Eligibility Specialist Bilingual - Northline

Legacy Community Health•Houston, TX

25d•Onsite

About The Position

At Legacy Community Health, you're not just stepping into a role—you're becoming part of a family dedicated to making healthcare accessible for everyone. As our Eligibility Specialist, you'll play a vital part in opening doors to essential health services for our community. Your passion and expertise will help shape the future of healthcare access. Be the welcoming face of our clinic, guiding new patients through the admission process with care and ease. Leverage cutting-edge technology to determine eligibility, ensuring every patient receives the care they deserve. Enhance the patient experience through precise insurance billing and advanced coding skills. Serve as an advocate for community health by addressing and resolving patient inquiries with empathy and understanding.

Requirements

High School Diploma or GED with a solid foundation in medical knowledge.
3-5 years of experience in medical billing is preferred.
Training or background in ICD-A / CPT codes for enhanced billing precision.
Proficiency in bookkeeping and accounting terminology, with a tech-savvy approach.
Experience with digital systems and office technology.
Ability to take initiative and perform well under pressure in a fast-paced environment.
Bilingual capabilities are preferred to support our diverse community.
Knowledge of medical terminology and billing practices.

Responsibilities

Use agile methodologies to determine client eligibility, ensuring compliance with all protocols.
Verify clients' payer sources innovatively, including Medicaid, Medicare, or third-party insurance.
Efficiently register clients into the CPCDMS using the latest technology.
Ensure all paperwork is meticulously completed and digitally entered.
Keep eligibility files updated, using a data-driven approach.
Champion the renewal eligibility process, ensuring smooth client support.
Schedule and confirm eligibility appointments, orchestrating initial service scheduling.
Provide clients with comprehensive lists of required eligibility documentation.
Participate actively in our Performance Improvement Program.
Foster 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 line with Legacy's expectations.
Implement strategic exposure control plans for health safety.
Master protective barrier equipment and techniques.
Commit to annual educational advancements.
Embrace travel for training and coverage, fostering a mindset of continuous improvement.
Contribute to additional impactful duties as assigned.