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How much do enrollment eligibility representative jobs pay per hour?

As of Jul 31, 2026, the average hourly pay for enrollment eligibility representative in the United States is $22.59, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $25.72 per hour, depending on experience, location, and employer.

What are some common challenges faced by Enrollment Eligibility Representatives, and how are they addressed?

Enrollment Eligibility Representatives often encounter challenges such as processing high volumes of applications, interpreting complex eligibility criteria, and addressing concerns from applicants who may be frustrated or confused. These challenges are typically addressed through robust training, support from experienced team leads, and use of digital tools that streamline application review. Working closely with colleagues in customer service and compliance helps ensure accurate, timely resolutions. Representatives also develop strong problem-solving and communication skills over time, which can help them manage even the most difficult cases with professionalism.

What are the key skills and qualifications needed to thrive in the Enrollment Eligibility Representative position, and why are they important?

To thrive as an Enrollment Eligibility Representative, you need strong attention to detail, customer service skills, and a solid understanding of eligibility guidelines, often supported by a high school diploma or some college coursework. Experience with enrollment management systems, CRM software, and knowledge of regulatory requirements are typically important. Excellent communication, problem-solving abilities, and patience help representatives manage complex cases and support applicants effectively. These skills ensure accurate eligibility determinations, high-quality customer experiences, and compliance with organizational and industry standards.

What is an Enrollment Eligibility Representative job?

An Enrollment Eligibility Representative is responsible for reviewing and processing applications for healthcare or insurance enrollment. They verify applicant information, ensure eligibility requirements are met, and work with customers to address any discrepancies. This role requires strong attention to detail, knowledge of enrollment policies, and good communication skills. Representatives may also collaborate with internal teams to resolve issues and provide assistance to applicants.

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Enrollment Eligibility Representative jobs near you
Infographic showing various Enrollment Eligibility Representative job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 81% Full Time, 16% Part Time, and 2% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $46,986 per year, or $22.6 per hour.

Eligibility Representative

DECO Recovery Management

Leesburg, VA

Full-time

Re-posted 22 days ago

Job description

Company Description

Since 1993, Our team is driven to make the DECO/Elevate PFS Difference each day!  

We believe exceptional efforts produce exceptional results; focusing on a compassionate, empathetic patient-advocacy approach to eligibility services that not only provides hospitals with a targeted revenue flow solution for their uninsured and under-insured populations, but greatly enhances patient satisfaction.

Job Description

JOB SCOPE:

Eligibility Representatives will attempt to perform detailed in-house review, bedside and/or phone interviews to determine if patient is a viable candidate for State, Federal, County, Medical or Disability Assistance, and if so to assist the patient/guarantor with the application process for any Assistance type program. This assistance will include the necessary investigative, field, and administrative work needed to assist the patient in meeting eligibility requirements for Disability, Medicaid or other applicable County, Federal or State programs if appropriate.

JOB RESPONSIBILITIES:
-Screen patients and/or patient's representative to determine potential eligibility for Third Party Resources.
-Explain to patients and other entities the eligibility requirements, application process and verification requirements for applicable programs.
-Facilitate the application process when appropriate for the patient by assisting the patient in completing the application, scheduling appointment interviews and obtaining required verifications.
-Document pertinent patient information in the appropriate systems dictated by the health care facility and DECO/ElevatePFS.

An equal opportunity employer

Qualifications
  • Good customer service skills
  • Basic computer skills
  • Ability to pay attention to detail and great follow through
  • Some DFACS Experience
  • Bilingual Spanish is a plus
Additional Information

All your information will be kept confidential according to EEO guidelines.

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