Eligibility Specialist Bilingual - Montrose

Eligibility Specialist Bilingual - Montrose

Department: Clinic Based

Type: Full Time

Location: Houston, TX

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 Montrose Allen Parkway - 2929 Allen Pkwy Suite 1300, Houston, TX 77019

Eligibility Specialist Bilingual - Montrose (Job Overview)

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

At Legacy Community Health, we are more than just a healthcare provider; we are a community dedicated to making a difference. We are looking for a compassionate and innovative Eligibility Specialist to be part of our vibrant team. Your role will be pivotal in ensuring our patients receive the healthcare support they deserve.

  • Leverage your bilingual skills in English and Spanish to bridge healthcare access gaps.
  • Champion patients' access to essential health services through expertise in eligibility determination.
  • Impact patients' journeys to better health outcomes directly.
  • Collaborate with a team that values diversity and inclusivity.
  • Enjoy a work environment that promotes work-life balance and personal fulfillment.

At Legacy, you'll be a critical part of our mission-driven team, where your contributions have a lasting impact on community health.

Key Responsibilities

  • Determine patient eligibility for various third-party reimbursement programs by following specific procedures and guidelines.
  • Efficiently process data to admit new patients into the CPCDMS system, ensuring accurate and up-to-date records.
  • Complete all necessary paperwork and establish initial service appointments, providing critical support to new patients.
  • Ensure precise coding for insurance billing, using your knowledge of ICD-A or CPT codes.
  • Handle inquiries from prospective applicants and existing patients, offering clear, empathetic assistance in both English and Spanish.
  • Commit to professional growth by attending all required safety education and annual training programs.

Minimum Qualifications

  • High School Graduate or GED required.
  • Preferred 3-5 years of experience in Medical Billing, with a strong understanding of industry-specific practices.
  • Mandatory bilingual proficiency in English and Spanish, essential for effective communication in our diverse community.
  • Experience with ICD-A or CPT codes is 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.