ZipRecruiter

Log In

1

Eligibility Representative Jobs (NOW HIRING)

Cigna

Eligibility Representative - Accredo - Remote

As an Eligibility Representative, you'll be part of a dedicatedteam whichhelps our specialty pharmacy patients coordinate their medication needs and pharmacy insurance coverage for complex medical ...

previous page

Showing results 41-60

All JobsGovernment JobsGovernment Services JobsEligibility Representative Jobs

Eligibility Representative information

See salary details

$24.5K

$44.2K

$77K

How much do eligibility representative jobs pay per year?

As of Sep 3, 2026, the average yearly pay for eligibility representative in the United States is $44,219.00, according to ZipRecruiter salary data. Most workers in this role earn between $37,500.00 and $43,000.00 per year, depending on experience, location, and employer.

What is an eligibility representative?

An Eligibility Representative is a professional who helps individuals determine their qualification for various government or private assistance programs, such as Medicaid, SNAP, or unemployment benefits. They review applications, collect and verify documentation, and explain program requirements to applicants. These representatives often work for government agencies, healthcare organizations, or insurance companies, ensuring that clients receive the support they are entitled to. Their role requires strong communication, organizational, and analytical skills to navigate complex eligibility criteria.

What are the key skills and qualifications needed to thrive as an eligibility representative?

To thrive as an Eligibility Representative, you typically need strong knowledge of eligibility programs, attention to detail, and at least a high school diploma or equivalent. Familiarity with case management software, data entry systems, and often knowledge of government regulations or benefits programs is important. Excellent communication, problem-solving skills, and empathy help in effectively assisting clients and resolving complex eligibility issues. These skills ensure accurate processing of applications, compliance with regulations, and positive client experiences.

What are some common challenges eligibility representatives face when verifying client information, and how can they address them?

Eligibility Representatives frequently encounter challenges such as incomplete documentation, discrepancies in client information, and navigating complex eligibility criteria. To address these issues, it's important to maintain strong attention to detail, communicate clearly with clients to obtain missing information, and stay up-to-date on changing regulations and program requirements. Collaborating with team members and utilizing available resources, such as eligibility software and policy manuals, can also help resolve issues efficiently and ensure accurate determinations.

What is the difference between Eligibility Representative vs Claims Processor?

CriteriaEligibility RepresentativeClaims Processor
Required CredentialsHigh school diploma or equivalent; some roles may prefer certifications in healthcare or insuranceHigh school diploma or equivalent; certifications in claims processing are a plus
Work EnvironmentOffice setting, interacting with clients and insurance providersOffice setting, reviewing and processing insurance claims
Employer & Industry UsageHealth insurance companies, healthcare providers, government programsInsurance companies, healthcare organizations, third-party administrators
Common Search & Comparison IntentUnderstanding roles related to insurance eligibility and customer serviceDifferences in claims processing and administrative tasks

Eligibility Representatives focus on verifying patient or client eligibility for insurance coverage, often interacting directly with customers. Claims Processors handle reviewing and processing insurance claims after services are rendered. Both roles require similar credentials and work in healthcare or insurance settings, but their primary functions differ in the insurance process.

More about Eligibility Representative jobs

What cities are hiring for Eligibility Representative jobs?

Cities with the most Eligibility Representative job openings:

What states have the most Eligibility Representative jobs?

States with the most job openings for Eligibility Representative jobs include:

What job categories do people searching Eligibility Representative jobs look for?

The top searched job categories for Eligibility Representative jobs are:

Eligibility Representative jobs near you
Infographic showing various Eligibility Representative job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 18% Part Time, and 3% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $44,219 per year, or $21.3 per hour.

Onsite Medicaid Eligibility Representative

Revenue Group

Columbus, OH • On-site

$17.50/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 19 days ago

Key responsibilities

  • Review hospital work queue or census to identify uninsured patients admitted to the Emergency Room.

  • Screen and interview patients bedside in hospital to determine eligibility for assistance programs including Medicaid and charities.

  • Complete applications for Medicaid benefits and charity programs as needed.

Job description

Description:

Pay Rate: $17.50/hr. plus monthly bonus ($0- 300) after 90 days.

Hours: Monday - Friday 8:00am-4:30pm Holidays included if during regular scheduled shift


Who is Hospital Referral Services?

No one wakes up in the morning and says, "Today I want to go to the hospital". We are here to help when the unexpected happens. Hospital Referral Services on-sites screen and help patient’s bedside to see what assistance programs the uninsured or underinsured may be eligible to receive.


HRS's team of experts helps guide patients through the Medicaid process so the patient can focus on recovery.

Hospital Referral Services has an opening for an Onsite Medicaid Screening Representative. We are looking for a self-motivated professional to add to our growing team. If helping people is something you enjoy, this may be the right job for you.


Our employees voted us Top Workplaces 5 years in a row!


The Onsite Medicaid Eligibility Representative will be responsible for:

  • Review the hospital work queue or census to identify uninsured patients that are admitted to the Emergency Room.
  • Screen/Interview patient’s bedside in hospital setting to determine possible eligibility for any assistance programs available including Medicaid and charities.
  • High volume of walking and standing. (70% - 80% of your shift)
  • The Onsite Medicaid Screening Representative will complete applications for Medicaid benefits and charity programs as needed.
  • Maintain a positive working relationship with co-workers, hospital staff, and patients.
  • Abide by HIPAA rules and regulations to protect patient’s privacy.
  • The Onsite Medicaid Screening Representative will meet production goals and objectives as assigned by hospital and management on a monthly basis.
  • Maintain confidentiality of account information at all times.

PM21

Requirements:

Requirements for the Onsite Medicaid Screening Representative:

  • Previous customer service experience preferred.
  • Must have basic computer skills.
  • Must be able to multitask and type minimum 40 WPM
  • Must have reliable transportation.
  • Good attendance and dependability are essential.
  • Successful completion of drug and background test is required.
  • Annual Flu shots and TB testing is required

The Onsite Medicaid Screening Representative must have availability to work some holidays.

Our Benefits:

  • 100% Paid Training
  • 401(k) matching
  • Paid Time off (PTO) – Up to 10 days your first year!
  • Referral Program
  • Employee Assistance Program (EAP)
  • Growth & Continued Training
  • Dental & Vision insurance
  • Health insurance (including Long & Short-Term Disability)
  • Life insurance (Company Paid)


Please apply at: revenuegroup.com/careers


EEO Statement:
We are an Equal Employment Employer. We do not discriminate in hiring on the basis of sex, gender identity, sexual orientation, race, color, religious creed, national origin, physical or mental disability, protected Veteran status, or any other characteristic protected by federal, state/province, or local laws.


PM21