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Medical Eligibility Jobs (NOW HIRING)

Medical Billing Specialist (on-site)

Tracy, CA · On-site

$17 - $25/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Verify medical eligibility; benefit coverage and authorization requirements online or phone. * Obtain authorization if required by plan via fax, email, or online. * Process files within predesignated ...

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Chandler, AZ · On-site

$18.61/hr

  • Medical

  • Dental

  • Life

  • Retirement

  • PTO

Division of Benefits and Medical Eligibility (DBME) Family Assistance Administration (FAA) Chandler Processing Center 125 East Elliot Road, Chandler, Arizona 85225 Posting Details: Salary: $18.6159 ...

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Glendale, AZ · On-site

$18.61/hr

  • Medical

  • Dental

  • Life

  • Retirement

  • PTO

Division of Benefits and Medical Eligibility (DBME) Family Assistance Administration (FAA) Olive Field Office 4324 West Olive Avenue, Glendale, Arizona 85302 Posting Details: Salary: $18.6159/Hourly ...

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Yuma, AZ · On-site

$17.35/hr

  • Medical

  • Dental

  • Life

  • Retirement

  • PTO

Division of Benefits and Medical Eligibility Family Assistance Administration (FAA) Triage Customer Care Center 201 S. 3rd Avenue, Yuma, Arizona 85364 Posting Details: Salary: $17.3500/ Hourly ($36 ...

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Sierra Vista, AZ · On-site

$18.61/hr

  • Medical

  • Dental

  • Life

  • Retirement

  • PTO

Division of Benefits and Medical Eligibility (DBME) Family Assistance Administration (FAA) 2981 East Tacoma Street, Sierra Vista Arizona 85635 Posting Details: Salary: $18.6159 Hourly Grade: 18 ...

Assistant Medical Director

Salem, OR · On-site

$17.50 - $22.50/hr

Certifies and recertifies patients' medical eligibility for hospice services in accordance with hospice program policy and Local Clinical Determination guidelines. *Attends all Interdisciplinary ...

Hospice Medical Director

Columbus, OH · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Certifies and recertifies patients' medical eligibility for hospice services in accordance with hospice program policy and Local Clinical Determination guidelines. * Attends all Interdisciplinary ...

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Phoenix, AZ · On-site

$18.61/hr

  • Medical

  • Dental

  • Life

  • Retirement

  • PTO

Division of Benefits and Medical Eligibility (DBME) Family Assistance Administration (FAA) Union Hills Field Office 3150 East Union Hills Drive, Phoenix, Arizona 85050 Posting Details: Salary: $18 ...

Assistant Medical Director

Salem, OR · On-site

$180 - $220/hr

Certifies and recertifies patients' medical eligibility for hospice services in accordance with hospice program policy and Local Clinical Determination guidelines. * Attends all Interdisciplinary ...

Assistant Medical Director

Salem, OR · On-site

$17.75 - $22.75/hr

Certifies and recertifies patients' medical eligibility for hospice services in accordance with hospice program policy and Local Clinical Determination guidelines. *Attends all Interdisciplinary ...

Showing results 21-40

Medical Eligibility information

See salary details

$33K

$52.2K

$71K

How much do medical eligibility jobs pay per year?

As of Aug 18, 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 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 the key skills and qualifications needed to thrive as a medical eligibility specialist?

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 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 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.

More about Medical Eligibility jobs

What states have the most Medical Eligibility jobs?

States with the most job openings for Medical Eligibility jobs include:

