Eligibility Specialist Bilingual - Northline
12 days ago
Houston
Job DescriptionBenefits • 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 Location: Legacy Northside Irvington - 3517 Irvington Blvd. Ste. 200 Houston, TX 77076 Eligibility Specialist Bilingual - Northline - Job OverviewSchedule: Monday-Friday (8AM-5PM) At Legacy Community Health, you're not just stepping into a role—you're becoming part of a family dedicated to making healthcare accessible for everyone. As our Eligibility Specialist, you'll play a vital part in opening doors to essential health services for our community. Your passion and expertise will help shape the future of healthcare access. • Be the welcoming face of our clinic, guiding new patients through the admission process with care and ease., • Leverage cutting-edge technology to determine eligibility, ensuring every patient receives the care they deserve., • Enhance the patient experience through precise insurance billing and advanced coding skills., • Serve as an advocate for community health by addressing and resolving patient inquiries with empathy and understanding.Key Responsibilities, • Use agile methodologies to determine client eligibility, ensuring compliance with all protocols., • Verify clients' payer sources innovatively, including Medicaid, Medicare, or third-party insurance., • Efficiently register clients into the CPCDMS using the latest technology., • Ensure all paperwork is meticulously completed and digitally entered., • Keep eligibility files updated, using a data-driven approach., • Champion the renewal eligibility process, ensuring smooth client support., • Schedule and confirm eligibility appointments, orchestrating initial service scheduling., • Provide clients with comprehensive lists of required eligibility documentation., • Participate actively in our Performance Improvement Program., • Foster a culture of respect and dignity for all patients and employees., • Collaborate effectively within dynamic team environments., • Engage in safety training and adhere to safety protocols., • Maintain workspace and technology standards in line with Legacy's expectations., • Implement strategic exposure control plans for health safety., • Master protective barrier equipment and techniques., • Commit to annual educational advancements., • Embrace travel for training and coverage, fostering a mindset of continuous improvement., • Contribute to additional impactful duties as assigned.Minimum Qualifications, • High School Diploma or GED with a solid foundation in medical knowledge., • 3-5 years of experience in medical billing is preferred., • Training or background in ICD-A / CPT codes for enhanced billing precision., • Proficiency in bookkeeping and accounting terminology, with a tech-savvy approach., • Experience with digital systems and office technology., • Ability to take initiative and perform well under pressure in a fast-paced environment., • Bilingual capabilities are preferred to support our diverse community. Powered by JazzHR HafgiOTifj