Eligibility Specialist Bilingual - Montrose

Legacy Community Health•Houston, TX

86d•Onsite

About The Position

Welcome to Legacy Community Health! We are more than just a healthcare provider; we are a family dedicated to making a difference in our community. As an Eligibility Specialist, you will play a pivotal role in ensuring patients have access to the healthcare they need. Your passion for helping others will shine as you work closely with our team to innovate and streamline healthcare accessibility. Be a crucial part of our mission to enhance patient access to healthcare services. Utilize state-of-the-art technology to simplify the patient admission process. Collaborate with a supportive team focused on precision in insurance billing and patient experience. Make a meaningful impact by addressing patient inquiries with empathy and innovation.

Requirements

High School Diploma or GED with a foundation in medical knowledge.
Preferably 3-5 years of experience in medical billing.
Training or background in ICD-A / CPT codes for precise billing.
Proficiency in bookkeeping and accounting with a tech-savvy approach.
Hands-on experience with digital systems and office technology.
Proven ability to take initiative and perform under pressure in a fast-paced environment.
Bilingual capabilities preferred to support diverse community engagement.
Knowledge of medical terminology and billing practices.

Responsibilities

Use agile methodologies to determine client eligibility, ensuring compliance with program protocols.
Verify client eligibility, ensuring no other payer sources like Medicaid or Medicare are available.
Efficiently register clients into the CPCDMS using the latest technology.
Ensure precise completion of paperwork, optimizing digital entry for eligible clients.
Maintain up-to-date eligibility files using a data-driven approach.
Manage renewal eligibility processes, ensuring seamless client support.
Coordinate eligibility appointments and initial service scheduling.
Provide clients with comprehensive lists of required documentation.
Participate actively in our Performance Improvement Program.
Promote a culture of respect and dignity for all patients and employees.
Collaborate effectively within dynamic team environments.
Engage in safety training and adhere to safety protocols.
Maintain workspace and technology standards in alignment with Legacy's high standards.
Implement strategic exposure control plans for health safety.
Master protective barrier equipment and procedures.
Commit to annual educational advancements.
Flexibly travel for training and coverage, embracing continuous improvement.
Contribute to additional duties as assigned.