$37,083
Avg. Salary
$15.95
Avg. Hourly Rate
Help us gather more data! Is Eligibility Specialist your job title? Find out what you're worth.

The average pay for an Eligibility Specialist is $15.95 per hour.

The average pay for an Eligibility Specialist is $37,083 per year.

10%
$12.23
10%
$15.95
50%
$21.49
90%
90%
MEDIAN $15.95
10%
$27k
10%
$37k
50%
$53k
90%
90%
MEDIAN $37,083
$27,054 - $53,146
$27K
$37K
$53K
MEDIAN: $37,083
10%
50%
90%

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$12.23 - $21.49
$12
$16
$21
MEDIAN: $15.95
10%
50%
90%

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$0$53K
Salary $27,054 - $53,146
Bonus $486 - $4,932
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).
)
$25,985 - $48,759
  • Country: United States
  • Currency: USD
  • Updated: 18 Mar 2019
  • Individuals Reporting: 203
Hourly Data $0$32
Hourly Rate $12.23 - $21.49
Overtime $16.61 - $32.66
Annual Data $0$48K
Bonus $486 - $4,932
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).
)
$25,985 - $48,759
  • Country: United States
  • Currency: USD
  • Updated: 18 Mar 2019
  • Individuals Reporting: 385

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 Pay By Employer

$0$51K

$26,389

$31,883

$51,357

Eligibility Specialist Job Listings

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 Dallas:
"Typical employed Texan."
Pros: Working with positive people
Cons: Long commute

Eligibility Specialist in Troy:
"Fine."
Pros: Undecided
Cons: Commuting

Eligibility Specialist in Topeka:
"Its ok. They dont pay well at all in Topeka unless you do back breaking work."
Pros:
Cons: The pay for most jobs is below the national average.

Eligibility Specialist in Richmond:
"It is fine but the pay scales need to reflect housing growth."
Pros: The school system in Virginia and the surrounding counties.
Cons: The pay scales are poor for the huge growth in housing and big corporations moving in the area.

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
82 %
Male
18 %

Job Satisfaction

Highly satisfied
Rated 4 out of 5
based on 123 votes.
Less than 1 year
6%
1-4 years
49%
5-9 years
23%
10-19 years
17%
20 years or more
5%

Experience Affects Eligibility Specialist Salaries

▲12%

Late-Career
▲8%

▲7%

National Average
$35,000

▼7%

Skills That Affect Eligibility Specialist Salaries

Medicaid Case Management
▲10%



▲5%


National Average
$35,000

▼5%

Case Management
▼13%

Microsoft Office
▼14%

Job Satisfaction

Highly satisfied
Rated 4 out of 5
based on 123 votes.

Gender

Female
82 %
Male
18 %

Years of Experience

Less than 1 year
6%
1-4 years
49%
5-9 years
23%
10-19 years
17%
20 years or more
5%

Common Health Benefits

medical benefits
Medical: 81%
dental benefits
Dental: 75%
vision benefits
Vision: 65%
no benefits
None: 16%