Dynamic Remote Customer Service Representative – Health Benefits Support & Medicaid Expertise – Full‑Time, Pittsburgh Pick‑Up – Join brighthush
About brighthush
brighthush is a leading innovator in health service management, dedicated to delivering seamless, patient‑centric solutions that empower individuals to make informed decisions about their health and well‑being. With a mission to simplify the complex landscape of health benefits, we partner with leading payers, providers, and technology platforms to create a unified experience for members across the United States. Our culture is built on collaboration, continuous learning, and a relentless focus on quality—values that drive our success and differentiate us in a rapidly evolving industry.
Why Join brighthush?
At brighthush, you’ll be part of a forward‑thinking team that values innovation, integrity, and impact. We offer a dynamic work environment that blends remote flexibility with in‑person collaboration, a comprehensive benefits package, and a clear pathway for career advancement. Whether you’re a seasoned customer‑service professional or a recent graduate eager to launch a rewarding career in health services, brighthush provides the resources and support you need to thrive.
Position Overview
As a Remote Customer Service Representative, you will be the frontline voice for individuals seeking assistance with health benefits, Medicaid enrollment, and related inquiries. You will work from home while picking up in‑person support in Pittsburgh, PA, ensuring that every member receives accurate, timely, and compassionate service. This full‑time role is structured around a 5‑week intensive training program followed by a flexible part‑time schedule that balances professional growth with personal commitments.
Key Responsibilities
- Benefit Support & Guidance: Provide clear, accurate information regarding health insurance plans, coverage options, and enrollment processes.
- Medicaid Assistance: Offer specialized support for Medicaid beneficiaries, including eligibility verification, claim status, and benefits education.
- Customer Experience Excellence: Deliver high‑quality customer service by actively listening, empathizing, and resolving issues efficiently.
- Data Accuracy & Documentation: Maintain meticulous records of customer interactions, ensuring compliance with privacy and regulatory standards.
- Continuous Improvement: Participate in ongoing training sessions, share best practices, and contribute to process enhancements.
- Team Collaboration: Work closely with cross‑functional teams—including claims, enrollment, and technical support—to resolve complex inquiries.
- Compliance & Quality Assurance: Adhere to internal policies and external regulations, including HIPAA, to safeguard member data.
Essential Qualifications
- Minimum 2 years of experience in a call‑center environment, preferably within health or human services.
- Proficient PC skills, including advanced use of Microsoft Office (Word, Excel, Outlook) and CRM platforms.
- High School Diploma or GED required; Associate’s Degree in social or behavioral sciences, health administration, or a related field preferred.
- Strong communication skills—both verbal and written—in English.
- Ability to work independently in a remote setting while maintaining high productivity and accountability.
- Commitment to delivering exceptional customer experiences.
Preferred Qualifications
- Experience with Medicaid programs and knowledge of state‑specific regulations.
- Bilingual proficiency (Spanish, French, or other languages) is a significant advantage.
- Prior experience in a health‑tech or insurance technology company.
- Familiarity with telehealth platforms and electronic health record (EHR) systems.
- Demonstrated ability to handle high‑volume, complex inquiries with composure and accuracy.
Key Skills & Competencies
- Customer‑Centric Mindset: Passion for helping others and a genuine desire to improve member outcomes.
- Problem‑Solving: Analytical thinking to troubleshoot issues and propose effective solutions.
- Adaptability: Comfortable navigating evolving policies, technologies, and customer needs.
- Time Management: Ability to prioritize tasks and meet deadlines in a fast‑paced environment.
- Team Player: Collaborative spirit, open to feedback, and eager to contribute to collective success.
- Tech Savvy: Quick learner of new software and digital tools.
Career Growth & Learning Opportunities
At brighthush, we believe that professional development is a shared responsibility. As a Customer Service Representative, you will have access to a structured learning pathway that includes:
- Comprehensive onboarding and 5‑week training program covering product knowledge, compliance, and customer‑service best practices.
- Ongoing skill‑building workshops on communication, conflict resolution, and data analytics.
- Mentorship from senior team members and leadership.
- Clear advancement tracks into roles such as Senior Support Specialist, Team Lead, or Program Manager.
- Cross‑functional exposure to enrollment, claims, and technology teams, broadening your skill set and industry knowledge.
Work Environment & Culture
brighthush fosters a culture of inclusivity, transparency, and innovation. Our hybrid model blends remote flexibility with in‑office collaboration, allowing you to work from the comfort of your home while staying connected with colleagues in Pittsburgh. We celebrate diversity, encourage open dialogue, and reward creativity. Our team enjoys regular virtual coffee breaks, quarterly town halls, and annual retreats that reinforce our shared mission and values.
Compensation & Benefits
While specific salary details are tailored to experience and qualifications, brighthush offers a competitive compensation package that includes:
- Competitive base salary with performance‑based incentives.
- Health, dental, and vision insurance plans.
- 401(k) retirement plan with company match.
- Paid Time Off (PTO) and paid holidays.
- Employee Wellness Program featuring fitness subsidies, mental‑health resources, and wellness challenges.
- Professional development stipend and tuition reimbursement.
- Flexible work schedule and remote work options.
How to Apply
If you’re ready to join a forward‑thinking organization that values your expertise and offers a clear path for growth, we encourage you to apply today. Submit your resume and cover letter through our online portal and take the first step toward a rewarding career with brighthush.
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Equal Opportunity Statement
brighthush is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
Learn More About brighthush
Visit our website at to explore our mission, values, and the innovative solutions we bring to the health services industry.
Tagline
The Enlightened Choice in Health Service Management – brighthush
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