1

Electronic Eligibility Analyst Jobs (NOW HIRING)

The work performed includes processing data from electronic sources and entering information into a ... Analyze and interpret written, numerical, and verbal data from various sources. Enter data ...

Acting as a healthcare data subject matter expert on Eligibility guidelines and Electronic Data ... Ability to analyze complex business problems to discover and resolve root causes * Proficiency in ...

The work performed includes processing data from electronic sources and entering information into a ... Analyze and interpret written, numerical, and verbal data from various sources. Enter data ...

The work performed includes processing data from electronic sources and entering information into a ... Analyze and interpret written, numerical, and verbal data from various sources. Enter data ...

The work performed includes processing data from electronic sources and entering information into a ... Analyze and interpret written, numerical, and verbal data from various sources. Enter data ...

The work performed includes processing data from electronic sources and entering information into a ... Analyze and interpret written, numerical, and verbal data from various sources. Enter data ...

The work performed includes processing data from electronic sources and entering information into a ... Analyze and interpret written, numerical, and verbal data from various sources. Enter data ...

The work performed includes processing data from electronic sources and entering information into a ... Analyze and interpret written, numerical, and verbal data from various sources. Enter data ...

The work performed includes processing data from electronic sources and entering information into a ... Analyze and interpret written, numerical, and verbal data from various sources. Enter data ...

The work performed includes processing data from electronic sources and entering information into a ... Analyze and interpret written, numerical, and verbal data from various sources. Enter data ...

The work performed includes processing data from electronic sources and entering information into a ... Analyze and interpret written, numerical, and verbal data from various sources. Enter data ...

The work performed includes processing data from electronic sources and entering information into a ... Analyze and interpret written, numerical, and verbal data from various sources. Enter data ...

Showing results 21-40

Electronic Eligibility Analyst information

See salary details

$14

$22

$33

How much do electronic eligibility analyst jobs pay per hour?

As of Aug 9, 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:
Infographic showing various Electronic Eligibility Analyst job openings in the United States as of August 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.

ELIGIBILITY SPECIALIST I

Florida Jobs

Fort Lauderdale, FL • On-site

Other

Re-posted 21 days ago


Job description

ELIGIBILITY SPECIALIST I - 60044564

Families in need and in crisis require time sensitive actions from strong, compassionate individuals who are dedicated to assisting the vulnerable and promoting strong self-sufficient families. This demanding and challenging career could be your opportunity to help those in need make a better life for themselves and their families. Every minute and every case processed count for those who are hungry, caring for others, in need of assistance to provide shelter for loved ones, or just need a helping hand, and your career choice could make a critical difference by making a tremendous impact on countless lives. If you are interested in making a difference, please join our TEAM!

The primary function of an Eligibility Specialist involves determining the eligibility of applicants and recipients for government assistance programs. The work performed includes processing data from electronic sources and entering information into a computer-based eligibility system under state and federal requirements. Eligibility workers are expected to handle a high volume of work which is deadline driven. Workers must be able to prioritize, plan and project their work, while remaining flexible to frequent changes in the program policy and/or computer-based systems.

The duties of a typical day are as follows:

  • Interviewing applicants to obtain and verify information needed to determine eligibility for Food Assistance, Medicaid, and Cash Assistance.
  • Learning numerous state and federal program regulations, through intensive training prior to full case assignment and then ongoing training thereafter.
  • Instructing clients in completion of various forms, and reviewing the applications and forms submitted for completeness and accuracy.
  • Determining program eligibility in accordance with current regulations using a computer-based eligibility system.
  • Researching information provided by an applicant until satisfactory explanations regarding eligibility status is confirmed.
  • Reporting cases where identity theft or fraud is suspected.
  • Advising clients of deadlines, time frames, and necessary actions to be taken.
  • Working with clients who may not take the necessary actions within the required time frame.
  • Establishing and maintaining multiple electronic files and conducting regular reviews and updates.
  • Documenting all communications and contacts with clients.
  • Managing an electronic caseload that varies based on the community needs, ensuring that accuracy levels are maintained, and cases are processed within the specified time frames set by federal and state regulations.
  • Computing and authorizing government assistance benefits based on financial and family status.
  • Reviewing and explaining the monthly benefit amount to the customer.
  • Staying current with changes in rules, laws, procedures, etc. that affect timeliness and accuracy.

This position may require face-to-face contact with clients.

Qualifications: Two years or more of customer service, interviewing, recruiting, investigating, accounting, processing insurance policies or determining eligibility. OR Associate degree, or higher from an accredited college or university, OR 60 semester hours or 90 quarter hours can substitute for the experience. (When applying please attach required education, certification, or licensure). Ability to attend an 8 - 12-week mandatory training course.

Knowledge, Skills, and Abilities: Apply the laws, rules, and regulations governing eligibility and grant determination for multiple government assistance programs and the case administration of these programs. Ability to review images such as pictures or handwritten notes to make eligibility determinations based on the information provided. Documents provided by clients are uploaded electronically and converted into images for review and eligibility determination. Communicate with others to obtain and verify information concerning eligibility. Detect and evaluate potential fraudulent situations. Analyze and interpret written, numerical, and verbal data from various sources. Enter data accurately into a computerized system. Navigate through computer screens, complete, and review basic computer documents and other forms. Plan and organize caseload to ensure work is completed in accordance with regulations relating to eligibility and timeliness. Read, understand, apply complicated and detailed regulations, and policy directives. Perform a variety of mathematical computations accurately and rapidly. Establish and maintain cooperative working relationships with the public and staff. Use computers and related software packages. Follow written and oral directions and instructions.

Location: FT LAUDERDALE, FL, US, 33309