Bilingual Eligibility Champion

Legacy Community Health; Houston, Northern (TX, KY); Hybrid; USD 36,000 - 48,000; Full time

Benefits offered by this job

Paid time off

Medical insurance

Dental insurance

Vision insurance

Life insurance

FSA

403(b) retirement plan with company 4e

Short-Term Disability

Long-Term Disability

Zero copay visits

Zero copay prescriptions

Travel Insurance

Pet Insurance

Gym membership

Job summary

Legacy Community Health in Houston, TX is seeking a Bilingual Eligibility Specialist to guide applicants through third-party reimbursement processes and admit new patients into our services with empathy and clarity.

The role requires preparing accurate insurance billing and CPCDMS entries, handling inquiries, and supporting a collaborative team to ensure timely eligibility determinations and service initiation.

Qualifications

• High School Diploma or GED required; medical knowledge preferred.
• 3–5 years of medical billing experience preferred.
• Some training or background in ICD-CPT codes preferred.
• Ability to understand and apply bookkeeping and accounting terminology.
• Proficiency with computers and office equipment.
• Bilingual skills preferred.

Responsibilities

• Conduct eligibility assessments for clients according to program guidelines.
• Verify clients have no other payer sources such as Medicaid or Medicare.
• Register clients into CPCDMS and complete paperwork.
• Enter eligible client data into the electronic system accurately.
• Maintain organized eligibility files for easy access.
• Conduct renewal eligibility assessments as required.
• Confirm eligibility appointments and set initial service appointments.
• Provide clients with required eligibility documentation.
• Support the Performance Improvement Program and team collaboration.
• Attend safety training and uphold safety protocols.
• Travel to other sites for training and coverage as needed.

Skills

Medical billing experience

Bilingual

Accounting terminology

Computer skills

Handling pressure

Education

High School Diploma or GED

ICD/CPT codes knowledge

Job description

Legacy Community Health in Houston, TX is seeking a Bilingual Eligibility Specialist to guide applicants through third-party reimbursement processes and admit new patients into our services with empathy and clarity.

The role requires preparing accurate insurance billing and CPCDMS entries, handling inquiries, and supporting a collaborative team to ensure timely eligibility determinations and service initiation.