Experienced Remote Customer Care Representative – Dental & Vision Support Specialist – Part‑Time, Fully Remote, Flexible Hours – Join brighthush

About brighthush

brighthush is a leading provider of specialty benefits solutions, empowering dental, vision, and health insurance partners to deliver exceptional member experiences. With a focus on innovation, data‑driven insights, and a customer‑centric culture, brighthush has become the trusted partner for agencies and payers across the United States. Our mission is simple: to make benefits simple, accessible, and impactful for every member.

Why brighthush?

At brighthush, we believe that great work starts with great people. We celebrate diversity, foster continuous learning, and reward performance with competitive compensation and a comprehensive benefits package. Whether you’re a seasoned professional or just starting your career, brighthush offers a dynamic environment where your ideas matter and your growth is supported.

Role Overview

We’re looking for a dedicated Customer Care Representative II to join our remote team. In this role, you’ll be the frontline advocate for our dental and vision members, ensuring they receive timely, accurate, and compassionate support. You’ll work closely with Provider Relations, Enrollment, and Member Services teams to resolve inquiries, manage claims, and enhance the overall member experience.

Key Responsibilities

• Handle inbound calls from dental and vision members, addressing questions about eligibility, benefit coverage, authorizations, claims, and provider location.
• Apply knowledge of claim adjustments and resubmission processes to resolve provider requests efficiently.
• Collaborate with Provider Relations to flag high‑level claim issues, such as reimbursement schedule discrepancies or conflicting information.
• Support enrollment activities, including assigning primary care providers and updating third‑party insurance details.
• Act as a liaison between brighthush and client Member Services to resolve eligibility, appeals, and grievance issues.
• Provide real‑time updates to providers regarding credentialing application status.
• Educate callers on using the provider web portal, promoting self‑service and reducing call volume.
• Adhere to call‑answering protocols and client guidelines, ensuring consistent quality and compliance.
• Accurately document all call details and resolutions in our internal systems.
• Employ effective diffusion techniques to make members feel heard, valued, and supported.
• Escalate complex issues to leadership when appropriate, maintaining a clear escalation path.
• Recommend system enhancements and process improvements to management.
• Keep the Provider Relations team informed of manual discrepancies, location changes, and other provider‑related updates.
• Participate in departmental projects and initiatives as needed.

Essential Qualifications

• High school diploma or equivalent.
• Minimum of 1 year of customer service experience in healthcare, call center, banking, or retail.
• Proficiency with Microsoft Office (Word, Excel, Outlook).
• Strong listening and communication skills, with a natural ability to empathize.
• Excellent data entry and typing accuracy.
• Strong navigation skills and the ability to multitask in a fast‑paced environment.
• Attention to detail and critical thinking to analyze customer needs and provide appropriate solutions.
• Availability for occasional overtime and flexible scheduling.

Preferred Qualifications

• Experience in dental, vision, or medical insurance customer support.
• Previous work in a virtual or remote environment.
• Knowledge of dental, vision, and/or medical insurance terminology.
• Familiarity with claim processing and provider credentialing.

Skills & Competencies

• Customer‑centric mindset with a passion for problem solving.
• Strong interpersonal skills and the ability to build rapport quickly.
• Adaptability to changing priorities and evolving processes.
• Proficiency in using CRM and call‑center software.
• Time‑management skills to meet call volume and quality metrics.
• Team collaboration and cross‑functional communication.

Career Growth & Learning Opportunities

At brighthush, your career path is designed to evolve with your ambitions. We offer:

• Structured onboarding and continuous training programs.
• Mentorship from senior leaders and subject‑matter experts.
• Access to industry certifications and professional development courses.
• Clear promotion tracks from Customer Care Representative to Team Lead, Manager, and beyond.
• Opportunities to lead projects, contribute to process improvements, and influence product strategy.

Work Environment & Culture

Our remote-first culture means you can work from anywhere in the United States while staying connected to a vibrant, collaborative team. We prioritize:

• Flexibility: Multiple start times (9:00 am–11:00 am CST) and a 6:00 am–10:00 pm CST operational window.
• Work‑life balance: Fully remote, with a supportive schedule that accommodates personal commitments.
• Recognition: Regular shout‑outs, performance bonuses, and a culture that celebrates wins.
• Diversity & inclusion: A welcoming environment for veterans, people with disabilities, and all backgrounds.
• Community: Quarterly virtual team building events, wellness challenges, and volunteer opportunities.

Compensation & Perks

While specific figures may vary, brighthush offers a competitive hourly rate, with a $2.00/hour differential for Monday and Tuesday shifts. Additional benefits include:

• Health, dental, and vision insurance options.
• 401(k) with company match.
• Paid time off, holidays, and sick leave.
• Employee assistance program and mental health resources.
• Flexible work hours and remote work stipend.
• Professional development budget and tuition reimbursement.

Training & Onboarding

Our comprehensive training program spans three weeks, with live sessions from 8:00 am–4:30 pm CST, Monday through Friday. Post‑training, you’ll have the flexibility to choose from multiple shift options, ensuring a smooth transition into your role.

How to Apply

If you’re passionate about delivering outstanding member experiences and thrive in a remote, collaborative environment, we’d love to hear from you. Submit your application through our career portal and join the brighthush family.

Closing

At brighthush, we’re redefining how dental and vision benefits are delivered. As a Customer Care Representative II, you’ll be at the heart of that transformation, ensuring every member feels heard, supported, and empowered. Bring your empathy, your problem‑solving skills, and your drive for excellence—let’s build brighter futures together.