Eligibility Specialist Bilingual - Alief

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!

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Location :

• Legacy Bissonnet - 12667 Bissonnet St, Houston, TX 77099 Eligibility Specialist Bilingual - Sharpstown (Job Overview) Schedule : 8AM-5PM At Legacy Community Health, we are catalysts for change, pioneering a new era of healthcare accessibility.
• As an Eligibility Specialist, you will be at the forefront of revolutionizing patient access to vital health services through innovative solutions and data-driven methodologies.
• Leverage cutting-edge technology to determine applicant eligibility for third-party reimbursement Streamline the admission process for new patients using state-of-the-art data systems Enhance patient experience by ensuring precision in insurance billing through advanced coding techniques Transform community health by addressing inquiries from prospective applicants and patients innovatively Key Responsibilities Deploy agile methodologies in eligibility determination for clients, ensuring compliance with program-specific protocols Innovatively verify that clients lack other payer sources such as Medicaid, Medicare, or third-party insurance Utilize the latest technology to register clients into the CPCDMS efficiently Ensure meticulous completion of all necessary paperwork, optimizing digital entry for eligible clients Maintain cutting-edge, up-to-date eligibility files using a data-driven approach Champion renewal eligibility processes as required by each program, ensuring seamless client support Engineer confirmation of eligibility appointments and orchestrate initial service scheduling post-eligibility Equip clients with comprehensive lists of required eligibility documentation Active participation in our disruptive Performance Improvement Program Advocate for a culture of respect, fostering dignity for all patients and employees Drive effective collaboration within dynamic team environments Engage in crucial safety training and adhere to advanced safety protocols Maintain workspace and technology in alignment with Legacy's high standards Implement Legacy’s strategic exposure control plans for health safety Master protective barrier equipment, techniques, and procedures Commit to annual educational advancements Flexibility to travel for training and coverage, embracing a mindset of continuous improvement Contribute to additional game-changing duties as assigned Minimum Qualifications High School Diploma or GED, augmented by a foundation in medical knowledge Preferably 3-5 years of breakthrough experience in medical billing Training or background in ICD-A / CPT codes, enhancing precision in billing Proficiency in bookkeeping and accounting terminology, with a tech-savvy edge Hands-on experience with digital systems and office technology Proven capability to take initiative and perform under pressure in a fast-paced environment Bilingual capabilities preferred, supporting diverse community engagement Knowledge of medical terminology and billing practices, propelling operational excellence 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.
• 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 :

We stay grounded in our purpose :