The average hourly pay for an Eligibility Specialist is $16.53.
Eligibility Specialist by
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What Do Eligibility Specialists Do?
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.
Eligibility specialists work with a variety of people to determine their eligibility for Medicare or other government-assisted programs, and most of the…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.
Job Satisfaction for Eligibility Specialist
Popular Employer Salaries for Eligibility Specialist
The top respondents for the job title Eligibility Specialist are from the companies Department of Human Services, Neighborcare and Xerox Corporation. Reported salaries are highest at Department of Human Services where the average pay is $23.00. Other companies that offer high salaries for this role include State of Michigan (MI) and Neighborcare, earning around $21.34 and $19.67, respectively. Xerox Corporation pays the lowest at around $12.77. Maximus, Inc. and Job and Family Services also pay on the lower end of the scale, paying $13.74 and $15.33, respectively.
Eligibility Specialist Job Listings
What Are Popular Skills for Eligibility Specialists?
Skills in Customer Service and Insurance are correlated to pay that is above average. Skills that pay less than market rate include Knowledge of Medicaid & Medicare, Data Entry and Medicaid Eligibility.
What is the Pay by Experience Level for Eligibility Specialists?
An entry-level Eligibility Specialist with less than 1 year experience can expect to earn an average total compensation (includes tips, bonus, and overtime pay) of $14.60 based on 31 salaries. An early career Eligibility Specialist with 1-4 years of experience earns an average total compensation of $15.70 based on 249 salaries. A mid-career Eligibility Specialist with 5-9 years of experience earns an average total compensation of $17.46 based on 135 salaries. An experienced Eligibility Specialist with 10-19 years of experience earns an average total compensation of $18.37 based on 106 salaries. In their late career (20 years and higher), employees earn an average total compensation of $18.
Pay Difference by Location
Employees with Eligibility Specialist in their job title in Los Angeles, California earn an average of 24.7% more than the national average. These job titles also find higher than average salaries in Seattle, Washington (16.1% more) and San Bernardino, California (13.5% more). The lowest salaries can be found in Indianapolis, Indiana (10.2% less) and Dallas, Texas (5.1% less).
Years of Experience
This data is based on 554 survey responses.