Eligibility Specialist Bilingual - Baytown

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!

Apply today in less than 3 minutes using your phone, tablet, or computer!

Location: Legacy Baytown Garth - 3509 Garth Rd. Baytown, TX 77521

Eligibility Specialist Bilingual - Job Overview

Schedule: Monday-Friday (8AM-5PM)

Welcome to Legacy Community Health, where every day is an opportunity to make a real difference. As an Bilingual Eligibility Specialist, you'll be at the forefront of our mission, ensuring that individuals in our community can access the healthcare they deserve. Your role is pivotal in helping patients navigate their eligibility for third-party reimbursement, providing them with the care they need.

Imagine a role where your passion for helping others and your skills in data processing converge to create meaningful change. You'll be a crucial part of a collaborative team, working hand-in-hand with healthcare professionals to guarantee our patients receive the best care possible.

• Be the first point of contact for prospective applicants and patients, offering compassionate support and guidance.
• Ensure the seamless admission of new patients into health services with precise data processing and coding for insurance billing.
• Thrive in a supportive, family-like environment where personal growth and fulfillment are at the forefront.

Key Responsibilities

• Conduct eligibility assessments for clients following specific program procedures.
• Ensure clients do not have another payer source before proceeding.
• Register clients into the CPCDMS and complete all necessary paperwork.
• Perform data entry of eligible clients into the electronic system.
• Maintain up-to-date and orderly eligibility files.
• Conduct renewal eligibility assessments as required.
• Confirm eligibility appointments with clients and set initial service appointments.
• Provide clients with a list of required eligibility documentation.
• Participate actively in the Performance Improvement Program.
• Demonstrate respect and promote effective working relations as part of a team.
• Attend all required safety training programs and operate equipment safely.
• Maintain work area according to Legacy standards and follow exposure control plans.
• Travel for training and coverage as needed.
• Perform other duties as assigned.

Minimum Qualifications

• High School Diploma or GED with some medical knowledge.
• A minimum of 3-5 years of medical billing experience preferred.
• Training or background in ICD-A / CPT codes preferred.
• Ability to understand bookkeeping and accounting terminology.
• Ability to operate computers and office machines.
• Must work under pressure.
• Bilingual preferred.
• Knowledge of medical terminology and billing practices preferred.

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 health—every 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 job—they 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 mission—Driving healthy change in our communities—guides 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 change—within 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.