Bilingual Eligibility Specialist - Access to Care

Legacy Community Health; Houston (TX); On-site; USD 40,000 - 56,000; Full time

Benefits offered by this job

Paid Time Off & Paid Holidays

Medical, Dental, Vision & Life Science

Flexible Spending Account (FSA)

403(b) Retirement Plan with Company 4%

Short-Term & Long-Term Disability

$0 Copay for Legacy Provider visits

$0 Copay for prescriptions filled at)

Travel Insurance & Pet Insurance

Subsidized Gym Membership

Job summary

Legacy Community Health in Houston, TX seeks a Bilingual Eligibility Specialist to guide applicants through third-party reimbursement processes, ensuring access to care with empathy and clarity. This on-site role supports new patient admissions, insurance coding, and responsive client service.

Responsibilities include eligibility assessments, CPCDMS data entry, maintaining files, and collaborating with a dedicated team to deliver timely service appointments.

Qualifications

• High School Diploma or GED; some medical knowledge.
• 3-5 years medical billing experience preferred.
• Familiarity with ICD-9/ICD-10 and CPT codes preferred.
• Ability to understand bookkeeping terminology and apply it.
• Proficient with computers and common office equipment.
• Bilingual English/Spanish is required.
• Knowledge of medical terminology and billing practices preferred.
• Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

Responsibilities

• Conduct eligibility assessments for clients per program guidelines.
• Verify clients have no other payer sources (Medicaid/Medicare/third-party insurance).
• Register clients into CPCDMS and complete paperwork.
• Enter data for eligible clients into the system.
• Maintain orderly eligibility files for access and review.
• Conduct renewal eligibility assessments as required.
• Confirm eligibility appointments and schedule initial service appointments.
• Provide clients with required eligibility documentation lists.
• Participate in the Performance Improvement Program.
• Promote teamwork and collaborative relationships.
• Attend safety trainings and follow safety protocols.
• Travel to other sites for training and coverage as needed.
• Perform other duties as assigned.

Skills

Bilingual English/Spanish

Medical billing

ICD-CPT codes

Bookkeeping

Computer literacy

Education

High School Diploma or GED

Job description

Legacy Community Health in Houston, TX seeks a Bilingual Eligibility Specialist to guide applicants through third-party reimbursement processes, ensuring access to care with empathy and clarity. This on-site role supports new patient admissions, insurance coding, and responsive client service.

Responsibilities include eligibility assessments, CPCDMS data entry, maintaining files, and collaborating with a dedicated team to deliver timely service appointments.