Eligibility Specialist Bilingual - Third Ward

Legacy Community Health • Houston, TX

194d

About The Position

Join the innovative team at Legacy Community Health as a bilingual Eligibility Specialist, where your passion for community healthcare will make a tangible impact in the Houston area. Based at 2222 Cleburne St. Suite 108, you will become an integral part of a mission-driven organization, ensuring access to essential health services for our diverse clientele. As a bilingual English/Spanish Eligibility Specialist, you will be at the forefront of our efforts to connect patients with the healthcare they need, while navigating the complexities of third-party reimbursements. Our team thrives on collaboration, creativity, and innovation, providing you with growth opportunities, including potential loan repayment programs, to advance your career in a supportive and dynamic environment. If you are ready to contribute to our legacy of care and compassion, explore this role that plays a crucial part in our healthcare ecosystem.

Requirements

• High School Graduate or GED required.
• 3 - 5 years of medical billing experience preferred, showcasing your expertise in the field.
• Bilingual in English and Spanish, enabling effective communication with a diverse patient base.
• Experience with ICD-A or CPT codes preferred, to ensure accuracy in coding and billing processes.

Responsibilities

• Accurately determine patient eligibility for third-party reimbursement following specific program procedures and guidelines.
• Ensure patients do not have other payer sources like Medicaid, Medicare, ADAP, or other third-party insurance.
• Process necessary data to admit new patients into the CPCDMS and handle all required paperwork efficiently.
• Set initial service appointments with patients to facilitate their access to healthcare services.
• Ensure proper coding for insurance billing to maintain accurate records and streamline reimbursement processes.
• Handle inquiries from prospective applicants and patients, providing exceptional customer service and assistance.
• Participate in all required safety education programs and annual education programs to maintain compliance and enhance skills.

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!

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Hospitals
• Education Level: High school or GED
• Number of Employees: 1,001-5,000 employees