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Enrollment Eligibility Representative Jobs (NOW HIRING)

Cigna

Eligibility Representative - Accredo - Remote

  • Medical

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 ...

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Enrollment Eligibility Representative information

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How much do enrollment eligibility representative jobs pay per hour?

As of Aug 19, 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 is an enrollment eligibility representative?

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.

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

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 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.

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What are the most commonly searched types of Enrollment Eligibility Representative jobs?

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Enrollment Eligibility Representative jobs near you
Infographic showing various Enrollment Eligibility Representative job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 18% Part Time, and 2% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $46,986 per year, or $22.6 per hour.

Onsite Medicaid Eligibility Representative $500 Sign-on Bonus!

Revenue Group

Columbus, OH • On-site

$17.50/hr

Full-time

Re-posted 3 days ago

Job description

Description:

Pay Rate: $17.50/hr. plus monthly bonus after 90 days of up to $300

$500 Sign-On Bonus

Hours: Monday-Friday 2:00pm-10:30pm including Holidays


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 at Ohio Health Riverside Methodist Hospital Emergency Room. 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 4 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 Eligibility 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 Eligibility Representative must have availability to work some holidays.


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