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Eligibility Specialist Bilingual - Northline
Eligibility Specialist Bilingual - NorthlineLegacy Community Health • Houston, TX, US
Eligibility Specialist Bilingual - Northline

Eligibility Specialist Bilingual - Northline

Legacy Community Health • Houston, TX, US
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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 Northside Irvington - 3517 Irvington Blvd.

Ste. 200 Houston, TX 77076 Eligibility Specialist Bilingual - Northline - Job Overview Schedule :

  • Monday-Friday (8AM-5PM) At Legacy Community Health, you're not just stepping into a role—you're becoming part of a family dedicated to making healthcare accessible for everyone.
  • As our Eligibility Specialist, you'll play a vital part in opening doors to essential health services for our community.
  • Your passion and expertise will help shape the future of healthcare access.
  • Be the welcoming face of our clinic, guiding new patients through the admission process with care and ease.
  • Leverage cutting-edge technology to determine eligibility, ensuring every patient receives the care they deserve.
  • Enhance the patient experience through precise insurance billing and advanced coding skills.
  • Serve as an advocate for community health by addressing and resolving patient inquiries with empathy and understanding.
  • Key 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.
  • Minimum Qualifications High School Diploma or GED with a solid foundation in medical knowledge. 3-5 years of experience in medical billing is preferred.
  • 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.
  • Bilingual capabilities are preferred to support our diverse community.
  • Knowledge of medical terminology and billing practices.
  • 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.
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