Lead Eligibility Specialist Bilingual - Montrose

Legacy Community Health•Houston, TX

1d•Onsite

About The Position

At Legacy Community Health, we believe in making a significant impact on community healthcare with every step we take. As a Bilingual Eligibility Specialist, you'll be at the heart of our mission, ensuring that every person in the vibrant Houston community has access to essential health services. This isn't just a job—it's a chance to make a real difference in people's lives. Be a catalyst for change by determining eligibility for critical health services. Balance administrative precision with compassionate service to improve healthcare accessibility. Work in a dynamic, inclusive environment with a team that values collaboration and mutual growth. Enjoy opportunities for personal and professional development, including mentorship and continuous learning. Contribute to meaningful health outcomes and be a part of a vibrant community-focused mission.

Requirements

High School Diploma or GED equivalent required, ensuring foundational readiness for the role.
3 - 5 years of experience in medical billing, crucial for managing intricate billing processes.
Fluency in both English and Spanish to effectively serve our diverse community.

Nice To Haves

Experience with ICD-A or CPT codes preferred, enhancing your ability to manage comprehensive coding requirements.

Responsibilities

Meticulously review procedures and guidelines to determine patient eligibility for third-party reimbursement.
Process data for new patient admissions into the CPCDMS system and complete all necessary paperwork.
Coordinate and set initial service appointments to ensure swift access to care post-eligibility determination.
Ensure accurate coding for insurance billing to support smooth financial operations and compliance.
Handle inquiries from prospective applicants and patients with empathetic and informative communication.
Participate in safety education and annual education initiatives to stay abreast of community healthcare practices.
Serve as the first-line contact in the manager's absence, managing clinic schedules and providing report assistance.
Conduct site visits to support departmental functions and foster a collaborative environment.