Experienced Customer Service Representative – Health Benefits Support & Remote Operations

About brighthush

At brighthush, we’re redefining the way people experience health benefits. Our mission is to empower individuals and families with clear, compassionate, and accurate information about their health coverage, so they can make confident decisions about their well‑being. With a culture rooted in innovation, integrity, and inclusivity, brighthush is a leader in health service management, offering a dynamic, collaborative environment where every team member can thrive.

Why Join brighthush?

When you become part of the brighthush family, you’ll enjoy:

• Competitive compensation and a comprehensive benefits package, including dental, vision, 401(k) matching, and paid time off.
• Access to a robust Employee Wellness Program that supports physical, mental, and financial health.
• Ongoing, role‑specific training that keeps you at the forefront of industry best practices.
• A supportive, inclusive culture that values diversity, encourages collaboration, and rewards innovation.
• Clear career pathways and professional development opportunities that help you grow from a frontline representative to a future leader.

Position Overview

We’re looking for a dedicated Customer Service Representative to join our remote team, with a requirement to pick up training in Tallahassee, FL. This role is full‑time, with a structured training period followed by a part‑time schedule that balances flexibility and impact. You’ll be the first point of contact for individuals seeking assistance with health benefits, ensuring they receive accurate, consistent, and empathetic support.

Key Responsibilities

• Provide timely, accurate information to customers regarding health benefits, enrollment, claims, and coverage options.
• Handle inbound and outbound calls, emails, and chat inquiries with professionalism and a customer‑centric mindset.
• Document all interactions in the CRM system, ensuring data integrity and compliance with privacy regulations.
• Collaborate with cross‑functional teams (e.g., claims, enrollment, compliance) to resolve complex issues and improve service quality.
• Maintain up‑to‑date knowledge of Medicaid, Medicare, and commercial benefit plans, as well as any regulatory changes.
• Participate in continuous improvement initiatives, providing feedback on processes, scripts, and customer experience.
• Adhere to all company policies, quality standards, and performance metrics, including call handling time, resolution rates, and customer satisfaction scores.
• Support the implementation of new tools and technologies that enhance customer service efficiency.

Essential Qualifications

• Minimum of 2 years’ experience in a high‑volume call center environment.
• Prior experience in health or human services, with a strong understanding of Medicaid and related benefit programs.
• Proficient PC skills, including advanced use of Microsoft Office Suite (Word, Excel, Outlook) and familiarity with CRM platforms.
• High School Diploma or GED required; an Associate’s Degree in social or behavioral sciences, health administration, or a related field is preferred.
• Excellent verbal and written communication skills, with a friendly, solution‑oriented approach.
• Strong problem‑solving abilities and the capacity to handle multiple tasks simultaneously.
• Demonstrated commitment to confidentiality and compliance with HIPAA and other privacy regulations.
• Bilingual proficiency (Spanish, French, or other languages) is a plus.

Preferred Qualifications

• Experience with call center metrics and quality assurance programs.
• Knowledge of electronic health record (EHR) systems and benefit enrollment platforms.
• Previous exposure to remote work environments and virtual collaboration tools.
• Certification in customer service or health administration.

Skills & Competencies

• Customer‑first mindset with a genuine desire to help people navigate complex health benefit landscapes.
• Strong interpersonal skills, enabling effective collaboration with colleagues across departments.
• Adaptability to changing priorities and the ability to thrive in a fast‑paced environment.
• Attention to detail, ensuring accurate data entry and compliance with regulatory standards.
• Time‑management skills that allow you to meet daily targets while maintaining high quality.
• Tech‑savvy attitude, comfortable learning new software and troubleshooting basic technical issues.

Training & Schedule

All new hires will undergo a comprehensive 5‑week training program, scheduled from 8:30 am to 5:00 pm, Monday through Friday. Training will be conducted in person in Tallahassee, FL, providing hands‑on experience and direct mentorship from seasoned professionals.

Upon successful completion of training, the role transitions to a part‑time schedule of 8:00 am to 4:30 pm, Monday through Wednesday. This hybrid model offers flexibility while ensuring consistent coverage for our customers.

Career Growth & Development

At brighthush, we believe in investing in our people. As a Customer Service Representative, you’ll have access to:

• Structured mentorship programs that pair you with senior leaders.
• Regular performance reviews and personalized development plans.
• Opportunities to cross‑train in related areas such as claims processing, enrollment, or compliance.
• Leadership training workshops that prepare you for supervisory roles.
• Tuition reimbursement for courses related to health administration, customer experience, or project management.

Work Environment & Culture

brighthush fosters a culture of transparency, collaboration, and continuous improvement. Our remote-first approach is complemented by regular in‑office gatherings, team‑building events, and community outreach initiatives. We celebrate diversity and encourage every team member to bring their authentic self to work.

Compensation & Perks

While specific salary ranges are tailored to experience and qualifications, you can expect a competitive base pay that reflects the value of your expertise. In addition to the base salary, we offer:

• Dental, vision, and health insurance plans with employer contributions.
• 401(k) retirement plan with company matching.
• Paid time off (vacation, sick leave, and personal days).
• Employee Wellness Program, including gym memberships, mental health resources, and wellness challenges.
• Flexible work arrangements and a supportive remote work infrastructure.
• Employee recognition programs and annual bonuses tied to performance metrics.

Equal Opportunity Employer

brighthush is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity, national origin, disability, or any other protected status.

How to Apply

Ready to make a difference in people’s lives while advancing your career? Click the link below to submit your application and join the brighthush team. We look forward to discovering how your skills and passion align with our mission.

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About brighthush

brighthush is the enlightened choice in health service management, dedicated to delivering exceptional customer experiences and innovative solutions that empower individuals to take control of their health journeys. Join us and be part of a forward‑thinking organization that values your growth, celebrates your achievements, and places people at the heart of everything we do.