Eligibility Specialist Bilingual - Sharpstown

Legacy Community Health•Houston, TX

1d•Onsite

About The Position

At Legacy Community Health, we warmly welcome you to a place where your passion can make a meaningful impact. As an Bilingual Eligibility Specialist, you will be at the heart of our mission, ensuring that every individual has access to the healthcare they deserve. Your role is pivotal in guiding applicants through the process of obtaining third-party reimbursement, ensuring they receive the care they need with empathy and clarity. Be a vital part of admitting new patients into our health services, creating a welcoming and supportive environment. Ensure accurate coding for insurance billing, contributing to the seamless operation of our services. Handle inquiries with empathy and clarity, providing essential support to prospective applicants and patients. Join us in this meaningful role, where your efforts will directly impact community healthcare and provide you with personal fulfillment and growth opportunities.

Requirements

High School Diploma or GED, some medical knowledge.
A minimum of 3-5 years of medical billing experience preferred.
Some training or background in ICD-A / CPT codes preferred.
Ability to understand and practice bookkeeping and accounting terminology required.
Ability to operate computers and other office machines required.
Must be able to take responsibility and work under pressure.
Bilingual preferred.
Knowledge of medical terminology and billing practices preferred.

Responsibilities

Conduct eligibility assessments for clients, adhering to specific program guidelines.
Verify that clients do not have other payer sources, such as Medicaid, Medicare, or third-party insurance.
Register clients into the CPCDMS and complete all necessary paperwork.
Perform data entry of eligible clients into our electronic system.
Maintain up-to-date and orderly eligibility files for seamless access and review.
Conduct renewal eligibility assessments as required by each program.
Confirm eligibility appointments and set initial service appointments once eligibility is determined.
Provide clients with a list of required eligibility documentation.
Participate actively in the Performance Improvement Program.
Promote effective working relations and collaborate as part of a dedicated team.
Attend all required safety training programs and adhere to safety protocols.
Ensure a safe environment by following proper procedures and reporting concerns.
Travel to other sites for training and coverage as needed.
Perform other duties as assigned, contributing to the overall success of the team.