Participant Services Representative (bilingual)

The LaSalle Network; Chicago (IL); On-site; USD 25,000 - 28,000; Full time

Job summary

LaSalle Network is partnering with a healthcare organization in downtown Chicago to hire a Participant Services Representative who is bilingual and passionate about helping individuals navigate their benefits. This role focuses on benefits, eligibility, and claims support in a fast-paced environment.

You will handle inbound calls, explain benefit plans, update records, coordinate with internal teams, and ensure HIPAA compliance while delivering empathetic service to participants and external

Qualifications

• Experience in a call center, healthcare, or benefits administration preferred.
• Familiarity with medical terminology.
• Strong problem-solving and critical-thinking abilities.
• Excellent verbal and written communication skills.
• Outstanding organizational skills with attention to detail.

Responsibilities

• Handle inbound calls regarding benefits, eligibility, and claims, providing accurate and empathetic support.
• Research and resolve benefit inquiries, coordinating with internal teams to identify root causes.
• Interpret and explain healthcare benefit plans, policies, and eligibility requirements to participants and external partners.
• Maintain and update participant records across claims and eligibility systems.
• Review documentation, verify information, and request additional records as needed.
• Coordinate claim adjustments, payment corrections, and reimbursement recoveries while ensuring HIPAA compliance.
• Explain medical, disability, life insurance, and weekly illness and injury benefits programs.
• Process stop payments, void requests, and other benefit-related transactions.
• Scan, index, and maintain documentation within electronic imaging systems.
• Collaborate across departments to support daily operations, cross-train, and improve processes.
• Participate in special projects and additional responsibilities as assigned.

Skills

Call center experience

Healthcare knowledge

Customer service

Communication skills

Organization

Job description

Salary: USD18 - USD20 per hour

Participant Services Representative (Bilingual)
LaSalle Network is partnering with a dedicated healthcare organization in downtown Chicago to find a Participant Services Representative who is passionate about helping individuals navigate their benefits. This opportunity is perfect for someone with a healthcare background, seeking a collaborative, fast-paced environment. The role offers long-term growth potential, a competitive hourly rate, and the chance to make a meaningful impact supporting participants with their health and retirement benefits. Join our client's dynamic team- where your expertise will support families and strengthen community health.

Responsibilities

Handle inbound calls regarding benefits, eligibility, and claims, providing accurate and empathetic support.

Research and resolve benefit inquiries, coordinating with internal teams to identify root causes.

Interpret and explain healthcare benefit plans, policies, and eligibility requirements to participants and external partners.

Maintain and update participant records across claims and eligibility systems.

Review documentation, verify information, and request additional records as needed.

Coordinate claim adjustments, payment corrections, and reimbursement recoveries while ensuring HIPAA compliance.

Explain medical, disability, life insurance, and weekly illness and injury benefits programs.

Process stop payments, void requests, and other benefit-related transactions.

Scan, index, and maintain documentation within electronic imaging systems.

Collaborate across departments to support daily operations, cross-train, and improve processes.

Participate in special projects and additional responsibilities as assigned.

Qualifications

Previous call center, customer service, healthcare, insurance, or benefits administration experience preferred.

Working knowledge of medical terminology.

Strong problem-solving and critical-thinking skills.

Excellent verbal and written communication skills.

Outstanding organizational skills with exceptional attention to detail.

Ability to manage multiple priorities in a fast-paced environment.

Comfort handling confidential information professionally and discreetly.

Reliable attendance and punctuality.

Ability to work effectively both independently and collaboratively.