Bilingual Eligibility Specialist - Montrose Clinic

Eligibility Specialist - Montrose

At Legacy Community Health, we warmly welcome you to a place where your passion can make a meaningful impact. As an Eligibility Specialist, you will be at the heart of our mission, ensuring that every individual has access to the healthcare they deserve. Your role is pivotal in guiding applicants through the process of obtaining third-party reimbursement, ensuring they receive the care they need with empathy and clarity.

Your responsibilities will include:

• Be a vital part of admitting new patients into our health services, creating a welcoming and supportive environment.
• Ensure accurate coding for insurance billing, contributing to the seamless operation of our services.
• Handle inquiries with empathy and clarity, providing essential support to prospective applicants and patients.

Join us in this meaningful role, where your efforts will directly impact community healthcare and provide you with personal fulfillment and growth opportunities.

Key responsibilities include:

• Conduct eligibility assessments for clients, adhering to specific program guidelines.
• Verify that clients do not have other payer sources, such as Medicaid, Medicare, or third-party insurance.
• Register clients into the CPCDMS and complete all necessary paperwork.
• Perform data entry of eligible clients into our electronic system.
• Maintain up-to-date and orderly eligibility files for seamless access and review.
• Conduct renewal eligibility assessments as required by each program.
• Confirm eligibility appointments and set initial service appointments once eligibility is determined.
• Provide clients with a list of required eligibility documentation.
• Participate actively in the Performance Improvement Program.
• Promote effective working relations and collaborate as part of a dedicated team.
• Attend all required safety training programs and adhere to safety protocols.
• Ensure a safe environment by following proper procedures and reporting concerns.
• Travel to other sites for training and coverage as needed.
• Perform other duties as assigned, contributing to the overall success of the team.

Minimum qualifications include:

• High School Diploma or GED, some medical knowledge.
• A minimum of 3-5 years of medical billing experience preferred.
• Some training or background in ICD-A / CPT codes preferred.
• 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.
• Bilingual English/Spanish is required.
• Knowledge of medical terminology and billing practices preferred.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.

About Legacy Community Health

As the largest Federally Qualified Health Center (FQHC) in Southeast Texas, Legacy Community Health has been delivering comprehensive, high-quality, and affordable health care for nearly 40 years. With more than 50 clinics across the Greater Houston and Gulf Coast region, we continue to grow strategically and invest in our communities. By innovating how care is delivered, we've stayed at the forefront of connecting our communities to healthevery day, in every way. At Legacy, we know our success is powered by our people. We're always looking for talented, passionate individuals who want more than a jobthey want a meaningful career that makes a real impact. Explore our open positions and see if a career at Legacy is right for you.

At Legacy Community Health, our missionDriving healthy change in our communitiesguides everything we do. To fulfill this mission, every team member is expected to embody the following core attributes in their daily work, regardless of role or department:

Approachable & Collaborative

We bring our expertise without ego. In a collaborative healthcare environment, humility fosters trust and teamwork. Our employees value diverse perspectives, seek input from others, and are unafraid to acknowledge when they need help. We stay grounded in our purpose: to serve patients and communities with compassion and humility.

Driven & Committed

We are driven by a deep commitment to excellence in patient care and organizational improvement. Our employees take initiative, embrace challenges, and go the extra mile to support our mission. Whether improving patient outcomes, streamlining processes, or stepping up in times of need, we are always striving to drive healthy changewithin ourselves, our teams, and the communities we serve.

Perceptive & Thoughtful Communicators

We value emotional intelligence as much as clinical or technical skill. Our team members demonstrate sound judgment, cultural sensitivity, and the ability to navigate complex situations with empathy and professionalism. They communicate clearly and respectfully with patients, families, and colleagues, building trust and fostering a safe, inclusive environment for all.

Legacy Community Health Services