Lead Bilingual Eligibility Specialist - Montrose Parkway

Lead Eligibility Specialist Bilingual - Montrose (Job Overview)

Location:

Legacy Montrose Allen Parkway – 2929 Allen Parkway, Suite 1300, Houston, TX 77019

Schedule:

Monday‑Friday (8AM‑5PM)

As a Bilingual Eligibility Specialist, you will ensure that every person in the Houston community has access to essential health services while maintaining administrative precision and compassionate service.

• Meticulously review procedures and guidelines to determine patient eligibility for third‑party reimbursement
• Process data for new patient admissions into the CPCDMS system and complete all necessary paperwork
• Coordinate and set initial service appointments to ensure swift access to care post‑eligibility determination
• Ensure accurate coding for insurance billing to support smooth financial operations and compliance
• Handle inquiries from prospective applicants and patients with empathetic and informative communication
• Participate in safety education and annual education initiatives to stay abreast of community healthcare practices
• Serve as the first‑line contact in the manager's absence, managing clinic schedules and providing report assistance
• Conduct site visits to support departmental functions and foster a collaborative environment

• High School Diploma or GED equivalent required
• 3‑5 years of experience in medical billing
• Fluency in both English and Spanish
• Experience with ICD‑A or CPT codes preferred

• 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!