Dynamic Remote Customer Service Representative – Health Benefits Support & Medicaid Expertise – Pittsburgh Equipment Pickup – Join brighthush

About brighthush

At brighthush, we are redefining the way people experience health benefits. Our mission is to empower individuals and families with clear, compassionate, and accurate information about their health coverage options. With a focus on innovation, integrity, and inclusivity, brighthush has become a trusted partner for millions of Americans navigating the complex world of Medicaid, Medicare, and private health plans. We pride ourselves on a culture that values continuous learning, collaboration, and a genuine commitment to improving lives.

Why This Role Matters

As a Remote Customer Service Representative, you will be the frontline advocate for our members. Your voice, empathy, and expertise will help people understand their benefits, resolve challenges, and feel confident in their healthcare decisions. This position is a critical link between brighthush’s technology-driven solutions and the human touch that makes our services truly accessible.

Key Responsibilities

• Member Support Excellence: Provide timely, accurate, and consistent information to individuals seeking assistance with their health benefits, ensuring a positive experience at every interaction.
• Benefit Navigation: Guide members through enrollment, coverage changes, claims inquiries, and eligibility questions, leveraging your knowledge of Medicaid and other health programs.
• Quality Assurance: Maintain high standards of service by adhering to established protocols, documenting interactions accurately, and following up on unresolved issues.
• Data Integrity: Enter and update member information in our secure systems with precision, ensuring compliance with privacy regulations.
• Team Collaboration: Work closely with cross-functional teams—such as Claims, Compliance, and Technical Support—to resolve complex member concerns and improve service processes.
• Continuous Improvement: Participate in ongoing training sessions, share insights on common member pain points, and contribute to the development of best practices.
• Equipment Management: While the role is remote, you will be responsible for picking up and returning essential equipment in Pittsburgh, PA, ensuring seamless connectivity and data security.

Essential Qualifications

• Minimum of 2 years’ experience in a call center or customer service environment.
• Strong proficiency with Windows PCs, email, and web-based applications.
• High School Diploma or GED; Associate’s Degree in Social Sciences, Behavioral Sciences, or a related field is preferred.
• Excellent verbal and written communication skills in English.
• Ability to handle high-volume calls with professionalism and empathy.
• Commitment to maintaining confidentiality and adhering to HIPAA regulations.

Preferred Qualifications

• Experience working in health or human services, with a solid understanding of Medicaid, Medicare, or private health plans.
• Bilingual proficiency (Spanish, French, or other languages) to serve a diverse member base.
• Prior experience with CRM systems such as Salesforce or Zendesk.
• Demonstrated problem‑solving skills and the ability to think on your feet.
• Background in remote work environments, showcasing self‑discipline and time‑management.

Core Skills & Competencies

• Customer‑Centric Mindset: A genuine desire to help people and a knack for turning challenges into opportunities.
• Technical Aptitude: Comfortable navigating multiple software platforms and troubleshooting basic technical issues.
• Attention to Detail: Accuracy in data entry and documentation is paramount.
• Adaptability: Thrive in a fast‑moving environment where priorities can shift quickly.
• Collaboration: Work effectively with teammates across departments to deliver seamless member experiences.
• Resilience: Maintain composure under pressure and handle emotionally charged conversations with grace.

Career Growth & Learning Opportunities

At brighthush, we believe that your professional journey should be as dynamic as the services we provide. As a Customer Service Representative, you will have access to:

• Comprehensive onboarding and continuous training modules covering health benefits, compliance, and customer service excellence.
• Mentorship programs pairing you with senior representatives and subject‑matter experts.
• Clear advancement pathways to roles such as Senior Support Specialist, Team Lead, or Quality Assurance Analyst.
• Cross‑functional projects that allow you to broaden your skill set and contribute to product development.
• Annual performance reviews with actionable feedback and personalized development plans.

Work Environment & Culture

brighthush champions a culture of inclusivity, innovation, and well‑being. As a remote employee, you will enjoy:

• Flexible scheduling that respects work‑life balance.
• A supportive virtual community with regular team huddles, virtual coffee breaks, and digital social events.
• Access to a state‑of‑the‑art collaboration platform that keeps you connected to colleagues and resources.
• Encouragement to bring your authentic self to work—diversity and belonging are core values.

Compensation & Perks

While specific salary ranges are tailored to experience and location, brighthush offers a competitive compensation package that includes:

• Base salary commensurate with industry standards.
• Performance‑based bonuses and incentive programs.
• Comprehensive health, dental, and vision insurance.
• Paid Time Off (PTO) and a generous holiday schedule.
• Employee Wellness Program featuring virtual fitness classes, mental health resources, and wellness stipends.
• Professional development stipend for courses, certifications, and conferences.
• Equity or stock‑option opportunities for eligible employees.

How to Apply

Ready to make a difference in people’s health journeys? Click the link below to submit your application and join the brighthush family.

Apply to This Job

Learn More About brighthush

Discover our values, initiatives, and the impact we’re creating at . We’re proud to be “The Enlightened Choice in Health Service Management” and invite you to be part of our mission.

Equal Opportunity Statement

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