Experienced Customer Care Representative II – Remote Dental & Vision Benefits Support Specialist

About brighthush

At brighthush, we’re redefining how people experience health and wellness benefits. Leveraging cutting‑edge technology and a customer‑first philosophy, we empower our clients—ranging from dental and vision plans to government agencies—to deliver seamless, efficient, and highly personalized service. Our mission is simple: make every member feel heard, valued, and supported, while driving operational excellence for our partners.

Why Join brighthush?

When you become part of brighthush, you’re not just filling a role—you’re stepping into a culture that celebrates curiosity, collaboration, and continuous growth. We offer:

• Fully Remote Work – Work from anywhere with a reliable internet connection.
• Flexible Scheduling – Choose from multiple start times (9:00 am–11:00 am CST) and shift options that fit your lifestyle.
• Competitive Compensation – Base pay plus a $2.00 / hour differential on Mondays and Tuesdays.
• Professional Development – Structured training, mentorship, and access to industry certifications.
• Health & Wellness Benefits – Comprehensive medical, dental, vision, and wellness programs for you and your family.
• Inclusive Environment – We’re proud to be an Equal Opportunity Employer, supporting veterans, people with disabilities, and all backgrounds.

Role Overview

As a Customer Care Representative II at brighthush, you’ll be the frontline advocate for our dental and vision members. Your day-to-day will involve resolving inquiries, guiding members through benefits, and ensuring a memorable experience that reflects our brand’s commitment to care and clarity.

Key Responsibilities

• Handle inbound calls from dental and vision members, providing accurate information on eligibility, coverage, authorizations, claims, and provider location.
• Utilize claim adjustment knowledge to resolve provider requests, resubmit claims, and navigate reimbursement schedules.
• Collaborate with Provider Relations to flag high‑level claim issues, ensuring timely resolution for providers.
• Support enrollment activities: assign primary care providers, update third‑party insurance details, and manage credentialing status.
• Act as liaison between brighthush and client Member Services, addressing eligibility questions, appeals, and grievances.
• Educate members on using the provider web portal, highlighting its benefits and troubleshooting common issues.
• Document all interactions accurately in our internal systems, maintaining data integrity and audit readiness.
• Escalate complex or unresolved issues to leadership, ensuring a smooth handoff and follow‑up.
• Provide feedback on system enhancements and process improvements to drive operational excellence.
• Stay informed on provider manual discrepancies, location changes, and other provider‑related updates.
• Participate in departmental projects and cross‑functional initiatives as needed.

Training & Onboarding

Our comprehensive onboarding program spans three weeks of live training (8:00 am–4:30 pm CST, Monday–Friday). After training, you’ll transition into your chosen shift, with multiple start times available to accommodate your personal schedule.

Essential Qualifications

• High school diploma or equivalent.
• Minimum 1 year of customer service experience in healthcare, call center, banking, or retail.
• Proficiency in Microsoft Office (Word, Excel, Outlook).
• Strong typing and data entry skills.
• Excellent listening, communication, and empathy.
• Ability to multitask, navigate complex systems, and maintain meticulous attention to detail.
• Critical thinking to analyze requests and deliver appropriate solutions swiftly.
• Flexibility to work occasional overtime and adapt to shifting business needs.

Preferred Qualifications

• Experience in dental, vision, or medical insurance support.
• Prior virtual or remote work experience.
• Knowledge of dental, vision, and/or medical insurance terminology.
• Familiarity with claim processing, authorizations, and provider credentialing.

Skills & Competencies

• Customer‑Centric Mindset – Always put the member first.
• Problem‑Solving – Quickly identify root causes and propose effective solutions.
• Communication – Clear, concise, and empathetic in both verbal and written interactions.
• Technical Proficiency – Comfortable navigating multiple software platforms and databases.
• Team Collaboration – Work seamlessly with cross‑functional teams to achieve shared goals.
• Adaptability – Thrive in a fast‑paced, evolving environment.

Career Growth & Learning Opportunities

At brighthush, your career trajectory is designed to be as dynamic as the industry itself. We offer:

• Structured career ladders for Customer Care, Operations, and Technical Support.
• Mentorship programs pairing you with seasoned leaders.
• Access to industry conferences, webinars, and certifications.
• Internal mobility to roles in Provider Relations, Claims Processing, or Product Development.
• Continuous learning resources, including an online knowledge base and peer‑to‑peer training sessions.

Work Environment & Culture

Our culture is built on transparency, respect, and a shared passion for service excellence. Even though you’ll be working remotely, you’ll feel connected through:

• Weekly virtual team huddles and monthly all‑hands meetings.
• Open‑door communication channels with leadership.
• Recognition programs celebrating outstanding performance.
• Community outreach initiatives that let you give back from home.

Compensation & Benefits

While specific figures may vary based on experience and location, brighthush offers:

• Competitive hourly wage with a $2.00 / hour differential on Mondays and Tuesdays.
• Health, dental, and vision insurance packages.
• Paid time off, including vacation, sick leave, and holidays.
• 401(k) with company match.
• Employee wellness stipend and mental health resources.
• Flexible work schedule and remote work stipend.

How to Apply

Ready to bring your expertise to a team that values growth, innovation, and exceptional service? Click the link below to submit your application and join brighthush in shaping the future of dental and vision benefits.

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Join brighthush Today!

We’re excited to meet professionals who are eager to make a real difference in people’s lives. If you’re passionate about customer care, thrive in a remote setting, and want to grow within a forward‑thinking organization, we want to hear from you. Apply now and become part of a team that’s redefining the way health benefits are delivered.