Eligibility Specialist Bilingual - Montrose

Benefits

We Offer Outstanding Benefits:

• Paid Time Off & Paid Company Holidays
• Medical, Dental, Vision & Life Insurance
• Flexible Spending Account (FSA)
• 403(b) Retirement Plan with Company Match
• Short-Term & Long-Term Disability
• $0 Copay for Legacy Provider visits
• $0 Copay for prescriptions filled at Legacy Pharmacies
• Travel Insurance & Pet Insurance
• Subsidized Gym Membership
• And much more!

Apply today in less than 3 minutes using your phone, tablet, or computer!

Eligibility Specialist Bilingual - LMA (Mon-Fri 8AM-5PM)

Join Our Dynamic Team at Legacy Community Health

Are you ready to make a tangible impact on community healthcare? Legacy Community Health is seeking an innovative and forward-thinking Eligibility Specialist to join our vibrant team in Houston, TX. In this vital role, you will leverage your bilingual skills in English and Spanish to bridge gaps in healthcare access, ensuring our patients receive the support they need.

Your primary mission will be to navigate the complexities of third-party reimbursements, championing patients' access to essential health services. Your expertise in patient eligibility determination will have a direct effect on their journey to better health outcomes. Located at our Legacy Montrose Administration office (2929 Allen Pkwy., Suite 1300), you will be instrumental in setting the stage for our patients' care experiences, all while thriving in a collaborative and supportive work environment that values growth and innovation.

Key Responsibilities

• Determine patient eligibility for various third-party reimbursement programs by adhering to program-specific procedures and guidelines.
• Efficiently process data to admit new patients into the comprehensive CPCDMS system, ensuring all records are accurate and up-to-date.
• Complete all necessary paperwork and establish initial service appointments, providing critical support throughout the patient's introduction to Legacy Community Health services.
• Ensure precise coding for insurance billing, leveraging your knowledge of ICD-A or CPT codes.
• Handle inquiries from prospective applicants and existing patients, providing clear, empathetic, and informative assistance in both English and Spanish.
• Commit to professional advancement by attending all required safety education and annual training programs.

Qualifications

• High School Graduate or GED required.
• Preferred 3-5 years of experience in Medical Billing, with a strong grasp of industry-specific practices and procedures.
• Mandatory bilingual proficiency in English and Spanish, crucial for effective communication in our diverse community.
• Experience with ICD-A or CPT codes is preferred, further enabling your success in the role.

About Legacy Community Health

As the largest Federally Qualified Health Center (FQHC) in Southeast Texas, Legacy Community Health has been delivering comprehensive, high-quality, and affordable health care for nearly 40 years.

With more than 50 clinics across the Greater Houston and Gulf Coast region, we continue to grow strategically and invest in our communities. By innovating how care is delivered, we've stayed at the forefront of connecting our communities to health-every day, in every way.

At Legacy, we know our success is powered by our people. We're always looking for talented, passionate individuals who want more than a job-they want a meaningful career that makes a real impact.

Explore our open positions and see if a career at Legacy is right for you.

Core Employee Expectations

At Legacy Community Health, our mission-Driving healthy change in our communities-guides everything we do. To fulfill this mission, every team member is expected to embody the following core attributes in their daily work, regardless of role or department:

Approachable & Collaborative

We bring our expertise without ego. In a collaborative healthcare environment, humility fosters trust and teamwork. Our employees value diverse perspectives, seek input from others, and are unafraid to acknowledge when they need help. We stay grounded in our purpose: to serve patients and communities with compassion and humility.

Driven & Committed

We are driven by a deep commitment to excellence in patient care and organizational improvement. Our employees take initiative, embrace challenges, and go the extra mile to support our mission. Whether improving patient outcomes, streamlining processes, or stepping up in times of need, we are always striving to drive healthy change-within ourselves, our teams, and the communities we serve.

Perceptive & Thoughtful Communicators

We value emotional intelligence as much as clinical or technical skill. Our team members demonstrate sound judgment, cultural sensitivity, and the ability to navigate complex situations with empathy and professionalism. They communicate clearly and respectfully with patients, families, and colleagues, building trust and fostering a safe, inclusive environment for all.

Apply today in less than 3 minutes using your phone, tablet, or computer!