Median pay for Eligibility Specialists in the United States is around $15.22 per hour. The specific employer is the main element affecting pay for this group — geography and experience level are driving factors as well. Medical benefits are awarded to most, and a strong majority earn dental coverage. Women account for the majority of Eligibility Specialists who took the survey — 82 percent to be exact. Job satisfaction is reported as high by the vast majority of workers. The numbers in this rundown were provided by PayScale's salary survey participants.
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$25,145 - $54,399
(Median)
$25K
$35K
$54K
MEDIAN: $35,184
10%
50%
90%

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$11.66 - $20.67
(Median)
$12
$15
$21
MEDIAN: $15.00
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$19K$38K$57K
Salary
$25,145 - $54,399  
   
Bonus
$255.32 - $2,936  
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).
)
$24,840 - $47,558  
Country: United States | Currency: USD | Updated: 28 Oct 2016 | Individuals Reporting: 114
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
$11.66 - $20.67  
   
Overtime
$16.73 - $30.14  
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
$255.32 - $2,936  
   
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).
)
$24,840 - $47,558  
Country: United States | Currency: USD | Updated: 28 Oct 2016 | Individuals Reporting: 190
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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


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.

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.

Related Job Salaries

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Experience Affects Eligibility Specialist Salaries


Late-Career
up arrow 14%


National Average
$33,000


Skills That Affect Eligibility Specialist Salaries

Medicaid Case Management
up arrow 16%


Medicaid Eligibility
up arrow 6%

Customer Service
up arrow 1%

National Average
$33,000

Knowledge of Medicaid & Medicare
up arrow 2%

Data Entry
up arrow 3%

Case Management
up arrow 9%

Microsoft Office
up arrow 11%

Job Satisfaction

Highly satisfied
Rated 4 out of 5
based on 48 votes.

Gender

Female
82 %
Male
18 %

Years of Experience

Less than 1 year
6%
1-4 years
52%
5-9 years
23%
10-19 years
14%
20 years or more
5%

Common Health Benefits

medical benefits
Medical: 82%
dental benefits
Dental: 73%
medical benefits
Vision: 65%
dental benefits
None: 14%
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