Bilingual Eligibility Specialist - Baytown

Legacy Community Health•Baytown, TX

5d•Onsite

About The Position

The Bilingual Eligibility Specialist helps patients access community healthcare by guiding applicants through program requirements, preparing accurate information for new-patient admissions, and supporting dependable insurance billing and coding processes. The role involves communicating with clients about eligibility and required documentation, maintaining accurate records, coordinating appointments, and supporting clinic operations in a patient-focused setting. The specialist works Monday through Friday, 8:00 a.m. to 5:00 p.m., at Legacy Baytown Garth in Baytown, Texas. Travel to other sites for training or coverage may be required. The role also includes required safety education, participation in performance improvement, and other duties as assigned.

Requirements

High school diploma or GED.
Some medical knowledge.
Bilingual ability is required.
Ability to understand and practice bookkeeping and accounting terminology.
Ability to operate computers and other office machines.
Ability to take responsibility and work under pressure.

Nice To Haves

A minimum of 3–5 years of medical billing experience is preferred.
Training or background in ICD-A / CPT codes is preferred.
Knowledge of medical terminology and billing practices is preferred.

Responsibilities

Conduct client eligibility reviews according to the procedures and guidelines for each program.
Verify that clients do not have another payer source, such as Medicaid, Medicare, ADAP, or other third-party insurance.
Register clients in the CPCDMS.
Complete required paperwork.
Enter eligible client information into the electronic system.
Maintain orderly, up-to-date eligibility files.
Conduct eligibility renewals as required by each program.
Confirm eligibility appointments with clients.
Schedule initial service appointments after eligibility has been determined.
Provide clients with a list of required eligibility documentation.
Participate in the Performance Improvement Program.
Treat patients, families, visitors, and fellow employees with respect and regard for their dignity.
Work effectively with teammates to help the department meet its goals and objectives.
Attend required safety training and education programs and understand responsibilities related to general, department-specific, and job-related safety.
Operate assigned equipment and perform procedures safely as instructed.
Maintain the work area and equipment according to Legacy standards.
Use proper body mechanics and check the patient environment and equipment for safety.
Report safety concerns promptly to appropriate personnel.
Follow exposure control plans and bloodborne and airborne pathogen precautions.
Use protective barrier equipment correctly and follow Universal Precautions.
Institute appropriate control measures to maintain a safe environment.
Travel to other sites for training or coverage as needed.
Perform other duties as assigned.