Entry‑Level Customer Service Representative – Remote Health Insurance Support Specialist at brighthush

About brighthush

brighthush is a leading health‑insurance provider dedicated to improving access to quality care for underserved communities across Washington State. With a mission rooted in equity, inclusion, and community partnership, brighthush empowers members to navigate complex benefits, secure timely care, and achieve better health outcomes. Our culture thrives on collaboration, continuous learning, and a shared commitment to reducing health disparities. Whether you’re a seasoned professional or just starting your career, brighthush offers a dynamic, supportive environment where your voice matters and your growth is a priority.

Why Join brighthush?

• Impactful Work: Every interaction you have directly supports members who rely on our services to access essential health care.
• Remote Flexibility: Work from anywhere in Washington with a fully equipped home office and a 100% remote setup.
• Growth Opportunities: Clear career pathways from entry‑level to senior support roles, with mentorship and professional development programs.
• Inclusive Culture: A diverse workforce that celebrates differences and fosters belonging.
• Competitive Compensation: Starting salary of $21.00 per hour, with a 5% annual incentive target and eligibility for overtime.
• Comprehensive Benefits: Health, dental, vision, telehealth, 401(k) with generous match, paid time off, volunteer time, and more.

Key Responsibilities

As a Customer Service Representative I, you will be the frontline advocate for brighthush members and providers. Your role will involve:

• First‑Call Resolution: Accurately and courteously address inquiries about benefit interpretation, eligibility, claim status, and provider access under Washington Apple Health, Cascade Select Plans, and other brighthush products.
• Data Management: Document all interactions, complaints, and resolutions in our secure computer database with precision and timeliness.
• Quality & Attendance: Meet or exceed established call quality standards and attendance metrics, ensuring a reliable service experience.
• Problem Solving: Gather information from multiple systems, apply protocols, and determine the best course of action for each member’s unique situation.
• Collaboration: Work closely with cross‑functional teams—claims, provider relations, and technical support—to coordinate comprehensive solutions.
• Continuous Improvement: Participate in training sessions, share insights, and contribute to process enhancements that elevate member satisfaction.
• Compliance & Confidentiality: Uphold strict confidentiality standards and adhere to all regulatory requirements governing member data.
• Additional Duties: Perform other related tasks as assigned, demonstrating flexibility and a proactive mindset.

Essential Qualifications

• Minimum of one (1) year of customer service or call center experience, preferably within insurance, managed care, or a provider setting.
• Strong knowledge of Washington Apple Health state medical insurance and related benefit structures.
• Familiarity with medical terminology and healthcare processes.
• Proficiency in Microsoft Office Suite (Outlook, Word, Excel) and comfort navigating multiple data systems.
• Excellent verbal and written communication skills, including typing proficiency.
• Ability to work independently in a 100% remote environment, managing time and priorities effectively.
• Commitment to serving underserved communities with respect, courtesy, and confidentiality.

Preferred Qualifications

• Experience with health‑insurance claims processing or provider relations.
• Knowledge of telehealth platforms and digital health tools.
• Previous exposure to quality assurance metrics and call monitoring.
• Demonstrated ability to learn quickly and adapt to evolving policies and procedures.

Skills & Competencies

• Customer‑Centric Mindset: Empathy, patience, and a genuine desire to help members navigate their health journey.
• Analytical Thinking: Ability to assess complex information, identify patterns, and recommend solutions.
• Attention to Detail: Accuracy in data entry, documentation, and adherence to compliance standards.
• Time Management: Prioritize tasks, meet deadlines, and maintain high productivity in a remote setting.
• Team Collaboration: Communicate effectively with colleagues across departments to resolve member issues.
• Technology Savvy: Comfortable using CRM systems, knowledge bases, and virtual collaboration tools.

Career Growth & Learning Opportunities

At brighthush, we believe in nurturing talent from the ground up. As a Customer Service Representative I, you will:

• Gain exposure to the full spectrum of our member services, from enrollment to claims resolution.
• Participate in structured onboarding and ongoing training modules covering product knowledge, compliance, and soft skills.
• Access mentorship programs that pair you with experienced leaders in the organization.
• Earn certifications in health‑insurance processes, customer experience, and data security.
• Progress to advanced roles such as Senior Customer Advocate, Team Lead, or Specialist positions in claims, provider relations, or quality assurance.

Work Environment & Culture

brighthush fosters a culture of trust, transparency, and empowerment. Our remote workforce enjoys:

• Flexible scheduling that respects work‑life balance.
• Regular virtual team huddles, knowledge‑sharing sessions, and social events.
• A commitment to mental and physical well‑being, with access to an Employee Assistance Program and mental fitness app.
• Opportunities to volunteer and give back—40 hours of community service time per year.

Compensation & Benefits

We offer a comprehensive package designed to support your professional and personal well‑being:

• Base Pay: $21.00 per hour, with a 5% annual incentive target tied to performance.
• Overtime: Eligible for overtime under FLSA Non‑Exempt status.
• Health & Wellness: Medical, prescription, dental, vision, and telehealth app coverage.
• Financial Security: 401(k) retirement plan with generous employer match.
• Insurance Options: Basic life, AD&D, short‑ and long‑term disability, voluntary life, critical care, and long‑term care.
• Time Off: 17 days PTO per year, 10 standard holidays, 2 floating holidays, compassion time off, and jury duty leave.
• Additional Perks: Flexible Spending Accounts, Health Savings Accounts, financial coaching, identity theft protection, and a mental fitness app.

Application Process

To be considered, candidates must:

• Complete a criminal background check, including review of convictions and probation.
• Confirm no sanctions or exclusions from federal or state healthcare programs.
• Meet vaccination requirements or obtain a medical/religious exemption.
• Demonstrate the ability to perform essential functions with or without reasonable accommodation.

Ready to Make a Difference?

If you’re passionate about serving communities, thrive in a collaborative remote setting, and are eager to grow your career in health‑insurance customer service, we want to hear from you. Join brighthush and become part of a team that values equity, innovation, and the well‑being of every member.