Compassionate Customer Care Specialist – Medicare & Healthcare Support – Remote Ohio – Champion Member Experience, Compliance Excellence, and Career Advancement at brighthush

About brighthush

brighthush is more than a health‑care solutions provider; it is a movement that redefines how people experience care across the United States. By blending cutting‑edge technology with a people‑first philosophy, we empower members, beneficiaries, and providers to navigate the complex world of health insurance with confidence, clarity, and compassion. Our Ohio‑based team is expanding rapidly, and we are inviting passionate, customer‑centric professionals to join our remote workforce and help shape the future of health‑care support.

Why brighthush?

At brighthush, every interaction is an opportunity to make a real difference. As a frontline member of our customer‑centric team, you will be the voice that guides members and providers through intricate health‑care journeys. You’ll handle calls, emails, and chats with empathy, accuracy, and efficiency, ensuring that each member feels heard, supported, and empowered. We offer a dynamic work environment, continuous learning opportunities, and a comprehensive rewards package that recognizes both individual and team achievements. If you thrive in a fast‑paced, purpose‑driven setting and want to grow your career while making a tangible impact, brighthush is the place for you.

Key Responsibilities

• Member & Provider Support: Resolve routine inquiries from members, beneficiaries, and providers, covering claims processing, benefit education, contracting, credentialing, eligibility checks, and transportation arrangements when applicable. You will act as the first point of contact, ensuring that every question is answered promptly and accurately.
• Compliance & Quality Assurance: Adhere to HIPAA, state, and federal regulations, ensuring all interactions and documentation meet the highest standards of privacy and accuracy. You will maintain meticulous records and uphold our commitment to data security.
• Issue Resolution: Research, follow up on, and close open or pending issues in a timely manner, escalating only when necessary. Your analytical mindset will help you identify root causes and implement effective solutions.
• Relationship Building: Foster strong, trust‑based relationships with members and providers through consistent, high‑quality customer service. Your interpersonal skills will help you build rapport and earn repeat confidence.
• Process Knowledge: Maintain up‑to‑date knowledge of internal processes, procedures, and system updates to provide accurate guidance. You will stay current with policy changes and technology enhancements.
• Documentation: Keep complete, accurate records of all telephone and written communications in the CRM system. Your attention to detail will ensure compliance and enable data‑driven insights.
• Mentorship: Mentor new hires, sharing best practices and ensuring a smooth onboarding experience. Your leadership will help shape the next generation of customer care champions.
• Continuous Improvement: Participate in process improvement initiatives and provide feedback to enhance service delivery. Your ideas will help us refine workflows and elevate the member experience.
• Additional Duties: Perform other job‑related tasks as requested by management. Your flexibility will support the evolving needs of our organization.

Essential Qualifications

• Must reside in Ohio.
• High School Diploma or equivalent.
• Strong written and verbal communication skills.
• Professional phone etiquette and proper use of grammar.
• Typing speed of at least 35 words per minute.
• Computer proficiency in a Windows environment.
• Ability to work independently and collaboratively in a team.
• Excellent critical thinking, listening, decision‑making, and problem‑solving skills.
• Adaptability to a fast‑paced, constantly changing environment.
• Attention to detail and strong organizational skills.
• Ability to multitask and manage competing priorities.
• Reliable attendance and adherence to a scheduled workday.

Preferred Qualifications

• Minimum of two (2) years of customer service experience.
• Experience in a call‑center environment.
• Knowledge of health‑care terminology, Medicare, or Medicaid processes.
• Experience with CRM platforms such as Salesforce or Zendesk.
• Familiarity with HIPAA compliance and data privacy best practices.

Skills & Competencies

• Empathy and active listening to understand member needs.
• Strong analytical skills to troubleshoot and resolve complex issues.
• Time‑management skills to meet daily performance metrics.
• Team collaboration and knowledge sharing.
• Resilience and emotional intelligence in high‑pressure situations.
• Continuous learning mindset to stay current with industry trends.

Career Growth & Learning Opportunities

At brighthush, we invest in your professional development. Whether you’re looking to advance to a Senior Customer Care Specialist, transition into a Quality Assurance role, or explore opportunities in operations and analytics, we provide the training, mentorship, and resources you need. Our internal career ladder is designed to reward performance, initiative, and a passion for health‑care excellence. You will have access to:

• Structured mentorship programs that pair you with seasoned leaders.
• Regular skill‑building workshops covering advanced CRM usage, data analytics, and compliance updates.
• Cross‑functional project teams that expose you to new areas of the business.
• Tuition reimbursement for relevant certifications such as Certified Customer Experience Professional (CCXP) or Certified Health Insurance Associate (CHIA).
• Annual conference sponsorships to broaden your industry network.

Work Environment & Culture

Remote Flexibility: Work from the comfort of your home while staying connected to a vibrant, collaborative team through virtual huddles, training sessions, and social events. Our flexible schedule allows you to balance personal commitments with professional responsibilities.

Inclusive & Diverse: brighthush celebrates diversity and fosters an inclusive culture where every voice is heard and valued. We believe that a diverse team drives innovation and better service for our members.

Employee Well‑Being: We support your mental, physical, and financial health with wellness programs, health insurance, and a generous paid time off policy. Our Employee Assistance Program (EAP) offers confidential counseling and resources for life’s challenges.

Recognition & Rewards: Earn performance bonuses, spot awards, and recognition for outstanding service. We celebrate milestones and the impact you create every day.

Compensation & Benefits

Competitive Salary: Market‑aligned base pay with potential for performance‑based bonuses. We regularly benchmark our compensation to ensure you are rewarded fairly for your contributions.

Comprehensive Benefits Package: Health, dental, vision, and life insurance; 401(k) with company match; and flexible spending accounts. We also offer a wellness stipend to support your personal health goals.

Well‑Being Support: Access to mental health resources, employee assistance programs, and wellness stipends. We believe a healthy employee is a productive employee.

Professional Development: Tuition reimbursement, certifications, and conference sponsorships to help you grow. We encourage continuous learning and provide the tools you need to advance.

How to Apply

Ready to make a difference in the lives of members and providers? Join brighthush and become part of a team that values integrity, innovation, and impact. Click the link below to submit your application and take the first step toward a rewarding career in health‑care customer care.