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Lead Eligibility Specialist Bilingual - Montrose

Lead Eligibility Specialist Bilingual - Montrose

Legacy Community HealthHouston, TX, US
14 days ago
Job type
  • Full-time
  • Quick Apply
Job description

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!

Location :

  • Legacy Montrose Allen Parkway - 2929 Allen Parkway, Suite 1300, Houston, TX 77019 Bilingual Eligibility Specialist (Montrose) - Job Overview Schedule : Monday-Friday (8AM-5PM) At Legacy Community Health, we are committed to revolutionizing community healthcare with a proactive approach to accessibility and inclusivity.
  • We are seeking a dynamic, Bilingual Eligibility Specialist to become an integral part of our innovative team.
  • Positioned at the forefront of our mission, you will be a catalyst in changing lives by determining eligibility for essential health services, thereby ensuring that no community member is left without the care they need.
  • You will forge a path toward improving healthcare accessibility while balancing administrative precision and compassionate service.
  • This is not just a role; it's a chance to spearhead meaningful health outcomes in the vibrant Houston community.
  • Key Responsibilities Determine patient eligibility for third-party reimbursement by meticulously reviewing applicable procedures and guidelines for each program.
  • Seamlessly process data for the admission of new patients into the CPCDMS system and complete all necessary paperwork ensuring seamless service initiation.
  • Efficiently coordinate and set initial service appointments post-eligibility determination to bridge patients swiftly to the care they require.
  • Ensure accurate and proper coding for insurance billing to facilitate smooth financial operations and compliance with industry standards.
  • Proactively handle inquiries from prospective applicants and patients, offering clear, empathetic, and informative communication.
  • Participate in required safety education programs and annual education initiatives to stay ahead in community healthcare practices.
  • In the absence of the manager, serve as the first-line contact, while adeptly monitoring multiple clinic schedules and providing report assistance.
  • Conduct site visits that support departmental functions and foster a collaborative work environment.
  • Qualifications High School Diploma or GED equivalent required to ensure foundational readiness for the role. 3 - 5 years of experience in medical billing critical to handling intricate billing processes effectively.
  • Fluency in both English and Spanish necessary to serve our diverse community effectively.
  • Experience with ICD-A or CPT codes preferred, enhancing the capability to manage comprehensive coding requirements.
  • 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!

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    Eligibility Specialist • Houston, TX, US