Eligibility Specialist Bilingual - Sharpstown

Legacy Community HealthHouston, TX
18h

About The Position

Welcome to Legacy Community Health, where we believe in the power of community and the importance of every team member. As a Bilingual Eligibility Specialist, you'll be at the heart of our mission, ensuring healthcare is a right accessible to all, regardless of their background. This role invites you to make a meaningful difference every day. Role Highlights: Your role is pivotal in assessing patient eligibility, ensuring that essential healthcare services are accessible to those who need them most. Impact: Join a compassionate team dedicated to offering life-changing programs, from free pregnancy tests to HIV/AIDS screenings. Work Environment: Thrive in a supportive and collaborative atmosphere that nurtures both personal and professional growth. Growth Opportunities: Take advantage of programs like loan repayment while making a profound impact on the lives of those in our community. Mission-Driven: Be a part of our unwavering commitment to community wellness and innovative healthcare services.

Requirements

  • High School Diploma or GED, showcasing your foundational educational achievement.
  • 3 - 5 years of experience in Medical Billing, bringing valuable industry knowledge (preferred).
  • Proficiency in both English and Spanish, enabling you to serve our diverse community effectively.

Nice To Haves

  • Experience with ICD-A or CPT coding is a plus, demonstrating your understanding of insurance procedures.

Responsibilities

  • Assess patient eligibility for third-party reimbursements by adhering to specific program procedures and guidelines.
  • Efficiently process data for new patient admissions into the CPCDMS and manage necessary paperwork.
  • Coordinate initial service appointments post-eligibility determination to ensure seamless patient flow.
  • Ensure accurate insurance billing through proper coding practices.
  • Handle inquiries from prospective applicants and patients with empathy and professionalism.
  • Participate actively in safety education programs and annual training to maintain high healthcare standards.

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!
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