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Eligibility Screening Services Jobs (NOW HIRING)

Supervisor Patient Eligibility

Mesquite, TX · On-site

$41K - $54K/yr

Conduct eligibility screening in-person, including bedside visits, to assess financial assistance ... service-level agreements with the Client. * Monitor team and individual performance and quality ...

Supervisor Patient Eligibility

Mesquite, TX · On-site

$41K - $54K/yr

Conduct eligibility screening in-person, including bedside visits, to assess financial assistance ... service-level agreements with the Client. * Monitor team and individual performance and quality ...

Must be able to discontinue services when necessary. * Processing work: Process eligibility ... screening, assessment of family needs, assessing of parents share of costs, and processing of ...

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Eligibility Screening Services information

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How much do eligibility screening services jobs pay per hour?

As of Aug 2, 2026, the average hourly pay for eligibility screening services 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 Screening Services vs Background Check Specialists?

AspectEligibility Screening ServicesBackground Check Specialists
CredentialsMay include employment verification, education validation, and identity checksTypically focus on criminal history, employment history, and education verification
Work EnvironmentOften performed by HR departments or third-party screening providersUsually work for background screening companies or as independent consultants
Industry UsageUsed across various industries for pre-employment screeningCommonly employed in security, hiring, and compliance sectors

Eligibility Screening Services primarily focus on verifying a candidate's qualifications and eligibility to work, including employment and education checks. Background Check Specialists concentrate on criminal history and detailed background information. Both roles are essential in the hiring process but serve different purposes.

What are Eligibility Screening Services?

Eligibility Screening Services are specialized services that help individuals or organizations determine if they meet the necessary requirements for various programs, benefits, or services. These services typically involve reviewing an applicant's financial, medical, or personal information to assess their qualification for assistance such as healthcare, social services, or government aid. The goal is to ensure that eligible individuals receive the support they need while preventing ineligible applicants from accessing resources. Eligibility Screening Services are often provided by hospitals, clinics, non-profit organizations, and government agencies.

What are some common challenges faced by professionals working in Eligibility Screening Services, and how can they be addressed?

Professionals in Eligibility Screening Services often encounter challenges such as handling high caseloads, managing sensitive client information, and navigating complex eligibility criteria. Staying organized and maintaining clear communication with clients and team members are essential for managing workload efficiently. Additionally, keeping up-to-date with changing policies and utilizing technology to streamline processes can help address these challenges. Collaboration with colleagues and regular training can further ensure accuracy and consistency in eligibility determinations.

What are the key skills and qualifications needed to thrive in Eligibility Screening Services, and why are they important?

Success in Eligibility Screening Services requires strong attention to detail, knowledge of eligibility criteria, and a background in social services or healthcare administration. Familiarity with case management software, data entry systems, and sometimes certification in relevant benefit programs are commonly needed. Excellent interpersonal skills, empathy, and effective communication help in understanding client needs and navigating sensitive situations. These competencies ensure accurate screening, compliance with regulations, and positive experiences for clients seeking support.
More about Eligibility Screening Services jobs
What cities are hiring for Eligibility Screening Services jobs? Cities with the most Eligibility Screening Services job openings:
What states have the most Eligibility Screening Services jobs? States with the most job openings for Eligibility Screening Services jobs include:
Infographic showing various Eligibility Screening Services job openings in the United States as of July 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 Screening Services Representative

Eligibility Screening Services

Madill, OK

$14.50 - $18.50/hr

Full-time

Posted 5 days ago


Job description

Job Description

Job Summary
The Eligibility Screening Services Representative is responsible for evaluating patients' eligibility for government, insurance, and financial assistance programs to facilitate access to healthcare services and appropriate reimbursement. This role meets with patients to gather financial and insurance information, assists with benefit applications, identifies potential payment sources, and documents eligibility activities. The Eligibility Representative collaborates with patients, hospital departments, and external agencies to support timely financial clearance while ensuring compliance with applicable regulations and organizational policies.
Essential Functions

  • Meets with self-pay patients at their bedside to evaluate eligibility for Medicaid, Medicare, financial assistance, and other government or community assistance programs.
  • Identifies and verifies potential payment sources, including commercial insurance, Medicare, Medicaid, Workers' Compensation, auto insurance, and third-party liability coverage.
  • Assists patients in completing financial assistance applications and required documentation to support eligibility determinations.
  • Reviews financial and insurance information to accurately route patient accounts and facilitate appropriate reimbursement processes.
  • Documents patient interactions, eligibility screenings, application status, and supporting information in designated systems.
  • Collaborates with Patient Access, Case Management, Social Services, Patient Financial Services, Patient Advocacy, and other departments to coordinate patient financial assistance activities.
  • Maintains knowledge of eligibility requirements, payer guidelines, financial assistance programs, and applicable regulatory changes.
  • Ensures compliance with organizational policies and applicable federal, state, and payer requirements while protecting patient confidentiality.
  • Performs other duties as assigned.
  • Maintains regular and reliable attendance.
  • Complies with all policies and standards.

Qualifications

  • H.S. Diploma or GED required
  • Associate Degree or higher in a related field preferred
  • 0-2 years of experience in healthcare, patient financial services, customer service, insurance verification, or a related field required
  • Experience with Medicaid, Medicare, financial assistance programs, insurance verification, or patient accounting processes preferred
  • Experience working in a hospital or healthcare environment preferred

Knowledge, Skills and Abilities

  • Knowledge of healthcare insurance, government assistance programs, and patient financial services processes.
  • Knowledge of patient confidentiality requirements and applicable healthcare regulations.
  • Ability to gather, review, and analyze financial and insurance information.
  • Strong customer service, communication, and interpersonal skills.
  • Strong organizational skills with the ability to prioritize multiple tasks and maintain accurate documentation.
  • Proficiency using computer applications, electronic medical records, and patient accounting systems.
  • Ability to work independently and collaboratively while maintaining professionalism and compassion when assisting patients.

Licenses and Certifications

  • Certification Application Counselor (CAC) through the Affordable Care Act (ACA) required

State Specific Requirements

  • Georgia: Insurance Navigator license for residents of GA required
  • Indiana: Insurance Navigator license for residents of IN required