Eligibility Specialist Bilingual - Montrose

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 Clinic - 1415 California St. Houston, TX 77006

Bilingual Eligibility Specialist (Montrose) - Job Overview

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

Step into a pivotal role at Legacy Community Health as a Bilingual Eligibility Specialist, where your skills will empower our community through effective healthcare access. Based in our vibrant Legacy Montrose Clinic in Houston, TX, you will be instrumental in serving our diverse clientele, facilitating their journey to vital health services. This role demands a seamless blend of precision, empathy, and communication, underpinned by our commitment to making healthcare accessible for everyone.

The Legacy experience is not just a job; it is a vibrant opportunity to contribute to a team that is at the forefront of community health innovation. Immerse yourself in a supportive, collaborative environment that values continuous learning and growth. Our role offers not just professional development but also the chance to make real, lasting impacts on the lives of our patients.

Key Responsibilities

• Determine patients' eligibility for third-party reimbursement, ensuring no alternate payer sources such as Medicaid, Medicare, or other third-party insurance are available.
• Process essential data to admit new patients into the CPCDMS system accurately and efficiently.
• Complete comprehensive paperwork, ensuring every detail is accurate and complete to smooth patient onboarding.
• Set initial service appointments for patients, 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, compassionate communication and assistance.
• Participate in all required safety education programs and annual training to stay current with best practices and regulatory requirements.

Y our Skills and Qualifications

• High School Graduate or GED equivalent is required, laying the foundational knowledge needed for this role.
• Bilingual in English and Spanish, an essential skill to effectively communicate and serve our diverse patient population.
• Preferred 3 - 5 years of Medical Billing experience, providing a robust backdrop for understanding the complexities of eligibility and reimbursement processes.
• ICD-A or CPT codes experience 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.

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!