Office and Case Management. Those educated in Customer Service tend to be well versed in 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 $32K, but people who have been around for five to 10 years earn a noticeably bigger sum of $37K. After working for 10 to 20 years, Eligibility Specialists make a median salary of $39K. Eligibility Specialists who claim more than two decades of experience actually make somewhat smaller average paychecks of $38K.

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
85 %
Male
15 %

Job Satisfaction

Highly satisfied
Rated 4 out of 5
based on 51 votes.
Less than 1 year
5%
1-4 years
54%
5-9 years
23%
10-19 years
14%
20 years or more
4%
Location:
Years in Fields/Career:
United States (change)

Experience Affects Eligibility Specialist Salaries

▲14%

Late-Career
▲11%

▲9%

National Average
$34,000

▼5%

Skills That Affect Eligibility Specialist Salaries

Medicaid Case Management
▲13%



▲8%


National Average
$34,000

▼3%

Microsoft Office
▼12%

Case Management
▼12%

Job Satisfaction

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

Gender

Female
85 %
Male
15 %

Years of Experience

Less than 1 year
5%
1-4 years
54%
5-9 years
23%
10-19 years
14%
20 years or more
4%

Common Health Benefits

medical benefits
Medical: 83%
dental benefits
Dental: 75%
vision benefits
Vision: 67%
dental benefits
None: 14%
ADVERTISEMENT