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Electronic Eligibility Analyst Jobs (NOW HIRING)

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Electronic Warfare (EW) Analyst

Huntsville, AL

... Electronic Warfare Analysts for our team in Huntsville, AL. Responsibilities: * Employs ... Active Secret Clearance with eligibility for TS/SCI clearance. Please Note: US Citizenship is ...

Posted today

McLaren

Patient Access Representative (Pontiac)

Pontiac, MI · On-site

$17.25 - $21.75/hr

... EMR system, Electronic Eligibility System and various websites for third party payers for ... analyze and interpret the information reviewed daily. • Ensures customer interactions are done in ...

Montrose County, CO

Eligibility Technician

Montrose, CO · On-site

$23.08 - $27.15/hr

Verifies information provided by applicant through interfaces, electronic data providers, pay stubs ... Ability to analyze and apply agency and state rules and regulations to assess computer determined ...

Montrose County, CO

Eligibility Technician

Montrose, CO · On-site

$23.08 - $27.15/hr

Verifies information provided by applicant through interfaces, electronic data providers, pay stubs ... Ability to analyze and apply agency and state rules and regulations to assess computer determined ...

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Electronic Eligibility Analyst information

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How much do electronic eligibility analyst jobs pay per hour?

As of Jul 31, 2026, the average hourly pay for electronic eligibility analyst in the United States is $22.65, according to ZipRecruiter salary data. Most workers in this role earn between $19.23 and $25.96 per hour, depending on experience, location, and employer.

What is the difference between Electronic Eligibility Analyst vs Insurance Verification Specialist?

AspectElectronic Eligibility AnalystInsurance Verification Specialist
CredentialsTypically requires healthcare or insurance-related certifications, such as CPC or HCCOften requires similar certifications, focusing on insurance verification skills
Work EnvironmentWorks in healthcare settings, insurance companies, or billing departmentsPrimarily in healthcare facilities, billing offices, or insurance companies
Employer & IndustryHospitals, clinics, insurance providersHospitals, clinics, insurance companies
Job FocusVerifies patient eligibility electronically, reviews coverage detailsVerifies insurance coverage manually or electronically, confirms benefits

Both roles involve verifying insurance coverage, but Electronic Eligibility Analysts focus on electronic systems and data accuracy, while Insurance Verification Specialists may handle manual verification processes. The roles often overlap in healthcare and insurance settings, with similar credentials required.

What is an Electronic Eligibility Analyst?

An Electronic Eligibility Analyst is a professional who reviews, analyzes, and manages electronic data related to eligibility for programs such as health insurance or government benefits. They ensure that electronic records are accurate, up-to-date, and comply with relevant policies and regulations. Their responsibilities include processing eligibility files, resolving discrepancies, and collaborating with other departments to improve the efficiency of eligibility determinations. This role often requires strong analytical skills, knowledge of relevant software systems, and an understanding of data privacy requirements.

How does an Electronic Eligibility Analyst typically collaborate with other departments to resolve eligibility discrepancies?

Electronic Eligibility Analysts frequently work with HR teams, IT staff, and benefits administrators to ensure member data is accurate and up-to-date. When discrepancies arise, analysts may coordinate with these departments to verify information, update records, and clarify policies or plan requirements. Effective communication and strong problem-solving skills are essential, as the role often involves troubleshooting system errors and explaining complex eligibility rules to non-technical colleagues. This collaborative environment helps ensure seamless benefits administration and a positive experience for members.

What are the key skills and qualifications needed to thrive as an Electronic Eligibility Analyst, and why are they important?

To thrive as an Electronic Eligibility Analyst, you need a solid understanding of health insurance regulations, eligibility processes, and data analysis, often supported by a degree in health informatics, business, or a related field. Proficiency with eligibility management systems (such as EDI 834 files), data analysis tools, and healthcare information software is typically required. Attention to detail, problem-solving abilities, and strong communication skills are vital soft skills for success in this role. These competencies ensure accurate eligibility determinations, compliance with regulations, and effective collaboration across teams and stakeholders.
What are the most commonly searched types of Electronic Eligibility Analyst jobs? The most popular types of Electronic Eligibility Analyst jobs are:
What job categories do people searching Electronic Eligibility Analyst jobs look for? The top searched job categories for Electronic Eligibility Analyst jobs are:
Electronic Eligibility Analyst jobs near you
Infographic showing various Electronic Eligibility Analyst job openings in the United States as of July 2026, with employment types broken down into 67% Full Time, and 33% Part Time. Highlights an 100% In-person job distribution, with an average salary of $47,119 per year, or $22.7 per hour.

Program Eligibility Analyst

capslo

San Luis Obispo, CA

Other

Re-posted 14 days ago

Job description

Please note that this is a limited term position and is estimated to end December 2026. The ideal candidate will be fluent in two or more languages, including one that supports the needs of the program and community.
 
Under supervision of the Program Eligibility & Contracts Supervisor, provides administrative and analytical support for the Early Head Start, Head Start, and State Child Development Programs. This position is most suited to staff who enjoy paperwork, are detailed oriented, can work accurately with numbers, and have the ability to get along well with the public. This position requires technological skills, and the ability to use Excel, Google Suite, PowerPoint, and Word. The ability to organize and work with minimum supervision is essential. 

What we are seeking in the ideal candidate: 
  • Combination of related education and/or experience equal to two years performing administrative functions, case management, eligibility determinations, and/or related field. One of the years must be experience working as a Program Eligibility Specialist I or experience equivalent to performing eligibility determinations under a California Department of Education regulation.
  • Must be fluent in two or more languages, including one that supports the needs of the program and community.
  • Preferred: Bachelor’s Degree.
As a program Eligibility Analyst you will:
  • Review, verify, and audit monthly attendance and parent fee reports for compliance with internal policies and State, licensing, and Federal regulations
  • Perform accurate data entry and maintenance in NOHO and ChildPlus, including attendance, parent payments, credits, fee adjustments, and waitlist applications
  • Ensure consistency between paper documentation and electronic records and resolve discrepancies
  • Track error trends, delinquent parent fees, and payment plans and prepare required monthly and quarterly reports
  • Prepare and submit reimbursement requests and support approval processes
  • Collaborate with Program Eligibility Specialists (PES), supervisors, and the Finance department to resolve issues and respond to inquiries
  • Support enrollment, waitlist, recruitment, outreach, and social media activities as assigned
  • Assist with training, administrative functions, meetings, safety practices, and other duties as needed

Please note this job advertisement is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

To view the full job description click HERE.

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