Eligibility Specialist Salary

Earnings for Eligibility Specialists in the United States come in at around $15.71 per hour on average. The most influential factor affecting pay for this group is the specific employer, though geography and experience level have a (lesser) impact as well. A strong majority report receiving medical coverage from their employers and the larger part collect dental insurance. There are far more female Eligibility Specialists who answered the questionnaire than men, making up 86 percent. Work is enjoyable for Eligibility Specialists, who typically claim high levels of job satisfaction. Respondents to the PayScale salary survey provided the data for this report.
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$25,525 - $54,168
$26K
$37K
$54K
MEDIAN: $36,784
10%
50%
90%

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$12.22 - $21.01
$12
$16
$21
MEDIAN: $15.76
10%
50%
90%

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$0$54K
Salary $25,525 - $54,168
Bonus $495.51 - $4,983
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).
)
$25,614 - $48,314
  • Country: United States
  • Currency: USD
  • Updated: 20 Sep 2017
  • Individuals Reporting: 118
Hourly Data $0$31
Hourly Rate $12.22 - $21.01
Overtime $13.18 - $31.68
Annual Data $0$48K
Bonus $495.51 - $4,983
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).
)
$25,614 - $48,314
  • Country: United States
  • Currency: USD
  • Updated: 20 Sep 2017
  • Individuals Reporting: 206

Find Out Exactly What You Should Be Paid

United States (change)

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) offers the largest salaries in town — $51K on average.

About half the top paying employer's rate, Xerox Corporation offers a median salary of just $26K, consistently last on the pay scale ladder by far.

Popular Skills for Eligibility Specialist


Eligibility Specialists report using a diverse set of skills 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 pay less than market rate include Microsoft Office, Case Management, and Data Entry. It is often found that people who know Customer Service are also skilled 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
84 %
Male
16 %

Job Satisfaction

Highly satisfied
Rated 4 out of 5
based on 69 votes.
Less than 1 year
6%
1-4 years
53%
5-9 years
22%
10-19 years
14%
20 years or more
6%
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Location:
Years in Fields/Career:
United States (change)

Experience Affects Eligibility Specialist Salaries

▲13%

Late-Career
▲10%

▲8%

National Average
$34,000

▼6%

Skills That Affect Eligibility Specialist Salaries

Medicaid Case Management
▲12%



▲6%


National Average
$34,000

▼4%

Case Management
▼12%

Microsoft Office
▼13%

Job Satisfaction

Highly satisfied
Rated 4 out of 5
based on 69 votes.

Gender

Female
84 %
Male
16 %

Years of Experience

Less than 1 year
6%
1-4 years
53%
5-9 years
22%
10-19 years
14%
20 years or more
6%

Common Health Benefits

medical benefits
Medical: 80%
dental benefits
Dental: 69%
vision benefits
Vision: 62%
no benefits
None: 18%
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