Experienced Bilingual Remote Customer Service Representative – Spanish & English – Healthcare Claims & Benefits Support

About brighthush

brighthush is a leading provider of healthcare claims administration and employee benefits solutions, serving a diverse portfolio of healthcare providers, insurance carriers, employers, and members across the United States. With a storied history rooted in Manhattan, New York, we have expanded our footprint to include a dynamic remote workforce that delivers world‑class service from anywhere in the country. Our mission is simple: to empower people to access the benefits they deserve while simplifying the complex world of healthcare administration.

Why brighthush?

At brighthush, we believe that great people create great results. Our culture is built on collaboration, continuous learning, and a relentless focus on customer satisfaction. Whether you’re a seasoned professional or just starting your career, you’ll find a supportive environment that encourages growth, innovation, and work‑life balance.

Key Highlights

• Fully remote, flexible schedule – work from anywhere in Florida (or any U.S. state)
• Competitive hourly rate of $14.00 plus a comprehensive benefits package
• Opportunities for career advancement within a fast‑growing organization
• Access to cutting‑edge technology and training resources
• Inclusive, diverse, and collaborative team culture

Job Summary

We are seeking a Remote Bilingual Customer Service Representative to join our Fixed Cost Division. In this role, you will serve as the first line of support for employees of our client organizations, helping them navigate benefit programs, file claims, and resolve inquiries with empathy and efficiency. Your bilingual fluency in Spanish and English will enable you to connect with a broad customer base and ensure that all members receive the assistance they need.

Key Responsibilities

• Answer inbound and outbound calls from employees and members in a courteous, professional manner.
• Provide detailed assistance on benefit plan enrollment, claims processing, and vendor card issuance.
• Maintain accurate member demographic information across internal CRM and external vendor systems.
• Guide employees through plan elections, ensuring they understand coverage options and maximize benefits.
• Conduct provider searches, enroll dependents, and resolve eligibility questions.
• Escalate complex issues to Account Managers and collaborate to achieve timely resolution.
• Handle high call volumes during peak periods while maintaining a positive tone and first‑call resolution rates.
• Document all interactions in the CRM, ensuring compliance with data privacy and regulatory standards.
• Participate in outreach campaigns, including webinars and informational sessions, to promote benefit literacy.
• Collaborate with cross‑functional teams (HR, IT, Compliance) to streamline processes and improve customer experience.

Essential Qualifications

• Fluency in Spanish and English (both written and spoken) – bilingual proficiency is mandatory.
• Minimum of 1 year of customer service experience, preferably in a call center or healthcare environment.
• Strong communication skills with the ability to convey complex information clearly and empathetically.
• Basic understanding of employee benefits, insurance terminology, and related products.
• Proficiency with computer systems, including CRM platforms, Microsoft Office Suite, and quick adaptation to new software.
• Experience with standard office equipment (fax, copier, postage machines) is a plus.
• Ability to manage high call volumes, especially during peak periods, while maintaining composure and professionalism.
• Team player who thrives in a collaborative environment yet can work independently with minimal supervision.

Preferred Qualifications

• Experience in the healthcare industry or with employee benefits administration.
• Knowledge of HIPAA regulations and data privacy best practices.
• Previous experience with claims processing or benefits enrollment systems.
• Certifications in customer service or healthcare administration.

Skills & Competencies

• Exceptional listening and problem‑solving abilities.
• Strong organizational skills and attention to detail.
• Adaptability to changing priorities and fast‑paced environments.
• Proactive approach to learning new tools and processes.
• Commitment to maintaining confidentiality and ethical standards.

Career Growth & Learning Opportunities

At brighthush, we invest in your professional development. You will have access to:

• Structured onboarding and continuous training programs.
• Mentorship from senior team members and leaders.
• Cross‑departmental projects that broaden your skill set.
• Clear career pathways to roles such as Senior Customer Support Specialist, Team Lead, or Operations Manager.
• Annual performance reviews with actionable feedback and growth plans.

Work Environment & Culture

Our remote-first approach means you can work from the comfort of your home while staying connected to a vibrant, collaborative team. We foster a culture of:

• Transparency – open communication channels and regular town‑hall meetings.
• Inclusivity – celebrating diversity and ensuring everyone feels valued.
• Innovation – encouraging creative solutions to improve customer experience.
• Well‑being – mental health resources, flexible scheduling, and a supportive work‑life balance.

Compensation & Benefits

In addition to a competitive hourly rate of $14.00, you will receive:

• Health, Dental, and Vision insurance plans.
• Medical and mental health benefits, including telehealth services.
• Prescription drug coverage.
• Paid time off and holiday schedule.
• 401(k) retirement plan with company match.
• Employee assistance program and wellness initiatives.
• Professional development stipend and tuition reimbursement.

How to Apply

Ready to make a difference in people’s lives while advancing your career? Submit your application through our portal or click the link below:

Apply to brighthush Today

Join brighthush – Where Your Voice Matters

At brighthush, you’ll be part of a mission‑driven team that values your expertise and empowers you to grow. If you are passionate about helping others, thrive in a fast‑paced environment, and are fluent in both Spanish and English, we want to hear from you. Apply now and become a vital part of our commitment to exceptional customer service and innovative healthcare solutions.