Eligibility Specialist Bilingual - Pasadena

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 Pasadena Southmore - 951 Southmore Ave. Pasadena, TX 77502

Eligibility Specialist Bilingual - Pasadena (Job Overview)

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

Are you ready to dive into an exciting role where you'll be at the heart of connecting individuals to life-changing healthcare services? As an Bilingual Eligibility Specialist, you’re not just part of a team – you're a crucial puzzle piece in our mission to make healthcare accessible and awesome for everyone!

• Role Highlights: Determine applicant eligibility for third-party reimbursement with flair and precision!
• Key Features: Ensure our new patients have a smooth sailing admission process into health services.
• Work Environment Benefits: A team that's as spirited and enthusiastic as you are about making a positive impact!
• Impact & Growth: Be a rock star in ensuring proper coding for insurance billing and handling inquiries like a pro!
• Team Collaboration: Work hand-in-hand with fellow superheroes in the healthcare ecosystem.
• Mission-Driven: Making healthcare accessible – that's our jam!

Key Responsibilities

• Conduct eligibility checks with the precision of a master detective, following each program's unique guidelines.
• Ensure clients don't have other payer sources like Medicaid, Medicare, or any third-party insurance.
• Register clients into the CPCDMS and complete all necessary paperwork with gusto!
• Perform data entry of eligible clients into our electronic system – you're the wizard of data!
• Maintain up-to-date and orderly eligibility files that are the envy of the office.
• Conduct renewal eligibility with expert timing and precision.
• Confirm eligibility appointments with clients with your winning smile and charm!
• Set initial service appointments once eligibility has been determined – you set the stage for success!
• Provide clients with a list of required eligibility documentation like a helpful guide!
• Participate in the Performance Improvement Program and elevate our standards together!
• Promote effective working relations and be a team player in achieving departmental goals!
• Attend required safety training and education programs to keep everyone safe!
• Operate equipment and perform procedures safely as instructed - safety first, always!
• Maintain the work area and equipment as per Legacy standards - keep it shiny and bright!

Minimum Qualifications

• High School Diploma or GED – you've got the foundational knowledge!
• Some medical knowledge is required – you'll need those insights in your toolkit!
• A fabulous 3-5 years of medical billing experience preferred – you're the billing expert we want!
• Some training or background in ICD-A / CPT codes preferred – you'll understand the language of healthcare!
• Ability to understand and practice bookkeeping and accounting terminology required – numbers are no mystery to you!
• Ability to operate computers and other office machines required – you're tech-savvy and ready to go!
• Must be able to take responsibility and work under pressure – you're cool as a cucumber!
• Bilingual preferred – you can connect with even more amazing people!
• Knowledge of medical terminology and billing practices preferred – it’s your second language!

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 rea