Eligibility Specialist Bilingual - Gulfton

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 - LGD (Mon-Fri 8AM-5PM)

Join Our Team at Legacy Gulfton Dashwood Clinic

Legacy Community Health, an innovator in community healthcare, invites you to become an integral part of our team as a Bilingual Eligibility Specialist. Situated at our bustling Legacy Gulfton Dashwood Clinic (54202 Dashwood Dr.), you will play a crucial role in patient access, ensuring seamless processes for third-party reimbursement. Be at the forefront of advancing healthcare inclusivity by utilizing your bilingual skills to engage with our vibrant English and Spanish-speaking communities.

As a bilingual Eligibility Specialist, you will navigate the complexities of healthcare eligibility, shaping patient interactions from the initial appointment setup to diligent insurance coding. Your role will be pivotal in dismantling barriers to healthcare access, contributing to a collaborative environment that thrives on innovation and excellence.

Key Responsibilities

• Determine a patient's eligibility for third-party reimbursement by following procedures and program-specific guidelines.
• Accurately process and manage data to admit new patients into the CPCDMS system, ensuring completeness of all required paperwork.
• Orchestrate the initial service appointments following eligibility determination, setting the stage for a successful care journey.
• Ensure meticulous and precise coding for insurance billing, supporting our fiscal responsibility and compliance.
• Serve as the first point of contact for inquiries from prospective applicants and existing patients, offering assistance with compassion and clarity.
• Commit to ongoing professional development by attending all required safety and annual education programs.

Qualifications and Requirements

• High School Graduate or GED required.
• 3 - 5 years of medical billing experience preferred, demonstrating a solid understanding of the healthcare financial landscape.
• Bilingual proficiency in English and Spanish, essential for effective communication within our diverse community.
• Experience with ICD-A or CPT codes preferred, supporting our technical needs in billing and coding processes.

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!