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!

Apply today in less than 3 minutes using your phone, tablet, or computer!

Location: Legacy Bissonnet - 12667 Bissonnet St. Houston, TX 77099

Eligibility Specialist Bilingual - Alief (Job Overview)

Schedule: 8AM-5PM

At Legacy Community Health, you're not just filling a position—you're joining a family dedicated to making healthcare accessible for all. As our Eligibility Specialist, you'll be a key player in opening doors to essential health services for our community. Your passion and expertise will help shape the future of healthcare access.

• Be the friendly face that welcomes new patients, guiding them through the admission process with ease.
• Use cutting-edge technology to assess eligibility, ensuring everyone gets the care they deserve.
• Enhance the patient experience by applying precision in insurance billing and advanced coding.
• Be an advocate for community health by addressing and resolving patient inquiries with empathy.

Key Responsibilities

• Use agile methodologies to determine client eligibility, ensuring compliance with all protocols.
• Verify clients' payer sources innovatively, including Medicaid, Medicare, or third-party insurance.
• Efficiently register clients into the CPCDMS using the latest technology.
• Ensure all paperwork is meticulously completed and digitally entered.
• Keep eligibility files updated, using a data-driven approach.
• Champion the renewal eligibility process, ensuring smooth client support.
• Schedule and confirm eligibility appointments, orchestrating initial service scheduling.
• Provide clients with comprehensive lists of required eligibility documentation.
• Participate actively in our Performance Improvement Program.
• Foster a culture of respect and dignity for all patients and employees.
• Collaborate effectively within dynamic team environments.
• Engage in safety training and adhere to safety protocols.
• Maintain workspace and technology standards in line with Legacy's expectations.
• Implement strategic exposure control plans for health safety.
• Master protective barrier equipment and techniques.
• Commit to annual educational advancements.
• Embrace travel for training and coverage, fostering a mindset of continuous improvement.
• Contribute to additional impactful duties as assigned.

Minimum Qualifications

• High School Diploma or GED with a strong foundation in medical knowledge.
• 3-5 years of experience in medical billing is preferred.
• Training or background in ICD-A / CPT codes for enhanced billing precision.
• Proficiency in bookkeeping and accounting terminology, with a tech-savvy approach.
• Experience with digital systems and office technology.
• Ability to take initiative and perform well under pressure in a fast-paced environment.
• Bilingual capabilities are preferred to support our diverse community.
• Knowledge of medical terminology and billing practices.

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.