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Eligibility Manager Jobs (NOW HIRING)

Previous experience as a Case Manager, Eligibility Specialist, Eligibility Associate, Office Manager, Call Center Customer Service Specialist, or Client Specialist encouraged to apply The Eligibility ...

Previous experience as a Case Manager, Eligibility Specialist, Eligibility Associate, Office Manager, Call Center Customer Service Specialist, or Client Specialist encouraged to apply The Eligibility ...

Previous experience as a Case Manager, Eligibility Specialist, Eligibility Associate, Office Manager, Call Center Customer Service Specialist, or Client Specialist encouraged to apply The Eligibility ...

Previous experience as a Case Manager, Eligibility Specialist, Eligibility Associate, Office Manager, Call Center Customer Service Specialist, or Client Specialist encouraged to apply The Eligibility ...

Previous experience as a Case Manager, Eligibility Specialist, Eligibility Associate, Office Manager, Call Center Customer Service Specialist, or Client Specialist encouraged to apply The Eligibility ...

Previous experience as a Case Manager, Eligibility Specialist, Eligibility Associate, Office Manager, Call Center Customer Service Specialist, or Client Specialist encouraged to apply The Eligibility ...

Previous experience as a Case Manager, Eligibility Specialist, Eligibility Associate, Office Manager, Call Center Customer Service Specialist, or Client Specialist encouraged to apply The Eligibility ...

Previous experience as a Case Manager, Eligibility Specialist, Eligibility Associate, Office Manager, Call Center Customer Service Specialist, or Client Specialist encouraged to apply The Eligibility ...

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Eligibility Manager information

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How much do eligibility manager jobs pay per hour?

As of Jun 8, 2026, the average hourly pay for eligibility manager 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 Eligibility Manager vs Claims Specialist?

CriteriaEligibility ManagerClaims Specialist
Required credentialsTypically requires a high school diploma or associate degree; certifications like Certified Eligibility Specialist are commonUsually requires a high school diploma; certifications like Certified Claims Professional are beneficial
Work environmentOffice setting, healthcare or insurance companiesOffice setting, healthcare or insurance companies
Employer and industry usageUsed in healthcare, insurance, government agenciesUsed in healthcare, insurance, and related sectors
Common search and comparison intentUnderstanding roles, responsibilities, and qualificationsUnderstanding differences in claims processing and eligibility

Eligibility Managers focus on verifying patient or client eligibility for services or benefits, ensuring compliance with policies. Claims Specialists handle processing and adjudicating insurance claims, focusing on reimbursement and accuracy. While both roles operate within healthcare and insurance sectors, Eligibility Managers primarily verify eligibility, whereas Claims Specialists manage claims processing.

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

To thrive as an Eligibility Manager, you need expertise in eligibility determination, compliance regulations, and case management, often supported by a bachelor's degree in social work, public administration, or a related field. Familiarity with eligibility management systems, case tracking software, and knowledge of relevant federal and state regulations is typically required. Strong leadership, problem-solving, and communication skills help in managing teams and resolving complex eligibility cases. These competencies are vital for ensuring accurate eligibility determinations, regulatory compliance, and efficient program operations.

What are the most common challenges faced by an Eligibility Manager in ensuring compliance with changing regulations?

Eligibility Managers often encounter challenges related to staying up-to-date with frequently changing federal, state, and local regulations that impact program eligibility criteria. They must ensure that their team is properly trained on new policies and that all documentation and procedures remain compliant. Additionally, balancing high caseloads while maintaining accuracy and timeliness in processing applications can be demanding. Effective communication with both applicants and internal departments is crucial to navigate complex cases and resolve discrepancies efficiently.

What is an Eligibility Manager?

