Eligibility Specialist Bilingual - Third Ward

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 Cleburn - 2222 Cleburne St Ste. 108, Houston, TX 77004

Eligibility Specialist Bilingual - Third Ward (Job Overview)

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

Are you ready to make a difference in the world of community healthcare? As a Bilingual Eligibility Specialist, you'll play a vital role in empowering our community by ensuring access to essential healthcare services. Your work will be at the heart of our mission, helping diverse clients navigate their healthcare journeys with empathy and precision.

• Be a crucial part of our team, facilitating access to vital health services.
• Work in a supportive, collaborative environment that champions continuous learning and growth.
• Engage in meaningful work that leaves a lasting impact on patients' lives.
• Enjoy professional development opportunities that align with your personal and career goals.

At Legacy Community Health, we don't just offer jobs; we offer vibrant opportunities to contribute to a team leading the charge in community health innovation.

Key Responsibilities

• Determine patients' eligibility for third-party reimbursement by verifying no alternate payer sources like Medicaid, Medicare, or other third-party insurance are present.
• Accurately and efficiently process essential data to admit new patients into the CPCDMS system.
• Complete comprehensive paperwork with precision to ensure smooth patient onboarding.
• Set initial service appointments, ensuring a seamless transition into our healthcare services once eligibility is confirmed.
• Ensure proper insurance billing through accurate coding, maximizing reimbursement opportunities.
• Respond to inquiries from prospective applicants and patients, providing clear and compassionate communication and assistance.
• Participate in all required safety education programs and annual training to stay current with best practices and regulatory requirements.

Minimum Qualifications

• High School Graduate or GED equivalent, providing the foundational knowledge needed for this role.
• Bilingual in English and Spanish, essential for effectively communicating with and serving our diverse patient population.
• Preferred 3 - 5 years of Medical Billing experience, offering a robust background in eligibility and reimbursement processes.
• Experience with ICD-A or CPT codes is preferred, enhancing your ability to navigate insurance billing and coding efficiently.

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.