Eligibility Specialist Bilingual - Beaumont

Job Description

Job DescriptionBenefitsWe Offer Outstanding 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!

Join Legacy Community Health as a Bilingual Eligibility Specialist (Mon-Fri 8AM–5PM)

At Legacy Community Health, we're seeking a dynamic and forward-thinking individual to be a pivotal part of our team in Beaumont, TX (450 N 11th St.). As a Bilingual Eligibility Specialist, you'll harness your bilingual skills to impact the community healthcare ecosystem. In this clinic-based role, you will be at the forefront, determining patient eligibility for third-party reimbursements, thereby ensuring that those who need care the most get it. This is your chance to join a collaborative, innovative team that's committed to pioneering solutions in community healthcare.

Key Responsibilities

• Determine patient eligibility for third-party reimbursements, ensuring compliance with specific program procedures and guidelines.
• Identify alternative payer sources like Medicaid, Medicare, ADAP, and other third-party insurances to avoid overlaps in coverage.
• Process and input essential data into the CPCDMS to facilitate new patient admissions.
• Complete the necessary paperwork and set initial service appointments to streamline patient access to care.
• Ensure accurate coding for insurance billing, aiding in financial clarity for the organization.
• Handle inquiries from prospective applicants and patients with professionalism and clarity.
• Participate in all required safety and annual education programs to uphold compliance and best practices.

Required Qualifications

• Proficiency in both English and Spanish to effectively communicate with our diverse patient population.
• Experience or knowledge in healthcare billing and eligibility processing.
• Strong attention to detail for accurate paperwork completion and data management.
• Ability to navigate various third-party insurance guidelines and regulations.
• Exceptional organizational skills to multitask in a fast-paced clinic environment.
• Commitment to continuous education through safety and compliance programs.

About Legacy Community HealthAs 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.

Core Employee Expectations

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.

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

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