Participant Services Representative; bilingual

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.
• Bilingual Spanish is a plus.

Key Details

• Employment Type:
  
  Contract-to-Hire
• Compensation: $18 – $20 hourly
• Benefits (Contract):
  LaSalle Network consultants are eligible to enroll in benefits. For details, visit:
• Location:
  
  Chicago, Illinois
• Work Model:
  On-site — 5 days in office
• Bonus Eligibility:
  No

Ready to take the next step in your healthcare career? Apply today — we're actively interviewing and excited to meet you.