ZipRecruiter

Log In

1

Medicaid Eligibility Representative Jobs (NOW HIRING)

next page

Showing results 1-20

All JobsGovernment JobsFederal Government JobsMedicaid Specialist JobsMedicaid Eligibility Representative Jobs

Medicaid Eligibility Representative information

See salary details

$32.5K

$55.3K

$91K

How much do medicaid eligibility representative jobs pay per year?

As of Sep 9, 2026, the average yearly pay for medicaid eligibility representative in the United States is $55,339.00, according to ZipRecruiter salary data. Most workers in this role earn between $45,000.00 and $63,500.00 per year, depending on experience, location, and employer.

What is a Medicaid Eligibility Representative?

A Medicaid Eligibility Representative is a professional who assists individuals in determining their eligibility for Medicaid benefits. They help applicants complete necessary forms, collect and verify documentation, and submit applications to the appropriate government agencies. These representatives also serve as a liaison between applicants, healthcare providers, and state agencies to ensure timely processing. Their goal is to ensure that qualified individuals receive the healthcare coverage they need through the Medicaid program.

What are the key skills and qualifications needed to thrive as a Medicaid Eligibility Representative?

To thrive as a Medicaid Eligibility Representative, you need knowledge of Medicaid programs, strong attention to detail, and experience with eligibility determination, often supported by a high school diploma or equivalent. Familiarity with case management software, state Medicaid systems, and document verification tools is typically required. Excellent interpersonal skills, empathy, and the ability to communicate complex information clearly help build trust with applicants and colleagues. These skills ensure accurate eligibility assessments, regulatory compliance, and positive client experiences in a complex healthcare environment.

What are some common challenges Medicaid Eligibility Representatives face when verifying applicant information?

Medicaid Eligibility Representatives often encounter challenges such as incomplete documentation from applicants, navigating complex eligibility criteria, and keeping up with frequently changing state and federal regulations. They must exercise strong attention to detail and problem-solving skills to ensure accurate verification and compliance. Effective communication and empathy are also vital, as representatives regularly interact with applicants who may be stressed or unfamiliar with the process.

What is the difference between Medicaid Eligibility Representative vs Medicaid Case Worker?

AspectMedicaid Eligibility RepresentativeMedicaid Case Worker
CredentialsHigh school diploma or equivalent; some roles may require certificationHigh school diploma or equivalent; additional certifications may be preferred
Work EnvironmentOffice settings, processing applications, verifying eligibilityOffice or community settings, providing case management and support
Employer & IndustryState Medicaid agencies, healthcare providersState Medicaid agencies, social service organizations
Primary FocusDetermining eligibility based on documentation and criteriaManaging cases, assisting clients with services and follow-up

Both roles involve working within Medicaid programs, but Medicaid Eligibility Representatives focus on verifying eligibility and processing applications, while Medicaid Case Workers provide ongoing support and case management. Understanding these differences helps job seekers identify the right position for their skills and career goals.

How to become a Medicaid Eligibility Representative?

To become a Medicaid Eligibility Representative, candidates typically need a high school diploma or equivalent and must complete relevant training or certification programs related to Medicaid policies and eligibility determination. Some positions require experience in social services or customer service, and familiarity with computer systems and data entry is often necessary.
More about Medicaid Eligibility Representative jobs

What cities are hiring for Medicaid Eligibility Representative jobs?

Cities with the most Medicaid Eligibility Representative job openings:

What states have the most Medicaid Eligibility Representative jobs?

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

What are popular job titles related to Medicaid Eligibility Representative jobs?

For Medicaid Eligibility Representative jobs, the most frequently searched job titles are:

Medicaid Eligibility Representative jobs near you
Infographic showing various Medicaid Eligibility Representative job openings in the United States as of September 2026, with employment types broken down into 1% As Needed, 78% Full Time, 19% Part Time, and 2% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $55,339 per year, or $26.6 per hour.

Onsite Medicaid Eligibility Representative

Elyria, OH • On-site

Revenue Group
See more jobs at Revenue Groupexternal

$16.25/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 12 days ago

Job description

Hours: Monday - Friday 8:00am-4:30pm
Pay Rate: $16.25/hr. based on experience, plus monthly bonus ($0- 350) after 90 days.
Who is Hospital Referral Services?
Hospital Referral Services has an opening in the Elyria area, and we are looking for self-motivated professionals to add to our growing team. If helping people is something you enjoy, this may be the right job for you.
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 has happened. Hospital Referral Services on-sites screen and help patients' 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.
Our employees voted us Top Workplaces 5 years in a row!
The Onsite Medicaid Eligibility Representative will be responsible for:
  • Reviewing the hospital work queue or census to identify uninsured patients.
  • Screening/Interviewing patient's bedside in a hospital setting to determine possible eligibility for any assistance programs available including Medicaid and charity.
  • High volume of walking and standing. (70% - 80% of your shift)
  • Completing applications for Medicaid benefits and charity programs as needed.
  • Maintaining a positive working relationship with co-workers, hospital staff and patients.
  • Abiding by HIPAA rules and regulations to protect patients' privacy.
  • Meeting production goals and objectives as assigned by hospital and management on a monthly basis.
  • Maintaining confidentiality of account information at all times.
PM21
Requirements
Work Requirements:
  • Previous customer service experience preferred.
  • Must have basic computer skills.
  • Must be able to multitask.
  • Must have reliable transportation.
  • Good attendance and dependability are essential.
  • Successful completion of drug and background test required.
  • Annual Flu shots and TB testing required.
Training for the Onsite Medicaid Eligibility Representative:
  • One week of classroom training, covering HIPAA regulations, Revenue Group procedures, role-playing, objections, systems, and procedures.
Our Benefits:
  • 100% Paid Training
  • 401(k) matching
  • Paid Time off (PTO) - Up to 10 days your first year!
  • 8 Paid Holidays - Including your birthday!
  • Referral Program
  • Employee Assistance Program (EAP)
  • Growth & Continued Training
  • Dental & Vision insurance
  • Health insurance (including Long & Short-Term Disability)
  • Life insurance (Company Paid)

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
Salary Description
$16.25/hour

Apply