Medicaid specialist vs eligibility technician

The differences between medicaid specialists and eligibility technicians can be seen in a few details. Each job has different responsibilities and duties. It typically takes 1-2 years to become both a medicaid specialist and an eligibility technician. Additionally, a medicaid specialist has an average salary of $44,308, which is higher than the $39,323 average annual salary of an eligibility technician.

The top three skills for a medicaid specialist include patients, home health and medicaid eligibility. The most important skills for an eligibility technician are data entry, social services, and social work.

Medicaid specialist vs eligibility technician overview

	Medicaid Specialist	Eligibility Technician
Yearly salary	$44,308	$39,323
Hourly rate	$21.30	$18.91
Growth rate	-	-
Number of jobs	73,368	24,203
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 53%	Bachelor's Degree, 49%
Average age	46	46
Years of experience	2	2

Medicaid specialist vs eligibility technician salary

Medicaid specialists and eligibility technicians have different pay scales, as shown below.

	Medicaid Specialist	Eligibility Technician
Average salary	$44,308	$39,323
Salary range	Between $29,000 And $67,000	Between $31,000 And $48,000
Highest paying City	-	-
Highest paying state	-	-
Best paying company	-	-
Best paying industry	-	-

Differences between medicaid specialist and eligibility technician education

There are a few differences between a medicaid specialist and an eligibility technician in terms of educational background:

	Medicaid Specialist	Eligibility Technician
Most common degree	Bachelor's Degree, 53%	Bachelor's Degree, 49%
Most common major	Business	Business
Most common college	University of Michigan - Ann Arbor	Northwestern University

Medicaid specialist vs eligibility technician demographics

Here are the differences between medicaid specialists' and eligibility technicians' demographics:

	Medicaid Specialist	Eligibility Technician
Average age	46	46
Gender ratio	Male, 16.7% Female, 83.3%	Male, 21.2% Female, 78.8%
Race ratio	Black or African American, 21.6% Unknown, 4.2% Hispanic or Latino, 14.7% Asian, 7.8% White, 50.5% American Indian and Alaska Native, 1.2%	Black or African American, 10.8% Unknown, 4.5% Hispanic or Latino, 24.7% Asian, 9.7% White, 48.7% American Indian and Alaska Native, 1.6%
LGBT Percentage	7%	7%

Differences between medicaid specialist and eligibility technician duties and responsibilities

Medicaid specialist example responsibilities.

Generate reports for managing compliance with Medicaid documentation in support of electronic billing to MCO
Acquire valuable expertise of HIPAA, Medicaid and patient confidentiality.
Provide excellent compassionate customer service to all patients, honoring patient privacy according to HIPAA regulations.
Review referrals and screen all uninsure patients seen at contract HCA hospitals for potential Medicaid and/or disability eligibility.
Adhere to all HIPPA laws.
Ensure ICD-9-CM, CPT, and HCPCS codes are correct for billing.

Eligibility technician example responsibilities.

Meet with applicants and participants to determine eligibility for the TANF program.
Determine participant initial eligibility for the TANF program.
Collaborate with community organizations to provide Medicaid specific information
Collaborate with community organizations to provide Medicaid specific information

Medicaid specialist vs eligibility technician skills

Common medicaid specialist skills

Patients, 23%
Home Health, 13%
Medicaid Eligibility, 13%
Rehabilitation, 9%
Social Work, 5%
Term Care, 4%

Common eligibility technician skills

Data Entry, 9%
Social Services, 7%
Social Work, 7%
Eligibility Determination, 5%
Public Assistance Programs, 5%
Computer System, 5%

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Medicaid Specialist
Medicaid Specialist vs Eligibility Technician

Updated January 8, 2025

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