Customer Service Representative – Remote Health Benefits Specialist with Bilingual Support

About brighthush

brighthush is a leading innovator in health services management, dedicated to transforming the way individuals and families access and navigate their health benefits. With a mission to empower people through clear, compassionate, and personalized support, brighthush has become a trusted partner for employers, health plans, and community organizations across the United States. Our culture is built on collaboration, continuous learning, and a deep commitment to employee well‑being. Whether you’re a seasoned professional or just starting your career in customer service, brighthush offers a dynamic environment where your contributions directly impact the health and happiness of thousands of people.

Why Join brighthush?

At brighthush, you’ll experience:

• Remote flexibility – Work from anywhere while staying connected to a vibrant team.
• Professional growth – Structured career pathways, mentorship programs, and access to industry‑leading training.
• Inclusive culture – A workplace that celebrates diversity, equity, and belonging.
• Competitive compensation – Market‑aligned pay, performance bonuses, and a comprehensive benefits package.
• Wellness focus – Employee wellness programs, mental health resources, and generous paid time off.

Key Responsibilities

As a Customer Service Representative at brighthush, you will be the frontline advocate for our members, ensuring they receive accurate, timely, and empathetic support. Your day‑to‑day tasks will include:

• Responding to inbound calls, emails, and chat inquiries related to health benefits, enrollment, and claims.
• Providing clear, consistent information on Medicaid, Medicare, and private insurance plans.
• Resolving member issues by troubleshooting benefits questions, policy coverage, and claim status.
• Documenting all interactions accurately in our CRM system and following up on unresolved matters.
• Collaborating with cross‑functional teams (claims, enrollment, compliance) to ensure seamless member experiences.
• Maintaining up‑to‑date knowledge of industry regulations, policy changes, and best practices.
• Participating in ongoing training sessions and quality assurance reviews to continuously improve service standards.
• Contributing to process improvement initiatives and sharing insights that enhance member satisfaction.

Essential Qualifications

To thrive in this role, you should bring:

• Minimum of 2 years’ experience in a high‑volume call center or customer support environment.
• Strong PC proficiency, including advanced skills in Microsoft Office (Word, Excel, Outlook) and familiarity with CRM platforms.
• High School Diploma or GED; an Associate’s Degree in Social or Behavioral Sciences, Health Administration, or a related field is preferred.
• Excellent verbal and written communication skills in English.
• Ability to handle complex, sensitive information with discretion and professionalism.
• Proficiency in troubleshooting and problem‑solving under pressure.

Preferred Qualifications

We value additional experience and skills that will set you apart:

• Experience in the health or human services sector, with a solid understanding of Medicaid, Medicare, or private insurance benefits.
• Bilingual proficiency (Spanish, French, Mandarin, or other languages) – a significant advantage for serving diverse member populations.
• Prior experience using specialized health benefits software or claim management systems.
• Knowledge of HIPAA regulations and data privacy best practices.
• Demonstrated ability to work independently and as part of a remote team.

Core Skills & Competencies

Success at brighthush requires a blend of technical and soft skills:

• Customer‑Centric Mindset – Passion for helping people and a genuine desire to solve their problems.
• Communication Excellence – Clear, concise, and empathetic communication across multiple channels.
• Analytical Thinking – Ability to interpret policy documents, identify gaps, and recommend solutions.
• Adaptability – Comfortable navigating changing policies, technology updates, and evolving member needs.
• Team Collaboration – Willingness to share knowledge, support peers, and contribute to a positive team culture.
• Time Management – Efficiently prioritize tasks, meet deadlines, and maintain high productivity in a remote setting.

Career Growth & Learning Opportunities

At brighthush, we believe in investing in our people. As a Customer Service Representative, you will have access to:

• Structured onboarding and continuous learning modules covering health benefits, compliance, and customer service best practices.
• Mentorship programs pairing you with experienced leaders who can guide your professional development.
• Internal career pathways that allow you to transition into roles such as Benefits Analyst, Claims Specialist, or Customer Experience Manager.
• Annual performance reviews with clear metrics and actionable feedback to help you reach your career goals.
• Opportunities to lead or participate in cross‑functional projects, enhancing your skill set and visibility within the organization.

Work Environment & Culture

brighthush fosters a culture that values:

• Flexibility – Remote work with a structured schedule that respects work‑life balance.
• Inclusivity – A diverse workforce where every voice is heard and respected.
• Innovation – Encouragement to experiment, propose new ideas, and drive continuous improvement.
• Recognition – Regular shout‑outs, awards, and celebrations for outstanding contributions.
• Well‑being – Comprehensive wellness programs, mental health support, and access to fitness resources.

Compensation & Benefits

While specific figures may vary based on experience and location, brighthush offers a competitive compensation package that includes:

• Base salary commensurate with industry standards and your experience level.
• Performance‑based bonuses tied to individual and team metrics.
• Health, Dental, and Vision insurance plans with employer contributions.
• 401(k) retirement plan with company match.
• Paid Time Off (PTO) and paid holidays.
• Employee Assistance Program (EAP) and mental health resources.
• Professional development stipend and tuition reimbursement for relevant courses.
• Access to a company‑wide wellness portal with fitness challenges, nutrition guides, and mindfulness sessions.

How to Apply

Ready to make a meaningful impact in the health services industry? Join brighthush and become part of a team that values your expertise, supports your growth, and celebrates your successes.

To apply, please visit our careers portal and submit your application:

Apply to this position at brighthush

We look forward to exploring how your skills and passion align with our mission to deliver exceptional health benefits support. If you have any questions, feel free to reach out to our recruitment team at [email protected].

Equal Opportunity Employer

brighthush is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.