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Eligibility Jobs (NOW HIRING)

Livingston County

Eligibility Clerk

Geneseo, NY · On-site

$23.71 - $28.04/hr

An Eligibility Clerk does related work as assigned. Examples of Duties Reviews applications and re-certifications for completeness and forwards for eligibility determination; Advises applicants and ...

Kandiyohi County

Eligibility Worker

Willmar, MN · On-site

$60K - $84K/yr

The Eligibility Worker is responsible for determining initial eligibility and maintaining ongoing eligibility for public assistance programs. This position involves supporting clients by identifying ...

CVS Health

Eligibility Consultant

East Lansing, MI · On-site +1

$17 - $31.30/hr

Responds, researches, and resolves eligibility and other enrollment related issues involving member specific information; works directly with clients, field marketing offices and/or local claim ...

Compass Health Network

Eligibility Specialist

Troy, MO · On-site

$20.98/hr

As an Eligibility Specialist, you'll be a trusted resource in our rural communities - supporting patients and community members in understanding health insurance options and enrolling in coverage ...

New

Neighborcare Health

Eligibility Specialist

Seattle, WA · On-site

$24 - $30.18/hr

Purpose The Eligibility Specialist will enroll uninsured patients into insurance and resource programs for which they are eligible. In this role, they will maximize enrollment into programs in which ...

Guilford County, NC

Eligibility Caseworker

Greensboro, NC · On-site

$40K - $47K/yr

Determines eligibility for one or more of the above programs based on constantly changing Federal, State, and County policies. * Must adhere to strict policy deadlines for each assistance program.

Savista

Eligibility Specialist

Phoenix, AZ · On-site

$20/hr

The Eligibility Specialist I is a critical advocate for patients, helping uninsured and underinsured individuals access financial assistance for medical care. This role involves conducting detailed ...

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How much do eligibility jobs pay per hour?

As of Jun 8, 2026, the average hourly pay for eligibility 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 are the key skills and qualifications needed to thrive as an Eligibility Specialist, and why are they important?

To thrive as an Eligibility Specialist, you need strong analytical skills, attention to detail, and a background in social services or a related field, often supported by a relevant degree or experience. Familiarity with eligibility determination software, case management systems, and documentation protocols is typically required. Excellent communication, empathy, and problem-solving abilities are essential for effectively assisting clients and collaborating with team members. These skills are crucial for ensuring accurate eligibility assessments, timely support for clients, and compliance with regulatory guidelines.

What are some common challenges faced by Eligibility Specialists, and how can they be effectively managed?

Eligibility Specialists often face challenges such as navigating complex regulations, managing high caseloads, and ensuring timely processing of applications. Staying up to date with policy changes and developing strong organizational skills are key to overcoming these obstacles. Collaborating closely with colleagues and supervisors can also help address unique client situations and streamline workflows, making the job more manageable and rewarding.

What is the difference between Eligibility vs Eligibility?

AspectEligibilityEligibility
Required CredentialsEducational qualifications, certifications, experienceEducational qualifications, certifications, experience
Work EnvironmentVaries by industry, often office or field-basedVaries by industry, often office or field-based
Employer & Industry UsageUsed in job postings, application criteriaUsed in job postings, application criteria
Search & Comparison IntentApplicants compare their credentials to job requirementsApplicants compare their credentials to job requirements

Both 'Eligibility' and 'Eligibility' refer to the criteria needed to qualify for a job, including education, experience, and certifications. They are used similarly in job postings and applications, making them closely related in the hiring process.

What are eligibility specialists?

Eligibility specialists are professionals who determine whether individuals or families qualify for various government or private assistance programs, such as Medicaid, food stamps, or housing aid. They review applications, verify documentation, and interpret program rules to ensure that all eligibility requirements are met. These specialists often work in social services agencies and provide guidance to applicants throughout the process. Their role is crucial in connecting people with the resources and support they need.
More about Eligibility jobs
What cities are hiring for Eligibility jobs? Cities with the most Eligibility 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 jobs? States with the most job openings for Eligibility jobs include:
Eligibility jobs near you
Infographic showing various Eligibility job openings in the United States as of May 2026, with employment types broken down into 1% As Needed, 77% Full Time, 20% Part Time, and 2% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $47,119 per year, or $22.7 per hour.

Eligibility Specialist

Consociate Health

Decatur, IL

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 5 days ago

Job description

Consociate Health, a leading Third-Party Administrator, offers an opportunity to grow and develop your career in an environment that provides a fulfilling workplace for employees, and creates continuous learning and embraces the ideas and diversity of others.

As part of our Mission to make Healthcare more accessible and affordable for our clients through innovation solutions and expert consultation, we value the inherent qualities that are foremost in our Mission, Vision, Values- Compassion, Humility and Impact, which allow us all to create authentic relationships with our team and our clients.

POSITION SUMMARY: The Eligibility Specialist reports to the Director of Eligibility. This position maintains updated enrollment and benefit information for all self-insured employer groups.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

  • Answer telephone inquiries from insured members, employers, providers, etc., regarding enrollment and prescription issues.
  • Process EDI Member Maintenance on a daily basis.
  • Oversee the process of benefit additions, changes and deletions in the GBAS system within 24 hours of receipt.
  • Manage the process of benefit additions, changes and deletions in the GBAS system.
  • Oversee the process of prescription drug benefits additions, changes and deletions with Pharmacy Benefit Managers.
  • Coordinate the printing and mailing of health ID cards to insured members.
  • Provide COBRA administration for self-insured groups who request the service.
  • Respond to HIPAA certificate requests.
  • Run eligibility reports as needed.
  • Participate in audits as needed.
  • Notify management of overtime needs by completing appropriate forms.
  • Perform other duties as assigned.

GENERAL EXPECTATIONS:

  • Present a positive image of Consociate Health at all times.
  • Provide and promote the delivery of services with a prevailing attitude of respect and recognition of the personal worth and dignity of every individual whether they are a customer or coworker.
  • Communicate in a clear and concise manner, while also demonstrating receptivity through active listening.
  • Identify and perform work that has not been specifically assigned, as needed.
  • Adheres to established safety standards and utilizes proper techniques to avoid work related injuries.
  • Continuously seek opportunities for improvement and suggest ways in which procedures/systems may be modified to accomplish tasks/goal efficiently and effectively.
  • Demonstrate a teamwork philosophy by working cooperatively with others inside and outside the Administration Division.
  • Attend required in-service and staff meetings.
  • Preserve the confidentiality of all business-sensitive information, including but not limited to that of insured groups and individuals, employees and applicants.

KNOWLEDGE, SKILLS AND ABILITY REQUIREMENTS:

  • High School Education Required.
  • Previous experience working in the insurance or benefits management field.

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Disability insurance
  • Employee assistance program
  • Flexible spending account
  • Health insurance
  • Health savings account
  • Life insurance
  • Paid time off
  • Paid training
  • Vision insurance