Eligibility Specialist Bilingual - Sharpstown

Legacy Community Health Services

Houston, TX

JOB DETAILS
SKILLS
Accounting, Billing, Bookkeeping, Community Health, Current Procedural Terminology (CPT), Data Entry, Documentation, Healthcare, Healthcare Quality, Healthcare Reimbursement, High School Diploma, Insurance, International Classification of Diseases (ICD), Medicaid, Medical Billing, Medical Terminology, Medicare, Multilingual, Office Equipment, Patient Admissions, Performance Management, Process Improvement, Safety Training, Team Player, Third-Party Payer, Training Program, Willing to Travel
LOCATION
Houston, TX
POSTED
30+ days ago

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! Location: Legacy Southwest - 6441 High Star Dr. Houston, TX 77074

Eligibility Specialist Bilingual - Sharpstown (Job Overview)

Schedule: 8:30AM-5:30PM

At Legacy Community Health, we warmly welcome you to a place where your passion can make a meaningful impact. As an Bilingual Eligibility Specialist, you will be at the heart of our mission, ensuring that every individual has access to the healthcare they deserve. Your role is pivotal in guiding applicants through the process of obtaining third-party reimbursement, ensuring they receive the care they need with empathy and clarity.

Be a vital part of admitting new patients into our health services, creating a welcoming and supportive environment.

Ensure accurate coding for insurance billing, contributing to the seamless operation of our services.

Handle inquiries with empathy and clarity, providing essential support to prospective applicants and patients.

Join us in this meaningful role, where your efforts will directly impact community healthcare and provide you with personal fulfillment and growth opportunities.

Key Responsibilities

Conduct eligibility assessments for clients, adhering to specific program guidelines. Verify that clients do not have other payer sources, such as Medicaid, Medicare, or third-party insurance. Register clients into the CPCDMS and complete all necessary paperwork. Perform data entry of eligible clients into our electronic system. Maintain up-to-date and orderly eligibility files for seamless access and review. Conduct renewal eligibility assessments as required by each program. Confirm eligibility appointments and set initial service appointments once eligibility is determined. Provide clients with a list of required eligibility documentation. Participate actively in the Performance Improvement Program. Promote effective working relations and collaborate as part of a dedicated team. Attend all required safety training programs and adhere to safety protocols. Ensure a safe environment by following proper procedures and reporting concerns. Travel to other sites for training and coverage as needed. Perform other duties as assigned, contributing to the overall success of the team.

Minimum Qualifications

High School Diploma or GED, some medical knowledge. A minimum of 3-5 years of medical billing experience preferred. Some training or background in ICD-A / CPT codes preferred. Ability to understand and practice bookkeeping and accounting terminology required. Ability to operate computers and other office machines required. Must be able to take responsibility and work under pressure. Bilingual preferred. Knowledge of medical terminology and billing practices preferred.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.

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, weve 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. Were 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 Attributes

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 Driven & Committed Perceptive & Thoughtful Communicators

About the Company

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Legacy Community Health Services