Experienced Bilingual Customer Care Representative – Remote, 1st Shift, Spanish Fluency, Dental & Vision Support

About brighthush and the Opportunity

brighthush is a leading innovator in the health benefits space, partnering with specialty payers and government agencies to deliver seamless dental and vision coverage across the United States. Leveraging cutting‑edge technology and a customer‑centric approach, brighthush empowers its clients to become the most efficient, effective healthcare organizations in the country. We are now expanding our remote customer care team and are looking for a dedicated, bilingual professional to join our 1st shift roster. If you thrive in a fast‑paced environment, love solving problems, and want to make a real difference in people’s lives, this role is for you.

Why brighthush?

• Inclusive Culture: We celebrate diversity and foster an environment where every voice is heard.
• Professional Growth: From paid training to leadership development, we invest in your career trajectory.
• Competitive Compensation: Base pay plus a $2.00/hour differential on Mondays and Tuesdays.
• Comprehensive Benefits: Health, dental, vision, 401(k) with company match, and more.
• Work‑Life Balance: Fully remote, flexible scheduling, and occasional evenings or weekends during peak periods.

Key Responsibilities

As a Bilingual Customer Care Representative, you will be the frontline advocate for our dental and vision members. Your daily tasks will include:

• Answering inbound calls from Spanish‑speaking members regarding eligibility, benefit coverage, authorizations, claims, and provider location.
• Utilizing your knowledge of claim adjustments and resubmission processes to resolve provider requests efficiently.
• Providing actionable feedback to Provider Relations on high‑level claim issues, such as reimbursement schedule discrepancies or conflicting information.
• Supporting enrollment activities: assigning primary care providers, updating third‑party insurance details, and ensuring accurate member data.
• Acting as a liaison between brighthush and client Member Services staff to resolve eligibility inquiries, file appeals, and address grievances.
• Communicating status updates to providers regarding credentialing applications and encouraging the use of our provider web portal for self‑service.
• Ensuring all calls adhere to company and client guidelines, documenting interactions accurately in our internal systems.
• Applying effective diffusion techniques to make every customer feel heard, valued, and supported.
• Escalating complex issues to leadership when necessary and providing recommendations for system enhancements.
• Keeping the Provider Relations team informed of manual discrepancies, location changes, or other provider‑related issues.
• Participating in departmental projects and continuous improvement initiatives.

Essential Qualifications

• High school diploma or equivalent.
• Minimum 1 year of customer service experience in healthcare, call center, banking, or retail environments.
• Fluency in Spanish (written and spoken).
• Basic proficiency in Microsoft Office (Word, Excel, Outlook).
• Strong data entry and typing skills (≥ 45 WPM).
• Excellent listening, communication, and empathy skills.
• Ability to multi‑task, navigate multiple systems, and maintain meticulous attention to detail.
• Critical thinking ability to analyze and resolve customer requests quickly.
• Willingness to work occasional overtime and flexible hours during peak periods.

Preferred Qualifications

• Experience in the dental, vision, or medical insurance industry.
• Previous virtual or remote call center experience.
• Understanding of dental, vision, and/or medical insurance terminology.
• Experience with claim processing, authorizations, and provider credentialing.
• Knowledge of Medicare Open Enrollment processes.

Skills & Competencies for Success

• Customer‑Centric Mindset: Passion for delivering memorable experiences.
• Problem‑Solving: Ability to diagnose issues and propose effective solutions.
• Communication: Clear, concise, and empathetic verbal and written skills.
• Technical Proficiency: Comfortable with CRM platforms, data entry, and virtual collaboration tools.
• Adaptability: Thrives in a dynamic environment with shifting priorities.
• Team Collaboration: Works seamlessly with cross‑functional teams such as Provider Relations, Enrollment, and IT.

Career Growth & Learning Opportunities

At brighthush, your career path is designed to evolve with your ambitions. Starting as a Customer Care Representative, you can progress to:

• Senior Customer Care Specialist – leading complex cases and mentoring new hires.
• Team Lead – overseeing shift operations, coaching staff, and driving performance metrics.
• Process Improvement Analyst – identifying workflow inefficiencies and implementing technology solutions.
• Product Support Specialist – collaborating with product teams to enhance member-facing features.

We provide ongoing training modules, webinars, and access to industry certifications to ensure you stay ahead of market trends.

Work Environment & Culture at brighthush

Our remote-first culture means you can work from anywhere while staying connected through daily stand‑ups, virtual team lunches, and real‑time collaboration tools. We celebrate achievements through monthly recognition programs, host quarterly virtual happy hours, and encourage a healthy work‑life balance with generous paid time off.

Compensation, Perks, and Benefits

• Competitive base salary with a $2.00/hour differential on Mondays and Tuesdays.
• Health, dental, and vision insurance plans for you and your dependents.
• 401(k) plan with company match.
• Paid training and onboarding.
• Unlimited paid time off policy (subject to manager approval).
• Employee assistance program and wellness resources.
• Flexible work schedule: 8:30 am – 5:00 pm CST (Mon‑Fri) after initial training.
• Occasional evenings, weekends, and holidays during peak periods (e.g., Medicare Open Enrollment).

How to Apply

If you are ready to bring your bilingual expertise, customer‑service passion, and problem‑solving skills to a forward‑thinking organization, we would love to hear from you. Submit your application through our careers portal and join a team that values innovation, collaboration, and personal growth.

Join brighthush Today!

Become part of a mission‑driven company that is redefining how dental and vision benefits are delivered. Your work will directly impact the lives of thousands of members, ensuring they receive the care and support they deserve. Apply now and start your journey with brighthush – where your career meets purpose.