Bilingual Eligibility Services Representative

1 week ago


Plainfield, United States Wakefield & Associates Full time

**Facilities are located in Plainfield and Elizabeth**

The Eligibility Services Representative is responsible for the provision of financial screening to qualify patients/guarantors for applicable federal, state, county, and local programs including but not limited to, charity care, Medicaid, ACA counseling. The qualifying individual will, investigate and assist in the identification/qualification process for all patients/guarantors on behalf of our clients as a business partner.

**Responsibilities**:
Application Process & Eligibility Determinations
- Review referrals and screen patients/guarantors for potential eligibility in appropriate federal/state/local programs.
- Advise applicants of all required documentation needs and time frames for compliance.
- Maintain confidentiality regarding patient's health records.
- Thoroughly enter all actions taken in the client's account and in the internal data base/system.

Follow-up & Monitoring
- Maintain structured and timely contact with the applicant and responsible government agency.
- Assist applicants with gathering any additional reports or records, meeting appointment dates and times.
- As per established protocols, inform the client in a timely manner of all approvals and denials of coverage.
- Thoroughly enter all actions taken in the client account and in the internal data base/system.

**Requirements**:

- High School Diploma or equivalent required
- Knowledge of NJ Medicaid, Charity Care, and resource assistance experience in a hospital environment
- A minimum of 2 years of relevant experience
- Must obtain and maintain required certifications/credentials
- Bilingual - Ability to speak and read Spanish required
- Excellent communication skills (oral and written)
- Must be detail oriented and possess superior organizational skills
- Must be able to work in a team environment
- Must be able to travel between local sites on occasion based on client and business needs
- Provides superior customer service and maintains a professional image
- Understands and adheres to client's needs, internal procedures, and goals
- Communicates effectively with multiple constituencies within the facility
- Establishes and maintains strong working relationships
- Must be reliable, self-directed, and self-motivated and able to work in a fast-paced hospital environment
- Adhere to both Wakefield and Client policies, procedures, best practices, and guidelines
- Adhere to any federal, state, local laws and regulations

**Benefits**:

- Major Medical Insurance
- Flexible Spending Account
- Dental Insurance
- Vision Insurance
- Life Insurance
- Long Term & Short Term disability 100% paid by employer after 1 year
- Voluntary Term Life
- 401(k) Savings Plan
- UNUM Supplemental Insurance
- Paid Holidays
- Paid Time Off



  • Plainfield, United States Wakefield & Associates Full time

    Job DescriptionJob Description**Facilities are located in Plainfield and Elizabeth**The Eligibility Services Representative is responsible for the provision of financial screening to qualify patients/guarantors for applicable federal, state, county, and local programs including but not limited to, charity care, Medicaid, ACA counseling. The qualifying...


  • Plainfield, United States Edward-Elmhurst Health Full time

    Position Highlights: - Position: Patient Service Representative- Location: Plainfield, IL- Part Time- Hours: Week 1: Sunday, Tuesday, Friday 9pm to 6:30am Week 2: Monday, Wednesday, Saturday 9pm to 6:30am What you will need: - High School diploma or GED- Preferred: - Associate degree in business or healthcare- Minimum one to two years of registration,...


  • Plainfield, New Jersey, United States Spherion Full time

    Bilingual in Spanish and English. The main function of a call center/customer service specialist is to interact with customers to provide information in response to inquiries about products and services and to handle and resolve complaints. A typical customer service specialist is responsible for determining the client issue, offer possible solutions or...


  • Plainfield, United States Spherion Full time

    Bilingual in Spanish and English. The main function of a call center/customer service specialist is to interact with customers to provide information in response to inquiries about products and services and to handle and resolve complaints. A typical customer service specialist is responsible for determining the client issue, offer possible solutions or...


  • Plainfield, United States Spherion Full time

    Bilingual in Spanish and English. The main function of a call center/customer service specialist is to interact with customers to provide information in response to inquiries about products and services and to handle and resolve complaints. A typical customer service specialist is responsible for determining the client issue, offer possible solutions or...


  • Plainfield, United States Matt Heath - State Farm Agent Full time

    Job Title: Bilingual Spanish Customer Service Representative Company: Matt Heath State Farm Agency About Us: Matt Heath State Farm Agency is a reputable insurance provider committed to delivering exceptional service to our diverse clientele. With a focus on integrity, reliability, and personalized solutions, we strive to exceed expectations and build lasting...


  • Plainfield, United States Edward-Elmhurst Health Full time

    Under general supervision and according to established policies and procedures, responsible for providing in-patient, out-patient, emergency room, immediate care and same day surgery patients with timely and accurate pre-registrations, registrations, order management, charge capture, cash collection functions and medical information systems. Collects,...


