Remote Position

Customer Care Specialist I – Healthcare & Medicare Support Specialist (Ohio Residency Required) – Join brighthush

🌍 Remote · United States 💼 Full-time
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About brighthush

At brighthush, we are redefining the future of healthcare support. With a mission to empower individuals and communities across Ohio, we combine cutting‑edge technology with compassionate service to deliver seamless, patient‑centered solutions. Our team is a vibrant mix of seasoned professionals and fresh talent, all united by a shared commitment to quality, integrity, and continuous improvement. If you thrive in a fast‑paced, collaborative environment and want to make a real difference in people’s lives, brighthush is the place for you.

Why This Role Matters

The Customer Care Specialist I is the first line of contact for our members, beneficiaries, and providers. Your expertise ensures that every inquiry—whether it’s a claim question, benefit education, or credentialing request—is handled with precision, empathy, and compliance. In a world where healthcare access and clarity are paramount, your role directly supports our promise of reliable, transparent service.

Key Responsibilities

  • Resolve Routine Inquiries: Handle member and provider questions related to claims processing, benefit education, contracting, credentialing, eligibility, and transportation arrangements.
  • Compliance Champion: Maintain strict adherence to HIPAA, state, and federal regulations in every interaction.
  • Issue Resolution: Research, follow up, and close open or pending issues promptly to ensure satisfaction.
  • Relationship Builder: Foster trust and rapport with members and providers through consistent, high‑quality service.
  • Process Mastery: Stay current on all internal procedures, policies, and system updates.
  • Documentation Excellence: Accurately record all telephone and written communications in our CRM.
  • Mentorship: Guide new hires, sharing best practices and fostering a supportive learning environment.
  • Continuous Improvement: Contribute ideas to enhance service delivery, workflow efficiency, and customer satisfaction.
  • Additional Duties: Perform any other related tasks as directed by management.

Education & Experience

  • High School Diploma or equivalent (required).
  • Minimum of 2 years in a customer‑service role (preferred).
  • Experience in a call‑center environment is highly valued.

Essential Qualifications & Competencies

  • Critical Thinking & Listening: Ability to assess complex situations and respond with clarity.
  • Decision‑Making & Problem‑Solving: Resolve issues efficiently while maintaining compliance.
  • Computer Proficiency: Comfortable navigating Windows environments and CRM systems.
  • Typing Speed: Minimum 35 WPM.
  • Communication: Strong written and verbal skills, with professional phone etiquette.
  • Stress Management: Thrive under pressure and maintain composure during high‑volume periods.
  • Attention to Detail: Accuracy in documentation and data entry.
  • Multitasking: Manage multiple inquiries simultaneously without compromising quality.
  • Team & Independent Work: Collaborate with peers while also taking initiative.
  • Adaptability: Adjust quickly to evolving processes, policies, and technology.

Preferred Skills & Experience

  • Experience in the healthcare or Medicare sector.
  • Familiarity with claims processing systems.
  • Knowledge of credentialing and provider onboarding workflows.
  • Previous mentorship or training experience.

Career Growth & Learning Opportunities

At brighthush, we believe in nurturing talent from the ground up. As a Customer Care Specialist I, you’ll have access to:

  • Structured onboarding and continuous training programs.
  • Mentorship from senior specialists and leaders.
  • Cross‑functional projects that broaden your skill set.
  • Clear advancement pathways to roles such as Senior Specialist, Team Lead, or Manager.
  • Professional development stipends for certifications and courses.

Work Environment & Culture

Our Ohio headquarters is a modern, collaborative space designed to inspire creativity and teamwork. We celebrate diversity, encourage open dialogue, and prioritize work‑life balance. Key cultural pillars include:

  • Collaboration: Open communication across departments.
  • Innovation: Continuous improvement and experimentation.
  • Integrity: Ethical conduct and transparency.
  • Community: Volunteer initiatives and local partnerships.
  • Recognition: Regular shout‑outs and performance rewards.

Compensation & Benefits

We offer a competitive annual salary ranging from $35,900 to $57,300, commensurate with experience and performance. In addition to base pay, you may qualify for a performance‑based bonus tied to both company and individual metrics.

Our comprehensive benefits package includes:

  • Health, dental, and vision insurance.
  • Retirement savings plan with company match.
  • Paid time off, holidays, and sick leave.
  • Flexible work arrangements and remote‑work options.
  • Employee wellness programs and mental health resources.
  • Tuition reimbursement and professional development support.
  • Employee assistance program and financial planning services.

Location & Eligibility

This position is based in Ohio and requires the successful candidate to be a resident of the state. Candidates must be able to attend in‑person training sessions and occasional team meetings.

How to Apply

Ready to join a team that values your expertise and supports your growth? Click the link below to submit your application and take the first step toward a rewarding career at brighthush.

Apply to brighthush Today

Equal Opportunity Employer

brighthush is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

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We look forward to welcoming you to the brighthush family, where your passion for service meets our dedication to innovation and community impact.

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