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Legacy Community Health · 2 months ago

Eligibility Specialist Bilingual - Alief

Houston, TX

Full-time

Onsite

Mid Level

3+ years exp

Legacy Community Health is the largest Federally Qualified Health Center in Southeast Texas, dedicated to making healthcare accessible for all. As an Eligibility Specialist, you will guide new patients through the admission process and ensure they receive the care they need by assessing eligibility and addressing inquiries with empathy.

Health CareNon Profit

Responsibilities

Use agile methodologies to determine client eligibility, ensuring compliance with all protocols

Verify clients' payer sources innovatively, including Medicaid, Medicare, or third-party insurance

Efficiently register clients into the CPCDMS using the latest technology

Ensure all paperwork is meticulously completed and digitally entered

Keep eligibility files updated, using a data-driven approach

Champion the renewal eligibility process, ensuring smooth client support

Schedule and confirm eligibility appointments, orchestrating initial service scheduling

Provide clients with comprehensive lists of required eligibility documentation

Participate actively in our Performance Improvement Program

Foster a culture of respect and dignity for all patients and employees

Collaborate effectively within dynamic team environments

Engage in safety training and adhere to safety protocols

Maintain workspace and technology standards in line with Legacy's expectations

Implement strategic exposure control plans for health safety

Master protective barrier equipment and techniques

Commit to annual educational advancements

Embrace travel for training and coverage, fostering a mindset of continuous improvement

Contribute to additional impactful duties as assigned

Qualification

Medical billing experienceICD-A / CPT codingBilingual capabilitiesMedical terminology knowledgeDigital systems proficiencyBookkeeping knowledgeOffice technology experienceInitiative under pressure

Required

High School Diploma or GED with a strong foundation in medical knowledge

Training or background in ICD-A / CPT codes for enhanced billing precision

Proficiency in bookkeeping and accounting terminology, with a tech-savvy approach

Experience with digital systems and office technology

Ability to take initiative and perform well under pressure in a fast-paced environment

Knowledge of medical terminology and billing practices

Preferred

3-5 years of experience in medical billing

Bilingual capabilities

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!

Company

Legacy Community Health

Legacy Community Health is a full-service health care system comprised of over 50 locations in the Texas Gulf Coast region offering primary care, pediatrics, OB/GYN, behavioral health, dental, vision, specialty care, and pharmacy services.

Founded in 1981

Houston, Texas, USA

1001-5000 employees