An Eligibility Manager is a professional responsible for overseeing and managing the process of determining if individuals or groups qualify for specific programs, benefits, or services. They typically work for government agencies, healthcare organizations, or insurance companies. Their duties include supervising eligibility staff, ensuring compliance with policies and regulations, and resolving complex eligibility determinations or appeals. Eligibility Managers play a crucial role in making sure that assistance is provided to those who meet the necessary requirements, while preventing fraud and misuse of resources.
More about Eligibility Manager jobs
What cities are hiring for Eligibility Manager jobs? Cities with the most Eligibility Manager job openings:
What are the most commonly searched types of Eligibility jobs? The most popular types of Eligibility jobs are:
What states have the most Eligibility Manager jobs? States with the most job openings for Eligibility Manager jobs include:
Infographic showing various Eligibility Manager job openings in the United States as of May 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $47,119 per year, or $22.7 per hour.
Eligibility Specialist-Case Manager

Eligibility Specialist-Case Manager

Knowledge Services

Terre Haute, IN

$16.50/hr

Full-time

PTO

Posted 17 hours ago


Job description

THIS POSITION IS LOCATED IN TERRE HAUTE, IN

Knowledge Services has an opportunity for individuals drawn to the social service industry with the FSSA/Division of Family Resources (DFR) as an Eligibility Specialist. This position is responsible for assisting in the processing of applications from Indiana residents who are requesting public assistance.  The DFR is responsible for determining eligibility for individuals applying and/or receiving public assistance. Programs include TANF (cash assistance), SNAP, and Medicaid. The Eligibility Specialist staff are responsible for assisting in the processing of new applications and documents for ongoing public assistance.

Knowledge Services, established in 1994 and headquartered in Indianapolis IN, is a certified woman-owned (WBE) professional services organization with over 1500 employees located in offices throughout North America. Founded by Julie Bielawski, CEO, Guidesoft, Inc. DBA Knowledge Services is an industry leader in Managed Service Programs (MSP), Employer of Record / Payrolling Services, National Recruitment, and Staffing Services. We provide outstanding services to major organizations in various industries, including; IT, Healthcare, Entertainment, Media, Federal and State Governments, Public Utilities, Telecom, Manufacturing and more.


  • Eligibility Specialists gather data for all relevant assistance programs either face-to-face or via phone with clients
  • Verify all information is gathered accurately and meets state policies
  • Obtain release forms and medical records as needed
  • Verify income, assets, and other financial / legal documents
  • Review regulations and program requirements with clients
  • Utilize automated program to determine eligibility of state assistance programs
  • Data entry into state database
  • Respond to all inquiries in a timely manner via phone or email

  • Highly organized and analytical team player
  • Previous Case Manager experience is a plus
  • Strong written and verbal skills
  • Solid computer skills, Microsoft Office proficiency
  • Basic math skills
  • Case management skills
  • Independent worker who is a self-starter that is reliable and dependable
  • Strong customer service background with a professional demeanor
  • Prefer a Bachelor or Associate degree in Counseling or Social Services, but High School Diploma or GED required
  • 2 years’ experience in a social service environment, state or local government is desired pertaining to employment / training programs
  • Previous experience as a Case Manager, Eligibility Specialist, Eligibility Associate, Office Manager, Call Center Customer Service Specialist, or Client Specialist encouraged to apply

The Eligibility Specialist position is an opportunity where you can make an immediate impact on your community, plus the potential for promotion. You will be provided an extensive training program to give you the skills to be successful in this role. The wage is $16.50/hr. This role offers paid time off, benefits, and a 37.5 hour work week of Monday-Friday 8:00AM-4:30PM.

If you are looking for a position that could be the start of your career, apply now for immediate consideration.

Physical Requirements:

  • Job frequently requires sitting, handling objects with hands.
  • Job occasionally requires standing, walking, reaching, talking, hearing, and lifting up to 25 pounds.
  • Knowledge Services is committed to working with and providing reasonable accommodations to individuals with disabilities.  If you need a reasonable accommodation for any part of the application or hiring process, please contact TalentHR@knowledgeservices.com.

Knowledge Services is an equal opportunity employer committed to hiring a diverse workforce and sustaining an inclusive culture. Knowledge Services does not discriminate on the basis of disability, veteran status or any other basis protected under federal, state or local laws. People with disabilities, veterans, and military families are encouraged to apply.

#INDDFR