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Medical Eligibility Jobs (NOW HIRING)

Arizona Department of Administration

$18.61/hr

Division of Benefits and Medical Eligibility (DBME) Family Assistance Administration (FAA) Maricopa 1 Customer Care Center 8620 North 22nd Avenue, Phoenix, Arizona 85021 or 125 East Elliott Road ...

Conduent, Inc.

Medicaid Eligibility Specialist

KS · Remote

$17.75/hr

Analyze the initial applications and reviews (for Family Medical programs) and supporting documentation provided by applicants to determine eligibility for federal and state medical assistance.

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Medical Eligibility information

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$33K

$52.2K

$71K

How much do medical eligibility jobs pay per year?

As of Jun 15, 2026, the average yearly pay for medical eligibility in the United States is $52,156.00, according to ZipRecruiter salary data. Most workers in this role earn between $46,000.00 and $60,000.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Medical Eligibility Specialist, and why are they important?

To thrive as a Medical Eligibility Specialist, you need comprehensive knowledge of healthcare programs, eligibility requirements, and strong analytical skills, often supported by a background in health administration or a related field. Familiarity with case management systems, healthcare databases, and government benefit platforms is essential for accurate assessment and documentation. Excellent attention to detail, strong communication, and empathy are crucial soft skills for interacting effectively with applicants and colleagues. These skills ensure correct eligibility determinations, efficient case processing, and positive client experiences in a highly regulated environment.

What is a Medical Eligibility Specialist?

A Medical Eligibility Specialist is a professional who determines whether individuals qualify for public health programs or medical benefits based on specific eligibility criteria. They review applications, verify documentation, and ensure that applicants meet the guidelines established by government or insurance programs. These specialists often interact with clients to collect information, explain program requirements, and assist with the application process. Their work is crucial for connecting people to the healthcare services they need.

What are some common challenges faced by professionals in Medical Eligibility roles, and how can they be managed?

Professionals in Medical Eligibility often encounter challenges such as interpreting complex insurance policies, staying updated with frequent regulatory changes, and handling high volumes of case reviews under tight deadlines. Effective communication with healthcare providers, insurance companies, and patients is crucial to resolve discrepancies and ensure accurate eligibility determinations. Staying organized, investing time in continuous training, and utilizing updated software tools can help manage these challenges and improve workflow efficiency.

What is the easiest medical job that pays well?

Medical eligibility roles such as medical assistants or pharmacy technicians are often considered easier entry-level positions that pay relatively well compared to other healthcare jobs. These roles typically require certification or training programs and involve administrative or basic clinical tasks, with some positions offering flexible schedules and opportunities for advancement.

What jobs pay 2000 a day?

High-paying medical eligibility roles such as specialized physicians, surgeons, or anesthesiologists can earn around $2,000 or more per day, especially in private practice or with extensive experience. These positions typically require advanced degrees, board certifications, and many hours of work in clinical or hospital settings.

What is the difference between Medical Eligibility vs Medical Assistant?

AspectMedical EligibilityMedical Assistant
Required CredentialsTypically requires a high school diploma or equivalent; some roles may need certification in medical eligibility assessmentHigh school diploma or equivalent; certification preferred but not always required
Work EnvironmentHealthcare settings, insurance companies, government agenciesClinics, hospitals, physician offices
Employer & Industry UsageUsed by insurance providers, healthcare agencies to determine patient coverageEmployers in healthcare to assist with patient care and administrative tasks

Medical Eligibility specialists focus on assessing patient qualifications for insurance coverage or benefits, often working in insurance or healthcare agencies. Medical Assistants support clinical and administrative tasks in healthcare facilities. While both roles require healthcare knowledge, Medical Eligibility roles emphasize eligibility assessment, whereas Medical Assistants focus on patient care and office support.

What jobs will no longer exist in 2030?

In the medical eligibility field, roles such as paper-based medical record clerks and certain administrative positions are expected to decline due to digitalization and electronic health records. Automation and AI are also likely to reduce the need for some data entry and manual processing jobs, shifting the focus toward roles requiring technical skills and patient interaction.

What jobs pay $10,000 a month without a degree?

Medical eligibility roles typically require relevant healthcare certifications and experience, and rarely pay $10,000 a month without formal education. However, some high-paying sales positions, real estate brokers, or entrepreneurial ventures in healthcare-related fields can reach this income level with strong skills and client networks. Most jobs in the medical field require at least some formal training or licensing to achieve such earnings.
More about Medical Eligibility jobs
What states have the most Medical Eligibility jobs? States with the most job openings for Medical Eligibility jobs include:
What job categories do people searching Medical Eligibility jobs look for? The top searched job categories for Medical Eligibility jobs are:
Medical Eligibility jobs near you
Medical Eligibility Specialist

Medical Eligibility Specialist

International Community Health Services

Bellevue, WA • On-site

Full-time

Medical, Dental, Life, Retirement, PTO

Posted 17 days ago

Job description

Join the ICHS Team!

Discover how you can make a difference in people’s lives and help strengthen communities.


International Community Health Services (ICHS) is a nationally recognized community health center. For over 50 years, we have provided medical, dental, and wellness care to individuals and families from all regions and all walks of life many of whom face significant barriers to receiving the care they need. We believe that quality health care supports stronger families, healthier communities, and a more just society.

At ICHS, we are proud of our team-based approach and the shared commitment that drives our work. We value respect, collaboration, and compassion in everything we do. When you join ICHS, you become part of a mission-driven team that believes everyone deserves the opportunity to thrive.

We offer

  • Competitive salary for the Seattle/Puget Sound region
  • “Share the success” bonuses
  • Insurance premiums 100% paid by ICHS
  • Paid time off accrual up to 200 hours annually with up to 320 hours rollover year to year
  • Automatic 4% retirement contribution
  • 9 paid holidays a year, including 2 personal holidays
  • Reimbursement for professional licensure

Job Summary

The Medical Eligibility Specialist provides a variety of office and administrative support services, greets and registers patients to determine eligibility for insurance and Sliding Fee Discount Program, and assists patients to understand a variety of insurance benefits.

Education – High school graduate or equivalent.
Experience – One (1) year experience in a health care setting preferred.
Other Requirements – Certified as Washington State Navigator within 1 year of hire required. Fluent in English and other language(s) preferred. Knowledge of medical terminology preferred.