Bilingual Eligibility Specialist: Access & Enrollment

Legacy Community Health; Houston (TX); On-site; USD 42,000 - 56,000; Full time

Benefits offered by this job

PTO & Holidays

Medical Insurance

Dental Insurance

Vision Insurance

403(b) Retirement Plan with Company/M病

Job summary

Legacy Community Health seeks a Bilingual Eligibility Specialist to guide applicants through third‑party reimbursement and patient onboarding in a high‑volume clinic network. You will ensure accurate insurance eligibility, coordinate with care teams, and support access to care for diverse communities.

Ideal candidates bring several years of medical billing experience, bilingual English/Spanish proficiency, and strong data entry skills to maintain compliant records and timely eligibility

Qualifications

• High School Diploma or GED required.
• 3–5 years of medical billing experience preferred.
• Some training or background in ICD‑A / CPT codes preferred.
• Ability to understand and practice bookkeeping and accounting terminology required.
• Bilingual English/Spanish required.

Responsibilities

• Conduct eligibility assessments for clients, adhering to program guidelines.
• Verify clients do not have other payer sources (Medicaid/Medicare/third-party insurance).
• Register clients into the CPCDMS and complete paperwork.
• Perform data entry of eligible clients into our electronic system.
• Maintain up-to-date eligibility files for access and review.
• Conduct renewal eligibility assessments as required by programs.
• Confirm eligibility appointments and set initial service appointments.
• Provide clients with a list of required eligibility documentation.
• Participate in the Performance Improvement Program.
• Promote teamwork and collaboration.
• Attend safety training and follow safety protocols.
• Travel to other sites for training and coverage as needed.
• Perform other duties as assigned.

Skills

Bilingual EN/ES

Medical Billing

Data Entry

Customer Service

Insurance Knowledge

Communication

Education

High School Diploma or GED

Tools

CPCDMS

Billing Software

Job description

Legacy Community Health seeks a Bilingual Eligibility Specialist to guide applicants through third‑party reimbursement and patient onboarding in a high‑volume clinic network. You will ensure accurate insurance eligibility, coordinate with care teams, and support access to care for diverse communities.

Ideal candidates bring several years of medical billing experience, bilingual English/Spanish proficiency, and strong data entry skills to maintain compliant records and timely eligibility