Customer Care Representative I – Virtual Full‑Time Role Supporting Healthcare Benefits, Provider Contracts, Eligibility & Claims at brighthush

Welcome to brighthush – Where Compassion Meets Innovation

At brighthush, we are redefining the way people experience health and wellness. As a leading provider of comprehensive health solutions, we combine cutting‑edge technology with a deep commitment to personal care. Our mission is to empower members, providers, and partners with clear, reliable information and seamless service. Joining our team means becoming part of a culture that values empathy, continuous learning, and the relentless pursuit of excellence.

Why This Role Matters

The Customer Care Representative I is the frontline ambassador of brighthush’s promise to deliver accurate, timely, and compassionate support. In a rapidly evolving healthcare landscape, our members rely on knowledgeable representatives to navigate benefits, eligibility, claims, and provider contracts. Your ability to listen, analyze, and resolve inquiries will directly influence member satisfaction, operational efficiency, and the overall reputation of brighthush.

Position Overview

This is a fully virtual, full‑time position (Monday‑Friday, 8:00 AM – 4:30 PM MST) that offers maximum flexibility while still providing essential in‑person training sessions for onboarding and skill development. Candidates must reside within a reasonable commuting distance to a brighthush office to attend required training, unless a legal accommodation is needed. The role is designed for individuals who thrive in a fast‑paced, high‑pressure environment and who are eager to grow their expertise in healthcare customer service.

Key Responsibilities

• Respond promptly to internal and external customer inquiries via telephone, email, chat, and fax regarding insurance benefits, provider contracts, eligibility, and claims.
• Analyze each problem, research relevant data, and deliver clear, accurate solutions or information.
• Utilize brighthush’s PC/image station and proprietary databases to retrieve, document, and update customer information.
• Maintain meticulous records of inquiry outcomes to support tracking, reporting, and continuous improvement initiatives.
• Build and nurture positive relationships with members, providers, and internal stakeholders, ensuring every interaction reflects brighthush’s values of respect and empathy.
• Collaborate with cross‑functional teams—including claims, provider relations, and IT—to route complex issues and guarantee timely resolution.
• Conduct outbound outreach within the brighthush business area to follow up on pending items, confirm receipt of information, and close loops on open cases.
• Multi‑task efficiently across calls, texts, emails, and electronic queues while taking detailed notes and maintaining a professional demeanor.
• Demonstrate sustained focus during extended periods of sitting, adhering to productivity standards and quality metrics.
• Leverage digital tools, automation, and knowledge‑base resources to minimize manual effort and increase efficiency.
• Adhere to a structured schedule, with occasional overtime or flexible hours based on business needs, including occasional on‑site work for training or special projects.
• Participate in ongoing learning modules, coaching sessions, and performance reviews to continuously elevate service quality.
• Perform additional duties as assigned by supervisors, contributing to team goals and departmental initiatives.

Essential Qualifications

• High school diploma or equivalent; additional education or certifications in customer service, healthcare, or related fields are a plus.
• Demonstrated experience in an automated or technology‑driven customer service environment.
• Successful completion of brighthush’s pre‑employment test battery, confirming aptitude for problem‑solving and communication.
• Strong verbal and written communication skills, with the ability to convey complex information in a clear, friendly manner.
• Proficiency with standard office software (Microsoft Office, Google Workspace) and comfort navigating multiple digital platforms simultaneously.
• Ability to work independently while also thriving in a collaborative, team‑oriented setting.
• Excellent attention to detail, critical thinking, and analytical abilities.
• Demonstrated empathy, patience, and persistence when handling challenging customer situations.

Preferred Skills, Capabilities, and Experiences

• 2–3 years of experience in the healthcare industry, preferably within benefits administration, claims processing, or provider relations.
• 2–3 years of call‑center experience, with a proven track record of meeting or exceeding service level agreements (SLAs).
• Bilingual proficiency (English and Spanish) to serve a diverse member base.
• Advanced oral, written, and interpersonal communication skills, including the ability to facilitate conversations and de‑escalate tense situations.
• Strong problem‑solving and facilitation skills, enabling you to guide customers through multi‑step processes.
• Analytical mindset with the ability to interpret data trends and suggest process improvements.

Core Skills & Competencies for Success

• Customer‑Centric Mindset: Prioritizing member needs and delivering solutions that exceed expectations.
• Technical Agility: Quickly mastering brighthush’s proprietary systems, CRM tools, and knowledge bases.
• Time Management: Balancing multiple inquiries, follow‑ups, and documentation tasks without sacrificing quality.
• Collaboration: Working seamlessly with specialists, managers, and cross‑functional partners to resolve complex issues.
• Adaptability: Thriving in a dynamic environment where policies, procedures, and technology evolve regularly.
• Continuous Learning: Embracing training opportunities, certifications, and feedback to grow professionally.

Career Growth & Learning Opportunities

brighthush is committed to investing in its people. As a Customer Care Representative I, you will have access to:

• Structured onboarding and mentorship programs that accelerate your proficiency.
• Ongoing professional development courses covering healthcare regulations, advanced communication techniques, and emerging digital tools.
• Clear career pathways to roles such as Senior Customer Care Representative, Team Lead, Quality Analyst, or specialized positions in claims, provider relations, or member services.
• Opportunities to participate in cross‑departmental projects, giving you exposure to broader business functions and strategic initiatives.
• Regular performance feedback and individualized development plans to help you achieve your career aspirations.

Work Environment & Culture at brighthush

Our virtual‑first model empowers you to work from the comfort of your home while staying connected to a vibrant, supportive community. Key cultural pillars include:

• Empathy First: We treat every member and colleague with genuine care and respect.
• Innovation Driven: We encourage creative problem‑solving and the adoption of new technologies.
• Inclusivity & Diversity: A workplace where varied perspectives are celebrated and every voice matters.
• Work‑Life Integration: Flexible scheduling, wellness resources, and a focus on mental health.
• Recognition & Celebration: Regular acknowledgment of achievements through incentive programs, peer‑to‑peer recognition, and performance bonuses.

Compensation, Perks & Benefits

Compensation for this role is competitive, ranging from $17.69 to $26.53 per hour, based on experience, skill set, and location (Colorado). In addition to hourly pay, brighthush offers a comprehensive benefits package that may include:

• Medical, dental, and vision coverage with multiple plan options.
• Health Savings Account (HSA) and Flexible Spending Account (FSA) contributions.
• Retirement savings plans with company matching (401(k) or equivalent).
• Equity stock purchase programs, allowing you to share in brighthush’s growth.
• Paid time off, holidays, and sick leave to support work‑life balance.
• Employee assistance programs, mental health resources, and wellness incentives.
• Professional development stipends for certifications, conferences, or continuing education.
• Performance‑based incentive and recognition programs that celebrate outstanding service.

brighthush is an equal‑opportunity employer. Compensation decisions are based on legitimate, non‑discriminatory factors, and we are fully committed to pay equity across gender, race, and all protected categories.

How to Apply

If you are ready to make a meaningful impact, grow your career, and join a forward‑thinking organization, we invite you to submit your application today. Click the link below to begin the process:

Apply to the Customer Care Representative I Position at brighthush

Join brighthush – Your Next Career Chapter Starts Here

At brighthush, every interaction is an opportunity to improve lives. As a Customer Care Representative I, you will be at the heart of that mission, delivering clarity, compassion, and solutions to those who need them most. We look forward to welcoming a dedicated, enthusiastic professional who shares our vision of a healthier, more connected world.