Eligibility Specialist Bilingual - Beaumont

Legacy Community Health•Beaumont, TX

3d•Onsite

About The Position

Are you someone who thrives on making a difference in people's lives? As an Bilingual Eligibility Specialist, you will be at the heart of our mission to ensure everyone has access to the healthcare they deserve. At Legacy Community Health, we believe in the power of community and collaboration, and we can't wait for you to join us! Role Highlights: Use your skills to determine applicant eligibility for third-party reimbursement with accuracy and care. Key Features: Smoothly guide new patients through the admission process, making their journey into health services seamless. Work Environment Benefits: Become part of a passionate team that is dedicated to making a positive impact every day. Impact & Growth: Play a vital role in ensuring proper coding for insurance billing, and grow your expertise in handling inquiries. Team Collaboration: Work closely with a team of dedicated professionals committed to healthcare excellence. Mission-Driven: Join us in our commitment to making healthcare accessible for everyone.

Requirements

High School Diploma or GED required, providing foundational knowledge.
Some medical knowledge is essential for effective role execution.
Competency in operating computers and office machinery is essential.
Ability to manage responsibilities under pressure, maintaining composure and efficiency.

Nice To Haves

3-5 years of medical billing experience preferred, demonstrating expertise in the field.
Training or background in ICD-A / CPT codes preferred, facilitating accurate healthcare communication.
Proficiency in bookkeeping and accounting terminology required, ensuring financial accuracy.
Bilingual capabilities preferred, enhancing communication with diverse populations.
Knowledge of medical terminology and billing practices preferred, supporting effective role performance.

Responsibilities

Conduct eligibility checks with meticulous attention to detail, adhering to each program's specific guidelines.
Ensure clients do not have other payer sources like Medicaid, Medicare, or third-party insurance.
Register clients into the CPCDMS and complete all necessary paperwork efficiently.
Perform data entry of eligible clients into our electronic system with precision.
Maintain up-to-date and orderly eligibility files.
Conduct renewal eligibility with expert timing and accuracy.
Confirm eligibility appointments with clients, ensuring communication is clear and supportive.
Set initial service appointments once eligibility has been determined.
Provide clients with a list of required eligibility documentation.
Participate in the Performance Improvement Program to enhance our standards collectively.
Promote effective working relations and be a supportive team player.
Attend required safety training and education programs.
Operate equipment and perform procedures safely, prioritizing safety at all times.
Maintain the work area and equipment according to Legacy standards.