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Eligibility Clerk Jobs (NOW HIRING)

Employee Benefits Fund

Eligibility Clerk

Manhattan, NY · On-site

We have an opening for an Eligibility Clerk based out of our Central Administration location in Manhattan. Summary: The primary purpose of this position is to be responsible for providing member ...

Gila River Health Care

Eligibility Clerk

Sacaton, AZ · On-site

Interviews patients to determine eligibility status for medical assistance programs and assists with application process. Verifies enrollment and demographic information for accurate and timely ...

Douglas County, CO

Eligibility Supervisor

Castle Rock, CO · On-site

$39K - $51K/yr

The Eligibility Supervisor oversees a team that may be comprised of Eligibility Case Managers, Lead Eligibility Case Managers, and/or Human Services Clerks responsible for determining initial and ...

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Eligibility Clerk information

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$32K

$44.5K

$70K

How much do eligibility clerk jobs pay per year?

As of Aug 9, 2026, the average yearly pay for eligibility clerk in the United States is $44,547.00, according to ZipRecruiter salary data. Most workers in this role earn between $36,000.00 and $47,000.00 per year, depending on experience, location, and employer.

What does an eligibility clerk do?

An Eligibility Clerk is responsible for determining and verifying the eligibility of individuals applying for various government or social service programs, such as healthcare, food assistance, or housing support. They review applications, collect necessary documentation, and ensure that all information complies with program requirements. Additionally, Eligibility Clerks may interview applicants, update records, and communicate decisions or additional requirements to clients. Their work helps ensure that benefits are distributed fairly and in accordance with the law.

What qualifications do you need to be an eligibility clerk?

Eligibility clerks typically need a high school diploma or equivalent, strong organizational and communication skills, and proficiency with computer systems and data entry. Some positions may require experience with case management software or knowledge of eligibility policies.

What are the key skills and qualifications needed to thrive as an eligibility clerk, and why are they important?

To thrive as an Eligibility Clerk, you need strong attention to detail, data entry proficiency, and a high school diploma or equivalent. Familiarity with case management software, government benefit systems, and office applications like Microsoft Office is typically required. Excellent communication, organizational skills, and the ability to handle confidential information make someone stand out in this role. These competencies are crucial for accurately processing applications, maintaining compliance, and providing effective service to clients.

What are some common challenges eligibility clerks face when verifying applicant information?

Eligibility Clerks frequently encounter challenges such as incomplete or inconsistent documentation from applicants, strict deadlines for processing cases, and the need to stay updated with changing eligibility regulations. Managing a high caseload while maintaining accuracy and confidentiality is also crucial. Collaboration with caseworkers, supervisors, and external agencies is often necessary to resolve discrepancies and ensure applicants receive timely support.

What is the difference between Eligibility Clerk vs Benefits Coordinator?

AspectEligibility ClerkBenefits Coordinator
Required CredentialsHigh school diploma or equivalent; some roles may require certificationHigh school diploma; some roles may prefer certification in benefits administration
Work EnvironmentOffice setting, handling paperwork and data entryOffice setting, interacting with employees and insurance providers
Employer & IndustryHealthcare, government agencies, insurance companiesHuman resources departments, healthcare organizations
Search & Comparison IntentUnderstanding job duties and qualificationsComparing roles related to employee benefits management

Eligibility Clerks primarily verify and process eligibility information for benefits, focusing on data entry and documentation. Benefits Coordinators manage employee benefits programs, including communication and enrollment. While both roles involve benefits, Eligibility Clerks focus on eligibility verification, whereas Benefits Coordinators handle overall benefits administration.

What cities are hiring for Eligibility Clerk jobs? Cities with the most Eligibility Clerk job openings:
What states have the most Eligibility Clerk jobs? States with the most job openings for Eligibility Clerk jobs include:
What are popular job titles related to Eligibility Clerk jobs? For Eligibility Clerk jobs, the most frequently searched job titles are:
Eligibility Clerk jobs near you
Infographic showing various Eligibility Clerk job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 19% Part Time, and 3% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $44,547 per year, or $21.4 per hour.

Eligibility Clerk

Employee Benefits Fund

Manhattan, NY • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 11 days ago

Job description

Health Center Inc. (also known as The New York Hotel Trades Council and Hotel Association of NYC, Inc Employee Benefit Funds) is a NYC based healthcare organization with ambulatory care facilities staffed with a wide range of health professionals to provide extensive medical and diagnostic services. We have an opening for an Eligibility Clerk based out of our Central Administration location in Manhattan.
Summary:
The primary purpose of this position is to be responsible for providing member/customer service in the areas of claims & eligibility. Following departmental workflows and policies/procedures, employee will analyze and communicate outcomes (eligibility status/payment levels/denials) to members and providers.
Position Qualifications:

  • Minimum of 1 year of eligibility, claims, and insurance experience
  • Minimum high school diploma or equivalent.
  • Excellent interpersonal and customer service skills.
  • Ability to work independently, handle routine inquiries and resolve issues with minimal supervision.
  • Excellent organizational skills and attention to detail.
  • Proficient Microsoft Office skills (Excel, Word, Outlook)
  • Strong oral and written communication skills.
  • Ability to work under pressure, meet deadlines and multitask.
  • Spanish, Mandarin, or Cantonese speaking a plus
  • Legal Experience a plus
We offer a competitive salary including, but not limited to, the following benefits:
  • Medical, Dental, Pharmacy and Vision health benefits at no cost to all benefits-eligible employees and their eligible dependents
  • Paid Time Off (Vacation, Personal, Sick days, and 12 paid Holidays)
  • 401(k) Plan
  • Life Insurance
  • Tuition Reimbursement
  • Mental Health Coverage
  • Legal Services Benefit
  • Short Term Disability Benefits

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