Eligibility Specialist Bilingual - Sharpstown

Legacy Community Health•Houston, TX

4d•Onsite

About The Position

Step into a future where your role as an Bilingual Eligibility Specialist is pivotal in disrupting traditional healthcare barriers and pioneering seamless access for all. At Legacy Community Health, we are on a mission to leverage cutting-edge solutions and data-driven insights to bring healthcare to everyone. Role Highlights: Utilize advanced technologies to determine eligibility for third-party reimbursement with precision and empathy. Key Features: Innovate patient onboarding processes, ensuring their entrance into our health services is frictionless. Work Environment Benefits: Collaborate within an agile, forward-thinking team dedicated to driving impactful change every day. Impact & Growth: Be at the forefront of insurance billing accuracy, enhancing your skills in tech-enabled inquiry management. Team Collaboration: Engage with a network of professionals committed to healthcare excellence through shared digital platforms. Mission-Driven: Join our mission to revolutionize healthcare accessibility for all, leveraging technology and innovation.

Requirements

A High School Diploma or GED, establishing foundational knowledge for innovative success.
Essential medical knowledge to effectively navigate the evolving healthcare landscape.
Technology literacy, including computer operations and office machinery, is crucial.
Capacity to excel under pressure, maintaining composure and operational efficiency.

Nice To Haves

Preferred 3-5 years of experience in medical billing, showcasing adeptness in transformative practices.
Training in ICD-A / CPT codes preferred, supporting advanced healthcare communication.
Proficiency in bookkeeping and accounting terminology, essential for financial precision.
Bilingual abilities preferred, facilitating enhanced communication with diverse communities.
Preferred familiarity with medical terminology and billing practices, enriching role effectiveness.

Responsibilities

Conduct eligibility assessments with precision, adhering to program-specific data analytics and guidelines.
Deploy data-driven strategies to verify clients' coverage status, including Medicaid, Medicare, or third-party insurance.
Seamlessly register clients into CPCDMS, optimizing efficiency through advanced electronic systems.
Execute meticulous data entry of eligible clients, leveraging our state-of-the-art digital platforms.
Keep eligibility files current and organized, utilizing cutting-edge digital filing systems.
Perform timely eligibility renewals, using automated scheduling technologies.
Communicate eligibility appointments with clarity, supported by modern communication tools.
Coordinate initial service appointments post-eligibility confirmation, streamlining patient journeys.
Provide clients with a comprehensive list of digital eligibility documentation requirements.
Participate in the Performance Improvement Program, driving collective advancement through innovative solutions.
Foster effective working relationships as a dynamic team player.
Engage in mandatory safety training and educational programs, enhancing safety protocols.
Operate advanced equipment and perform cutting-edge procedures with a priority on safety.
Maintain the workplace and equipment to Legacy's future-focused standards.