Eligibility Advisor I - Temporary

Texas Health and Human Services Commission

Victoria, TX • On-site

$2.9K - $4.3K/wk

Full-time, Temporary

Medical, Retirement, PTO

Posted 22 days ago


Texas Health and Human Services rating

6.9

Company rating: 6.9 out of 10

Based on 33 frontline employees who took The Breakroom Quiz

678th of 846 rated public administrative organizations


Job description

Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more. Explore more details on the Benefits of Working at HHS webpage.
Functional Title: Eligibility Advisor I - Temporary Job Title: Eligibility Advisor I Agency: Health & Human Services Comm Department: TW Reg 08 EOAPD Posting Number: 19486 Closing Date: 08/16/2026 Posting Audience: Internal and External Occupational Category: Community and Social Services Salary Range: $2,953.25- $4,365.66 Pay Frequency: MonthlySalary Group: TEXAS-B-13 Shift: Day Additional Shift: Telework: Eligible for Telework Travel: Up to 10% Regular/Temporary: Temporary Full Time/Part Time: Full time FLSA Exempt/Non-Exempt: Nonexempt Facility Location: Job Location City: VICTORIA Job Location Address: 2306 LEARY LANE Other Locations: MOS Codes: No military equivalent
Brief Job Description:
This is a temporary position that is expected to end on 08/31/2027. Temporary employees may be eligible to transfer to a regular status vacant position, contingent upon regular status position availability, tenure, and job performance.
Are you a highly motivated, compassionate and dedicated individual looking for a rewarding career assisting the most vulnerable citizens of Texas in need of food, medical care, cash assistance and other social services?
If so, the Texas Health and Human Services Commission (HHSC) Access and Eligibility Services (AES) division is looking for individuals who want to join an exciting, dynamic team working in a high-performing and innovative environment. AES provides an integrated and streamlined approach to connect individuals to services and supports that: reduce institutionalization, allow individuals to remain in their communities, and promote economic and personal self-sufficiency. AES is built upon its' core values of respect, ownership, collaboration, and integrity with a goal of delivering best-in-class customer service to clients and stakeholders.
Our staff are well organized, able to multi-task, possess the ability to learn policy regulations, able to thrive in a challenging, fast-paced, and evolving environment, have good communication skills, a positive attitude, strong work-ethic and a desire to help others. If you also possess these skills, then we are looking for you.
We want you to join our team!
The Eligibility Advisor I position consists of three job classifications; Eligibility Advisor, Medical Eligibility Specialist, and Hospital Based Worker that establish eligibility for different financial and medical programs. These include the Supplemental Nutrition Assistance Program (SNAP), Temporary Assistance for Needy Families (TANF), Medicaid for the Elderly and People with Disabilities (MEPD) and Medicaid.
Essential Job Functions (EJFs):
As an Eligibility Advisor I, you will receive paid, formal, training to perform the following essential job functions:
  • Interview applicants and recipients in person or by inbound or outbound telephone calls to obtain pertinent financial and personal information to determine financial eligibility for public assistance programs.
  • Evaluate data from various electronic and other sources to enter information into a computer-based eligibility system.
  • Compute and authorize benefits based on eligibility determination.
  • Process work in accordance with state and federal regulations and established procedures, guidelines, and timeframes.
  • Perform other duties, as assigned.

Must be able to work overtime, as required by management, outside of normal hours of operation, which may include weekends when called upon.
Must be able to work in a highly stressful and fast-paced environment under constant pressure to meet required deadlines.
Knowledge, Skills and Abilities (KSAs):
In addition to the above listed functions, the following knowledge, skills, and abilities are needed:
  • Use fact-finding techniques to obtain, relate and evaluate information provided by applicants.
  • Read, understand, apply, and explain detailed regulations and policies.
  • Perform basic arithmetic functions.
  • Manage time efficiently by establishing priorities in accordance with importance of deadlines.
  • Establish and maintain effective work relationships with others.
  • Ability to communicate effectively both verbally and in writing.
  • Follow written and oral directions and instructions.
  • Operate computers to perform data entry and basic office software use such as Microsoft Word, Outlook, and Excel.

General knowledge and proficiency with computers and related technologies, such as software, hardware, operating systems, and typing skills.
Using Microsoft Teams and potentially soft phone technology is part of the everyday job expectations.
Registrations, Licensure Requirements or Certifications:
N/A
Initial Screening Criteria:
Applicants must meet the following education and experience requirements:
Education:
High School Diploma or GED equivalent is required.
Sixty (60) semester or ninety (90) quarter hours from an accredited college or university is preferred.
Experience:
One (1) year of customer service experience with public contact which can include retail, call center, clerical, hospitality, banking, receptionist, or similar customer service experience.
Thirty (30) semester or forty-five (45) quarter hours from an accredited college or university may be substituted for one (1) year of required experience.
Experience in an environment interviewing clients and gathering personal information in-person or over the phone is preferred.
Additional Information:
Upon hire, the selected candidate will be required to sign a Temporary Employment Agreement. Temporary employees may be eligible to transfer to a regular status vacant position, contingent upon regular status position availability, tenure, and job performance.
This posting may be used to fill positions in other locations within the region, as vacancies occur.
Access and Eligibility Services Field Office normal hours of operation are Monday-Friday 8:00am to 5:00pm. Employees may be required to work overtime, as required by management, outside of normal hours of operation, which may include weekends.
Applicants selected for hire will be required to pass a fingerprint criminal history background check.
Applicants may not have a history of substantiated fraudulent activity against HHSC or any program it administers. Applicants who have a non-fraud overpayment with an outstanding balance must agree to repay the overpayment balance as a condition of employment.
Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC.
Active Duty, Military, Reservists, Guardsmen, and Veterans:
Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor's Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions.
ADA Accommodations:
In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.
Pre-Employment Checks and Work Eligibility:
Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks.
HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form
Telework Disclaimer:
This position may be eligible for telework. Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.

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