Eligibility Specialist Bilingual - Sharpstown

Legacy Community Health; Houston (TX); On-site; USD 45,000 - 60,000; Full time

Benefits offered by this job

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

Paid Time Off & Paid Company Holidays

Medical, Dental, Vision & Life Insurance

Subsidized Gym Membership

Job summary

A healthcare organization in Houston, Texas is looking for a Bilingual Eligibility Specialist to assess patient eligibility and ensure access to essential healthcare services. You will play a key role in processing admissions, coordinating appointments, and managing insurance billing. The ideal candidate has a high school diploma, 3-5 years of medical billing experience, and is bilingual in English and Spanish. This position provides an opportunity to make a meaningful impact on community wellness and healthcare accessibility.

Qualifications

• Proficiency in both English and Spanish.
• 3 - 5 years of experience in Medical Billing (preferred).
• Experience with ICD-A or CPT coding is a plus.

Responsibilities

• Assess patient eligibility for third-party reimbursements.
• Process data for new patient admissions and manage paperwork.
• Coordinate service appointments post-eligibility determination.
• Ensure accurate insurance billing through coding practices.
• Handle inquiries from prospective applicants and patients.
• Participate in safety education and annual training.

Skills

Bilingual (English and Spanish)

Medical Billing

ICD-A or CPT coding

Education

High School Diploma or GED

Job description

• 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
• And much more!

Apply today in less than 3 minutes using your phone, tablet, or computer!

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 Southwest - 6441 High Star Dr. Houston, TX 77074

Eligibility Specialist Bilingual - Sharpstown (Job Overview)

Schedule: Monday-Friday (8:30AM-5:30PM)

Welcome to Legacy Community Health, where we believe in the power of community and the importance of every team member. As a Bilingual Eligibility Specialist, you'll be at the heart of our mission, ensuring healthcare is a right accessible to all, regardless of their background. This role invites you to make a meaningful difference every day.

• Role Highlights:Your role is pivotal in assessing patient eligibility, ensuring that essential healthcare services are accessible to those who need them most
• Impact:Join a compassionate team dedicated to offering life-changing programs, from free pregnancy tests to HIV/AIDS screenings
• Work Environment:Thrive in a supportive and collaborative atmosphere that nurtures both personal and professional growth
• Growth Opportunities:Take advantage of programs like loan repayment while making a profound impact on the lives of those in our community
• Mission-Driven:Be a part of our unwavering commitment to community wellness and innovative healthcare services

Key Responsibilities

• Assess patient eligibility for third-party reimbursements by adhering to specific program procedures and guidelines
• Efficiently process data for new patient admissions into the CPCDMS and manage necessary paperwork
• Coordinate initial service appointments post-eligibility determination to ensure seamless patient flow
• Ensure accurate insurance billing through proper coding practices
• Handle inquiries from prospective applicants and patients with empathy and professionalism
• Participate actively in safety education programs and annual training to maintain high healthcare standards

Minimum Qualifications

• High School Diploma or GED, showcasing your foundational educational achievement
• 3 - 5 years of experience in Medical Billing, bringing valuable industry knowledge (preferred)
• Proficiency in both English and Spanish, enabling you to serve our diverse community effectively
• Experience with ICD-A or CPT coding is a plus, demonstrating your understanding of insurance procedures

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.