Eligibility Specialist Bilingual - Montrose

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 - 1415 California St. Houston, TX 77006

Eligibility Specialist Bilingual - Montrose (Job Overview)

Schedule: Monday-Friday (8AM-5PM)

Empower Healthcare Access through Precision and Innovation

Join Legacy Community Health as an Eligibility Specialist, a pivotal role that blends technology and compassion to revolutionize community healthcare access. As a forward-thinking innovator, you'll transform patient experiences by enabling seamless navigation through third-party reimbursement processes.

• Be at the forefront of healthcare transformation with cutting-edge data integration and precise insurance billing.
• Collaborate with a team of healthcare pioneers dedicated to disrupting traditional healthcare delivery models.
• Leverage digital tools and agile methodologies to enhance patient eligibility assessments and data processing.
• Become a catalyst for change, ensuring every community member receives the healthcare they deserve.

Key Responsibilities

• Conduct innovative eligibility assessments using tech-driven procedures.
• Ensure clients are free from other payer sources through digital verification methods.
• Seamlessly register clients into the CPCDMS, optimizing data flow and integrity.
• Execute precise data entry of eligible clients into cutting-edge electronic systems.
• Maintain digital eligibility files with real-time updates and organization.
• Perform proactive renewal eligibility assessments using predictive analytics.
• Confirm eligibility appointments with clients through automated notification systems.
• Provide clients with digital access to required eligibility documentation.
• Engage in the Performance Improvement Program, contributing to innovation-driven enhancements.
• Foster respect and collaboration within a dynamic, tech-savvy team environment.
• Participate in mandatory safety training programs, ensuring compliance with digital safety protocols.
• Maintain a clean and tech-optimized work area according to Legacy standards.
• Adapt to travel demands for training and coverage with a focus on learning agility.
• Execute other forward-thinking duties as assigned.

Minimum Qualifications

• High School Diploma or GED with a passion for healthcare innovation.
• 3-5 years of experience in medical billing with a focus on disruptive practices preferred.
• Proficiency in ICD-A / CPT codes, enhancing digital diagnostics and billing.
• Strong understanding of bookkeeping and accounting within tech-integrated environments.
• Advanced ability to operate computers and office machines in a digital-first setting.
• Thrives under pressure, utilizing agile thinking and problem-solving prowess.
• Bilingual skills preferred, enhancing communication in a diverse, tech-driven community.
• In-depth knowledge of modern medical terminology and billing practices preferred.

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:

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.