Bi-lingual Spanish Client Concierge Specialist

🔥 1 hour ago

🗣️🇪🇸 Spanish Required

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Logo of Leading Edge Administrators

Leading Edge Administrators

51 - 200 employees

Founded 2010

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

Leading Edge Administrators is an independent third-party administrator specializing in healthcare services. The company is committed to improving the medical benefit landscape with innovative programs and strategies that enhance outcomes while reducing costs. LEA focuses on providing efficient, effective, and easy-to-implement health benefit solutions tailored to meet their clients' specific needs. Key services include self-funded health benefit plans, wage parity, and FlexCard benefits, aiming to achieve optimal results for employers, employees, and providers. With a mission centered around claims integrity, ACA compliance, and operational transparency, Leading Edge Administrators positions itself as a key player in the healthcare administration sector.

📋 Description

• Deliver high-touch, white-glove service experience to members, providers, and clients within a health insurance environment. • Serve as the primary point of contact for inbound calls, emails, and digital inquiries from members and providers in English and Spanish. • Deliver personalized, concierge-level service by understanding member needs and providing tailored solutions. • Assist members with benefits education, eligibility verification, and plan navigation. • Guide members through claims inquiries. • Support provider searches, appointment coordination, and healthcare navigation. • Research and resolve complex issues related to claims, billing, and coverage.

🎯 Requirements

• High school graduate or equivalent. Associates or Bachelor level degree preferred. • 2+ years of experience in a customer service or call center environment handling escalation/2nd tier inquiries in a healthcare, insurance or TPA environment speaking, writing and reading English and Spanish • Comfortable supporting multiple channels and adjusting to dynamic workloads • Familiarity with call center metrics and quality standards; Experience with claims processing, benefits, eligibility systems preferred • Experience with CRM systems or customer support platforms preferred • Proficiency in MS Word, Excel, Outlook, and PowerPoint • Expert keyboard and navigation skills. • Ability to communicate clearly and professionally with internal and external customers. • Solid working knowledge of standard computer applications. • Must be detail-oriented and make decisions using available resources and sound judgment.

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