Eligibility Specialist Bilingual - Sharpstown

Benefits

We Offer Outstanding 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!

Eligibility Specialist Bilingual - LBR (Mon-Fri 8AM-5PM)

Empowering Communities in Houston, TX

Join Legacy Community Health, a pioneering Federally Qualified Health Center (FQHC), where each team member is an integral part of reshaping the future of community healthcare. We are on the lookout for a dynamic, bilingual Eligibility Specialist to enhance our mission at the Legacy Baker Ripley Clinic (6500 Rookin St #200) in Houston, TX. As a bilingual English/Spanish Eligibility Specialist, your role is crucial in providing access to vital healthcare services for those most in need. With a strong emphasis on innovation and improvement, you will assess patient eligibility for third-party reimbursements, ensuring that healthcare is a right, not a privilege.

At Legacy, we invest in community wellness by offering programs ranging from free pregnancy tests and HIV/AIDS screenings to literacy, family planning services, and nutrition and weight management resources. Our collaborative team environment promises growth opportunities, including loan repayment programs, all while making a tangible impact on people's lives.

Key Responsibilities

• Determine patient's eligibility for third-party reimbursement by meticulously following program-specific procedures and guidelines.
• Expertly process data to admit new patients into the CPCDMS and handle all necessary paperwork efficiently.
• Set initial service appointments post eligibility determination, ensuring seamless patient flow.
• Guarantee accurate insurance billing by utilizing proper coding practices.
• Manage inquiries from prospective applicants and patients with empathy and professionalism.
• Participate actively in all mandated safety education programs and annual training sessions to stay at the forefront of healthcare standards.

Qualifications

• High School Graduate or GED, showcasing foundational educational achievement.
• 3 - 5 years of experience in Medical Billing, bringing a depth of industry knowledge (preferred).
• Proficiency in English and Spanish to serve our diverse community effectively.
• Experience with ICD-A or CPT coding is a plus, highlighting nuanced understanding of insurance procedures.

About Legacy Community Health

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.

Core Employee Expectations

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.

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