Lead Eligibility Specialist Bilingual - Montrose at Legacy Community Health

Houston, Texas, United States -

Full Time

Start Date

Immediate

Expiry Date

06 Apr, 26

Salary

0.0

Posted On

06 Jan, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Bilingual, Medical Billing, Patient Eligibility, Data Processing, Insurance Coding, Empathetic Communication, Safety Education, Team Collaboration, ICD-A Codes, CPT Codes

Industry

Hospitals and Health Care

Description

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 Allen Parkway - 2929 Allen Parkway, Suite 1300, Houston, TX 77019 Lead Eligibility Specialist Bilingual - Montrose (Job Overview) Schedule: Monday-Friday (8AM-5PM) At Legacy Community Health, we believe in making a significant impact on community healthcare with every step we take. As a Bilingual Eligibility Specialist, you'll be at the heart of our mission, ensuring that every person in the vibrant Houston community has access to essential health services. This isn't just a job—it's a chance to make a real difference in people's lives. Be a catalyst for change by determining eligibility for critical health services. Balance administrative precision with compassionate service to improve healthcare accessibility. Work in a dynamic, inclusive environment with a team that values collaboration and mutual growth. Enjoy opportunities for personal and professional development, including mentorship and continuous learning. Contribute to meaningful health outcomes and be a part of a vibrant community-focused mission. Key Responsibilities Meticulously review procedures and guidelines to determine patient eligibility for third-party reimbursement. Process data for new patient admissions into the CPCDMS system and complete all necessary paperwork. Coordinate and set initial service appointments to ensure swift access to care post-eligibility determination. Ensure accurate coding for insurance billing to support smooth financial operations and compliance. Handle inquiries from prospective applicants and patients with empathetic and informative communication. Participate in safety education and annual education initiatives to stay abreast of community healthcare practices. Serve as the first-line contact in the manager's absence, managing clinic schedules and providing report assistance. Conduct site visits to support departmental functions and foster a collaborative environment. Minimum Qualifications High School Diploma or GED equivalent required, ensuring foundational readiness for the role. 3 - 5 years of experience in medical billing, crucial for managing intricate billing processes. Fluency in both English and Spanish to effectively serve our diverse community. Experience with ICD-A or CPT codes preferred, enhancing your ability to manage comprehensive coding requirements. 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.

Responsibilities

The Lead Eligibility Specialist will review procedures to determine patient eligibility for health services and process data for new patient admissions. They will also coordinate service appointments and ensure accurate coding for insurance billing.