Eligibility Specialist | Bilingual (English/Spanish)

Houston, TX
Full Time
Clinic Based
Experienced

Legacy Community Health is looking for a bilingual Eligibility Specialist to join our team

About the Position

The Eligibility Specialist at Legacy Community Health is responsible for determining a patient's eligibility for third-party reimbursement by following procedures and guidelines specific to each program and making sure the patient does not have another payer source, such as Medicaid, Medicare, ADAP, or another third party insurance. You will also process the necessary data to admit new patients in to the CPCDMS and completing the necessary paperwork. Once a patient's eligibility has been determined, you will also set initial service appointments. The Eligibility Specialist also ensures proper coding for insurance billing as well as handling inquiries from prospective applicants and patients. You will need to attend all required safety education programs and annual education programs.

Location: Legacy Community Health - Southwest  Clinic
Address: 6441 High Star Dr, Houston, TX 77074

Benefits

  • Medical, Dental, and Vision insurance
  • Long-Term Disability insurance
  • Life insurance and AD&D
  • 403(b) retirement plan
  • Employee Assistance Plan
  • Subsidized gym membership
  • 24-hour travel assistance
  • Paid Time Off 
  • Company holidays (9 days + 1 floating day)
  • Bereavement Leave
  • And more

Requirements

  • High School Graduate or GED
  • 3 - 5 years of Medical Billing experience, preferred
  • Bilingual
    • English and Spanish, preferred
  • ICD-A or CPT codes experience, preferred

About Legacy Community Health

Legacy Community Health is a premium, Federally Qualified Health Center (FQHC) that provides comprehensive care to community members regardless of their ability to pay. Our goal is to treat the entire patient while improving their overall wellness and quality of life, in addition to providing free pregnancy tests, HIV/AIDS screening. At Legacy, we empower patients to lead better lives by promoting healthy behaviors and offering resources such as literacy classes, family planning services, and nutrition and weight management information. 

Our roots began in 1981 as the Montrose Clinic, with specialization in HIV education, testing, and treatment. Since then, the agency has expanded to 10 clinics in Houston, one in Baytown, two in Beaumont, and one in Deer Park with extensive services that include: Adult primary care, HIV/AIDS care, pediatrics, OB/GYN and maternity, dental, vision and behavioral health. We also service students within KIPP and YES Prep schools. Legacy is committed to driving healthy change in our communities.

Legacy Community Health is an Equal Opportunity Employer that welcomes and encourages diversity in the workplace.

Apply today.

Our short application process takes less than 3 minutes on your phone, tablet or computer.

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