  • Plainfield, United States Circle K Full time

    Store 4706733: 11900 State Route 59, Plainfield, Illinois 60585 **Availability - Shift/Days**: Flexible Availability **Customer Service Representative** We want you to join our team as a Customer Service Representative. If you have the desire to be challenged, work in a fast-paced, fun environment and to grow your career - look no further. **As a...


  • Plainfield, New Jersey, United States Circle K Full time

    Store : 24725 W 143rd St, Plainfield, Illinois 60544Availability - Shift/Days Flexible AvailabilityCustomer Service RepresentativeWe want you to join our team as a Customer Service Representative. If you have the desire to be challenged, work in a fast-paced, fun environment and to grow your career - look no further.As a Customer Service Representative, you...


  • Plainfield, United States Chris McLeod - State Farm Agent Full time

    Job DescriptionJob DescriptionPosition OverviewSuccessful State Farm Agent is seeking a qualified professional to join their winning team for the role of Customer Service Representative - State Farm Agent Team Member. We seek an energetic professional interested in helping our business grow through value-based conversations and remarkable customer...


  • Plainfield, New Jersey, United States Sunbelt Staffing Full time

    Job DescriptionJob DescriptionMinimum 1+ years speech therapy experience required.Sunbelt ishiringa Bilingual (Spanish/ English) Speech Language Pathologist (SLP) to join our team at a school district near Plainfield, New Jersey, for the upcoming school year.Job:Speech Language PathologistLocation:near Plainfield, New JerseyJob Contact:Details:K-12th grade...


  • Plainfield, United States NVA Full time

    The Animal Care Center Plainfield is seeking energetic individuals to join our team as Customer Service Representatives. *SEEKING INDIVIDUALS WITH OUTSTANDING CUSTOMER SERVICE* We are a fast paced hospital that extends excellent patient care and assists in educating our clients on the best patient healthcare and prevention for their pets. We are looking for...


  • Plainfield, New Jersey, United States State of Indiana Full time

    State Eligibility ConsultantDate Posted: May 30, 2024Requisition ID: 442623Location:Plainfield, IN, US, 46168Work for IndianaGrow your career with the State of Indiana With more than 50 executive branch agencies, the State of Indiana is a diverse workforce offering employees stimulating and challenging projects across a broad scope of career opportunities....


  • Plainfield, New Jersey, United States Circle K Full time

    Store : 2422 State Route 59, Plainfield, Illinois 60586Availability - Shift/Days Flexible AvailabilityCustomer Service RepresentativeWe want you to join our team as a Customer Service Representative. If you have the desire to be challenged, work in a fast-paced, fun environment and to grow your career - look no further.As a Customer Service Representative,...

  • Call Center

    1 month ago


    Plainfield, United States Bassett Services Inc Full time

    Overview: Call Center-Customer Service Representative Salary: $18 - $23/hour + up to $400/week in commission Hours: Mon-Fri + Fri-Mon shifts available 8am-5pm + 10am-7pm shifts available Location: 706 W Main St. Plainfield Are you looking to jump in a dynamic, innovative and growing career opportunity. Bassett Services offers you a small business feel,...


  • Plainfield, United States FYZICAL Therapy and Balance Centers Full time

    Job DescriptionJob DescriptionIf you have a passion for helping others and enjoy interacting with the general public, FYZICAL, the leading physical therapy company in the country, has a Customer Service Representative opening in Plainfield, IL, that is a perfect fit for you!As the first and last person our amazing clients see when they enter and leave our...

  • Call Center

    3 weeks ago


    Plainfield, United States Bassett Services Inc Full time

    Overview: Call Center-Customer Service Representative Salary: $18 - $23/hour + up to $400/week in commission Hours: Mon-Fri + Fri-Mon shifts available 8am-5pm + 10am-7pm shifts available Location: 706 W Main St. Plainfield Are you looking to jump in a dynamic, innovative and growing career opportunity. Bassett Services offers you a small business feel,...


  • Plainfield, United States Spectraforce Technologies Full time

    Title Patient Services Representative - 1st ShiftLocation: Plainfield CT 06374Duration: 04+ Months The Patient Services Representative I (PSR I) represents the face of the company to patients who come in, both as part of their health routine or for insights into life-defining health decisions. The PSR I draws quality blood samples from patients and prepares...


  • Plainfield, United States AMERICAS INSURANCE BROKERS INC. Full time

    America's Insurance Brokers, Inc. is a family owned and operated business located in downtown Plainfield. We are looking for a customer-oriented service representative. A customer service representative, or CSR, will act as a liaison, provide product/services information and resolve any emerging problems that our customer accounts might face with accuracy...


  • Plainfield, United States Matt Heath - State Farm Agent Full time

    Job DescriptionJob DescriptionJob Title: Bilingual Spanish Customer Service RepresentativeCompany: Matt Heath State Farm AgencyAbout Us: Matt Heath State Farm Agency is a reputable insurance provider committed to delivering exceptional service to our diverse clientele. With a focus on integrity, reliability, and personalized solutions, we strive to exceed...