Lead Eligibility Specialist Bilingual - Montrose

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 Our Forward-Thinking Team as a Lead Eligibility Specialist in Bilingual Community Healthcare! (Mon-Fri 8AM-5PM)

At Legacy Community Health, we are committed to revolutionizing community healthcare with a proactive approach to accessibility and inclusivity. We are seeking a dynamic, bilingual Eligibility Specialist to become an integral part of our innovative team in Houston, TX. Positioned at the forefront of our mission, you will be a catalyst in changing lives by determining eligibility for essential health services, thereby ensuring that no community member is left without the care they need.

Located in the heart of Legacy Montrose Allen Parkway (2929 Allen Pkwy., Suite 1300.), you will forge a path toward improving healthcare accessibility while balancing administrative precision and compassionate service. This is not just a role; it's a chance to spearhead meaningful health outcomes in the vibrant Houston community.

Key Responsibilities

• Determine patient eligibility for third-party reimbursement by meticulously reviewing applicable procedures and guidelines for each program.
• Seamlessly process data for the admission of new patients into the CPCDMS system and complete all necessary paperwork ensuring seamless service initiation.
• Efficiently coordinate and set initial service appointments post-eligibility determination to bridge patients swiftly to the care they require.
• Ensure accurate and proper coding for insurance billing to facilitate smooth financial operations and compliance with industry standards.
• Proactively handle inquiries from prospective applicants and patients, offering clear, empathetic, and informative communication.
• Participate in required safety education programs and annual education initiatives to stay ahead in community healthcare practices.
• In the absence of the manager, serve as the first-line contact, while adeptly monitoring multiple clinic schedules and providing report assistance.
• Conduct site visits that support departmental functions and foster a collaborative work environment.

Qualifications

• High School Diploma or GED equivalent required to ensure foundational readiness for the role.
• 3 - 5 years of experience in medical billing critical to handling intricate billing processes effectively.
• Fluency in both English and Spanish necessary to serve our diverse community effectively.
• Experience with ICD-A or CPT codes preferred, enhancing the capability to manage comprehensive coding requirements.

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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