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Electronic Eligibility Analyst Jobs (NOW HIRING)

They should have strong analytical and communication skills, be comfortable following up with ... Support the intake and review process for both electronic and paper-based applications, as needed.

They should have strong analytical and communication skills, be comfortable following up with ... Support the intake and review process for both electronic and paper-based applications, as needed.

They should have strong analytical and communication skills, be comfortable following up with ... Support the intake and review process for both electronic and paper-based applications, as needed.

They should have strong analytical and communication skills, be comfortable following up with ... Support the intake and review process for both electronic and paper-based applications, as needed.

They should have strong analytical and communication skills, be comfortable following up with ... Support the intake and review process for both electronic and paper-based applications, as needed.

They should have strong analytical and communication skills, be comfortable following up with ... Support the intake and review process for both electronic and paper-based applications, as needed.

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 ...

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 ...

They should have strong analytical and communication skills, be comfortable following up with ... Support the intake and review process for both electronic and paper-based applications, as needed.

They should have strong analytical and communication skills, be comfortable following up with ... Support the intake and review process for both electronic and paper-based applications, as needed.

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 Sep 2, 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 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 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 are the most commonly searched types of Electronic Eligibility Analyst jobs?

The most popular types of 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 90% Full Time, 5% Part Time, and 5% Contract. Highlights an 73% In-person, 11% Hybrid, and 16% Remote job distribution, with an average salary of $47,119 per year, or $22.7 per hour.

$25/hr

Other

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Job description

Eligibility Reviewer

The Tetra Tech Disaster Recovery Team is seeking a dedicated Eligibility Reviewer to support agriculture relief efforts in Maine following disaster events in 2023 and 2024. The ideal candidate is detail-oriented, organized, and experienced in reviewing applications or supporting documentation for accuracy and eligibility. They should have strong analytical and communication skills, be comfortable following up with applicants and agencies, and be able to manage multiple priorities in a deadline-driven environment.

At Tetra Tech, we are Leading with Science to solve the world's most complex challenges. Our industry-leading experts in engineering and consulting are committed to driving positive change in communities around the world. For over 50 years, we have been at the forefront of innovation and sustainability. Today we stand as a market leader, offering cutting-edge solutions in water, environment, energy, and international development. Our work has improved more than 625 million lives around the world.

Join Tetra Tech to make a real difference. Our work leverages cutting-edge technologies, advanced analytics, and the expertise of world-class scientists and engineers to create meaningful change around the world. Discover your full potential – join us to advance your career while leaving a lasting legacy.

The Eligibility Reviewer will be responsible for conducting detailed reviews of applications and supporting documents to confirm completeness, eligibility, and compliance, while verifying financial and agricultural information, performing program-related calculations, and coordinating with applicants, internal teams, and external agencies.

The following duties are considered essential to the role. Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions:

  • Review applications and supporting materials to determine completeness and eligibility.
  • Evaluate submitted documentation for accuracy, consistency, and compliance with program requirements.
  • Validate and verify financial and agricultural information, including tax documentation and agricultural loss records.
  • Conduct outreach and follow-up communications with applicants to obtain missing information or clarify submissions.
  • Perform calculations based on program guidelines and established methodologies to support payment scenarios.
  • Support the intake and review process for both electronic and paper-based applications, as needed.
  • Coordinate with state USDA Farm Service Agency offices and other applicable agencies to help prevent duplicate payments for eligible losses.
  • Collaborate with state government agencies and other internal and external stakeholders, as needed, to support program implementation and to facilitate resource access.
  • Maintain accurate and confidential case files and documentation in accordance with organizational standards and regulatory requirements.
  • Participate in ongoing training and professional development to stay current with disaster response and recovery strategies, as applicable.

Required Qualifications:

  • Experience in case management reviewing applications, eligibility determinations, case files, claims, or similarly detailed records.
  • Strong attention to detail and the ability to interpret and apply program guidelines consistently.
  • Demonstrated ability to maintain professionalism in high-pressure situations.
  • Strong written and verbal communication skills, including the ability to conduct follow-up outreach professionally.
  • Excellent organizational skills and ability to manage multiple reviews and deadlines at once.
  • Proficiency in Microsoft Office applications, especially Word and Excel.
  • Ability to work collaboratively with internal teams and external agencies, deadline-driven environment.
  • Ability to maintain confidentiality and discretion.

Preferred Qualifications:

  • Bachelor's degree in public administration, business, agriculture, finance, social services, or related field. Equivalent experience may be considered.
  • Experience with state or federal assistance programs, disaster recovery programs, or agricultural support programs.
  • Familiarity with FSA processes, agricultural loss documentation, or related review procedures.
  • Experience supporting program implementation in a public sector or consulting environment.
  • Experience working with financial documents, tax records, agricultural records, or other sensitive documentation.
  • Bilingual skills are a plus.

Physical Requirements: Prolonged periods sitting or standing at a desk and using a computer.

Work Environment / Environmental Factors: Work is primarily performed in an office/call center environment requiring prolonged sitting, computer use, telephone communication, and occasional lifting up to 20 pounds.

Compensation: The hourly rate for this position is $25 per hour. Actual rate will be determined based on location, experience, responsibilities, and qualifications.

Additional Information:

  • Employment Type: Full-time
  • Work Schedule: Monday–Friday, 8AM–5PM (no expected overtime)
  • Travel Requirements: 0%–10%
  • Work Location: US Remote

The perks of working at Tetra Tech include:

  • Comprehensive and market-competitive benefits.
  • Merit-based financial rewards.
  • Flexibility and company-wide commitment to work/life balance.
  • Collaborative team atmosphere that values the contributions of all employees.
  • Learning and development opportunities for ongoing professional growth.

Tetra Tech is the leader in water, environment, and sustainable infrastructure, providing high-end consulting and engineering services for projects worldwide. With 30,000 employees working together, Tetra Tech provides clear solutions to complex problems by Leading with Science® to address the entire water cycle, protect and restore the environment, design sustainable and resilient infrastructure, and support the clean energy transition.

Tetra Tech is proud to be an Equal Opportunity Employer. All qualified candidates will be considered without regard to race, color, religion, national origin, age, disability, sex, marital or familial status, status as a protected veteran, or any other characteristic protected by law. Tetra Tech is a VEVRAA federal contractor, and we request priority referral of veterans. We invite applications from all interested parties.