Bilingual Eligibility Specialist - Montrose Parkway

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!

As an Bilingual Eligibility Specialist with Legacy Community Health, you will help connect patients with the health services they need by determining eligibility for third-party reimbursement, preparing admission data, supporting accurate insurance billing, and responding to questions from prospective applicants and patients.

Your attention to detail and compassionate approach will help create a welcoming experience for patients while supporting the smooth operation of our healthcare services. You will work closely with colleagues and patients in a mission-driven environment where every interaction can make a meaningful difference in community health.

• Help patients access vital healthcare services by guiding them through eligibility and enrollment processes.
• Support accurate coding, documentation, and insurance billing practices.
• Build trusting relationships with patients, families, visitors, and fellow employees.
• Contribute to a collaborative team working to meet department and organizational goals.
• Participate in performance improvement, safety education, and ongoing professional development.
• Travel to other sites for training and/or coverage as needed.

• Conduct eligibility determinations for clients following procedures and guidelines specific to each program.
• Ensure that clients do not have another payer source, such as Medicaid, Medicare, ADAP, or any other third-party insurance.
• Register clients into the CPCDMS.
• Complete all necessary paperwork.
• Perform data entry for eligible clients into the electronic system.
• Maintain up-to-date and orderly eligibility files.
• Conduct renewal eligibility as required by each program.
• Confirm eligibility appointments with clients.
• Set initial service appointments once eligibility has been determined.
• Provide clients with a list of required eligibility documentation.
• Participate in the Performance Improvement Program.
• Demonstrate respect and regard for the dignity of all patients, families, visitors, and fellow employees to ensure a professional, responsible, and courteous environment.
• Promote effective working relationships and work effectively as part of a team to facilitate the department’s ability to meet its goals and objectives.
• Attend all required safety training programs and describe responsibilities related to general safety, department/service safety, and specific job-related hazards.
• Attend all required safety education programs.
• Operate assigned equipment and perform all procedures in a safe manner as instructed.
• Maintain work areas and equipment in the condition required by Legacy standards.
• Demonstrate proper body mechanics in all functions.
• Check the patient’s environment and equipment to ensure safety.
• Report safety concerns promptly to appropriate personnel.
• Follow Legacy’s exposure control plans for blood borne and airborne pathogens.
• Demonstrate knowledge of techniques, procedures, and the correct use of protective barrier equipment, including Universal Precautions.
• Assure a safe environment by instituting appropriate control measures.
• Attend annual education programs.
• Travel to other sites for training and/or coverage as needed.
• Perform other duties as assigned.

• High School…