Eligibility Specialist Bilingual - Sharpstown

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 Baker Ripley - 6500 Rookin St. Bldg. B Ste. 200 Houston, TX 77074

Eligibility Specialist Bilingual - Sharpstown (Job Overview)

Schedule: 8AM-5PM

Step into a future where your role as an Bilingual Eligibility Specialist is pivotal in disrupting traditional healthcare barriers and pioneering seamless access for all. At Legacy Community Health, we are on a mission to leverage cutting-edge solutions and data-driven insights to bring healthcare to everyone.

• Role Highlights: Utilize advanced technologies to determine eligibility for third-party reimbursement with precision and empathy.
• Key Features: Innovate patient onboarding processes, ensuring their entrance into our health services is frictionless.
• Work Environment Benefits: Collaborate within an agile, forward-thinking team dedicated to driving impactful change every day.
• Impact & Growth: Be at the forefront of insurance billing accuracy, enhancing your skills in tech-enabled inquiry management.
• Team Collaboration: Engage with a network of professionals committed to healthcare excellence through shared digital platforms.
• Mission-Driven: Join our mission to revolutionize healthcare accessibility for all, leveraging technology and innovation.

Key Responsibilities

• Conduct eligibility assessments with precision, adhering to program-specific data analytics and guidelines.
• Deploy data-driven strategies to verify clients' coverage status, including Medicaid, Medicare, or third-party insurance.
• Seamlessly register clients into CPCDMS, optimizing efficiency through advanced electronic systems.
• Execute meticulous data entry of eligible clients, leveraging our state-of-the-art digital platforms.
• Keep eligibility files current and organized, utilizing cutting-edge digital filing systems.
• Perform timely eligibility renewals, using automated scheduling technologies.
• Communicate eligibility appointments with clarity, supported by modern communication tools.
• Coordinate initial service appointments post-eligibility confirmation, streamlining patient journeys.
• Provide clients with a comprehensive list of digital eligibility documentation requirements.
• Participate in the Performance Improvement Program, driving collective advancement through innovative solutions.
• Foster effective working relationships as a dynamic team player.
• Engage in mandatory safety training and educational programs, enhancing safety protocols.
• Operate advanced equipment and perform cutting-edge procedures with a priority on safety.
• Maintain the workplace and equipment to Legacy's future-focused standards.

Minimum Qualifications

• A High School Diploma or GED, establishing foundational knowledge for innovative success.
• Essential medical knowledge to effectively navigate the evolving healthcare landscape.
• Preferred 3-5 years of experience in medical billing, showcasing adeptness in transformative practices.
• Training in ICD-A / CPT codes preferred, supporting advanced healthcare communication.
• Proficiency in bookkeeping and accounting terminology, essential for financial precision.
• Technology literacy, including computer operations and office machinery, is crucial.
• Capacity to excel under pressure, maintaining composure and operational efficiency.
• Bilingual abilities preferred, facilitating enhanced communication with diverse communities.
• Preferred familiarity with medical terminology and billing practices, enriching role effectiveness.

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.