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Eligibility Manager in Beaumont, TX at BetterJobs

Date Posted: 2/15/2018

Job Snapshot

Job Description

Legacy Community Health is a premium, Federally Qualified Health Center (FQHC) that provides comprehensive care to community members regardless of their ability to pay. Our goal is to treat the entire patient while improving their overall wellness and quality of life, in addition to providing free pregnancy tests, HIV/AIDS screening. At Legacy, we empower patients to lead better lives by promoting healthy behaviors and offering resources such as literacy classes, family planning services, and nutrition and weight management information.

Our roots began in 1981 as the Montrose Clinic, with specialization in HIV education, testing, and treatment. Since then, the agency has expanded to 10 clinics in Houston, one in Baytown, two in Beaumont, and one in Deer Park with extensive services that include: Adult primary care, HIV/AIDS care, pediatrics, OB/GYN and maternity, dental, vision and behavioral health. We also service students within KIPP and YES Prep schools. Legacy is committed to driving healthy change in our communities.

Job Description

The Eligibility Manager/Supervisor oversees the day to day operations of the eligibility team. They are responsible for ensuring that patients of Legacy are registered for all eligible grants and funding to supplement their health cost. Manager/Supervisor will ensure policies and procedures are being followed and ensure eligibility is staffed accordingly to clinic needs. Identify problems and make recommendations for resolutions. Exhibit values of integrity and compassion.

Essential Functions

Essential functions are those tasks, duties, and responsibilities that comprise the means of accomplishing the job s purpose and objectives. Essential functions are critical or fundamental to the performance of the job. They are the major functions for which the person in the job is held accountable.

  • Conducts eligibility for clients following procedures and guidelines specific to each program.
  • Ensure that client s do not have another payer source such as Medicaid, Medicare, ADAP, and any other third party insurance.
  • Register clients into the CPCDMS.
  • Complete all necessary paperwork.
  • Performs data entry of eligible clients into electronic system.
  • Maintains up-to-date and orderly eligibility files.
  • Conducts renewal eligibility as required by each program.
  • Confirms eligibility appointments with clients.
  • Sets initial service appointments once eligibility has been determined.
  • Provides clients with list of required eligibility documentation.
  • Manages Clinic schedules on a daily basis.
  • Participates in the Performance Improvement Program.
  • Participates, organizes and is responsible for external Audits.
  • Participates in internal, quarterly and yearly Audits.
  • Performs yearly Employee Performance Evaluations.
  • Conduct Bi-weekly employee staff meetings.
  • Conduct Bi-weekly staff Quality Reviews.
  • Manage and oversee day-to-day functions of the Eligibility Department.
  • Other duties as assigned.

Education & Training Requirements

  • High School Diploma or equivalent required.
  • Some medical knowledge.

Work Experience Requirements

  • Previous Managerial experience of 10 FTEs minimum.
  • Bilingual preferred.


  • 9 Holiday + 1 Floating Holiday
  • PTO
  • 403b Retirement Plan
  • Medical / Vision / Dental (if eligible)