Bilingual Eligibility Specialist - Baytown

Bilingual Eligibility Specialist - Baytown

Join our family as a Bilingual Eligibility Specialist and help make access to community healthcare a smoother, more supportive experience for every patient. You'll guide applicants through program requirements, prepare accurate information for new-patient admissions, and help support dependable insurance billing and coding processes.

Your careful attention to detail and compassionate communication will make a meaningful difference. By answering questions with patience, coordinating appointments, and maintaining accurate eligibility information, you'll help patients connect with essential services while strengthening the clinic's healthcare operations.

What Makes This Role Meaningful

• Help patients and families understand eligibility requirements and required documentation.
• Support accurate registration, data entry, coding, and insurance billing processes.
• Contribute to timely access to healthcare services in a community-focused setting.
• Build respectful, positive relationships with patients, families, visitors, and fellow employees.
• Collaborate with teammates to support department goals and objectives.
• Participate in performance improvement, safety education, and ongoing professional development.
• Travel to other sites for training and/or coverage as needed.

Your Impact and Growth

Every accurate eligibility review, completed renewal, and confirmed appointment helps connect patients with the care they need. This is an opportunity to find purpose in dependable service, meaningful patient support, and teamwork that strengthens the healthcare experience in the community.

• Make a difference through accurate, respectful patient assistance.
• Develop your skills through required education, training, and hands-on collaboration.
• Contribute to a professional, responsible, courteous, and safety-minded work environment.

Key Responsibilities

• Conduct eligibility for clients following procedures and guidelines specific to each program.
• Ensure that clients do not have another payer source such as Medicaid, Medicare, ADAP, and any other third-party insurance.
• Register clients into the CPCDMS.
• Complete all necessary paperwork.
• Perform data entry of eligible clients into electronic system.
• Maintain up-to-date and orderly eligibility files.
• Conduct renewal eligibility as required by each program.
• Confirm eligibility appointments with clients.
• Set initial service appointments once eligibility has been determined.
• Provide clients with a list of required eligibility documentation.
• Participate in the Performance Improvement Program.
• Demonstrate respect and regard for the dignity of all patients, families, visitors, and fellow employees to ensure a professional, responsible, and courteous environment.
• Promote effective working relations and work effectively as part of a team to facilitate the department's ability to meet its goals and objectives.
• Attend all required safety training programs and describe responsibilities related to general safety, department/service safety, and specific job-related hazards.
• Attend all required safety education programs.
• Operate assigned equipment and perform all procedures in a safe manner as instructed.
• Maintain the work area and equipment in the condition required by Legacy standards.
• Demonstrate proper body mechanics in all functions.
• Check the patient's environment and equipment to ensure safety.
• Report safety concerns promptly to appropriate personnel.
• Follow Legacy's exposure control plans and bloodborne and airborne pathogen precautions.
• Demonstrate knowledge of techniques, procedures, and correct use of protective barrier equipment (Universal Precautions).
• Assure a safe environment by instituting appropriate control measures.
• Attend annual education programs.
• Travel to other sites for training and/or coverage as needed.
• Perform other duties as assigned.

Minimum Qualifications

• High School Diploma or GED, some medical knowledge.

Desirable Education and/or Experience

• A minimum of 3-5 years of medical billing experience preferred.
• Some training or background in ICD-A / CPT codes preferred.

Required Knowledge, Skills, and/or Abilities

• Bilingual required
• Ability to understand and practice bookkeeping and accounting terminology required
• Ability to operate computers and other office machines required
• Must be able to take responsibility and work under pressure

Desirable Knowledge, Skills, and/or Abilities

• Knowledge of medical terminology and billing practices preferred.

About Legacy Community Health

The largest Federally Qualified Health Center (FQHC) in Southeast Texas, Legacy Community Health has delivered affordable, high-quality care for nearly 40 years across 50+ clinics in Greater Houston and the Gulf Coast. Our mission driving healthy change in our communities guides everything we do, and it starts with our people.

Approachable & Collaborative Leads with humility, values diverse perspectives, and builds trust through teamwork.

Driven & Committed Takes initiative and goes the extra mile to improve patient outcomes and drive continuous improvement.

Thoughtful Communicators Pairs clinical/technical skill with emotional intelligence, navigating complex situations with empathy and professionalism.

Legacy Community Health Services