Bilingual Eligibility Specialist - Montrose Allen Parkway

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 bloodborne 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 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.

• Bilingual required
• 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

• Knowledge of medical terminology and billing practices preferred.

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:

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.

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.

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.