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Robert Half

Enrollment & Eligibility Specialist

Entry-Level JobVerifiedNo experience needed

Career Insights for Eligibility Specialist

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What they do

An Eligibility Specialist provides assistance and information for people who apply for a government benefits program or health care program. Answers questions, assists with an application process, and reviews applications and relevant background information to determine eligibility. May assist eligible applicants with enrolling in a program.

$54,990 / year median in California

+4% projected growth

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Job Description

Key ResponsibilitiesThe Enrollment & Eligibility Specialist will support families throughout the enrollment and eligibility process.
Responsibilities may include:
Assist with open enrollment activities and other enrollment initiatives.

Conduct initial intake and eligibility certification for families seeking program services.

Contact families by phone and email to schedule enrollment appointments, request documentation, and provide status updates.

Conduct enrollment interviews with parents and guardians to gather required information and explain program requirements.

Review applications and supporting documentation for accuracy, completeness, and eligibility.

Verify that required forms and supporting records have been received and properly completed.

Follow up with families regarding missing, incomplete, or updated documentation.

Create, organize, and maintain family enrollment and eligibility files in accordance with established procedures.

Enter and update family information in internal databases and tracking systems.

Maintain detailed and accurate records of communications, appointments, eligibility determinations, and outstanding items.

Assist with quality-control reviews to ensure files meet organizational and program requirements.

Identify documentation discrepancies and work with families to resolve outstanding issues.

Provide professional and compassionate customer service to families by phone, email, and in person.

Clearly explain enrollment procedures, eligibility requirements, deadlines, and next steps.

Help families understand available services and connect them with appropriate community resources and referrals when needed.

Handle confidential and sensitive family information with discretion.

Work closely with internal staff to ensure enrollment cases are processed accurately and within required timelines.

Support general administrative needs related to enrollment, eligibility, documentation, and program compliance.

Maintain a high level of accuracy while managing multiple families, appointments, files, and deadlines simultaneously.