Experienced Remote Customer Care Representative II – Healthcare Claims Support & Client Service Excellence

About brighthush

brighthush is a leading innovator in the healthcare benefits space, partnering with specialty payers and government agencies to deliver cutting‑edge dental and vision solutions. With a mission to simplify access to essential care, brighthush blends technology, data analytics, and world‑class service to empower patients, providers, and payers alike. Our remote‑first culture means you can join a global team from anywhere in the United States while enjoying the flexibility, autonomy, and collaborative spirit that define our brand.

Why Join brighthush?

At brighthush, we believe that exceptional customer service is the cornerstone of a thriving healthcare ecosystem. By joining our Customer Care team, you’ll become an integral part of a mission‑driven organization that values innovation, integrity, and impact. Here’s what you can expect:

• Impactful Work: Every call you handle directly supports patients and providers in accessing the care they need.
• Remote Flexibility: Work from the comfort of your home while staying connected to a vibrant, collaborative team.
• Growth Opportunities: Clear career pathways from entry‑level roles to senior support and management positions.
• Continuous Learning: Access to industry certifications, training modules, and mentorship programs.
• Competitive Compensation: A salary range that reflects your experience and contributions, complemented by performance bonuses.
• Comprehensive Benefits: Health, dental, vision, retirement plans, paid time off, and wellness initiatives.

Key Responsibilities

As a Remote Customer Care Representative II, you will be the frontline advocate for our clients, ensuring that every interaction is handled with professionalism, empathy, and efficiency. Your day‑to‑day duties will include:

• Responding to inbound calls from patients, providers, and internal stakeholders with a focus on clarity and problem resolution.
• Investigating and resolving claim issues, including denial explanations, status inquiries, and payment discrepancies.
• Accurately documenting call details, actions taken, and follow‑up steps in our CRM system.
• Collaborating with cross‑functional teams—claims, billing, technical support—to expedite solutions.
• Maintaining up‑to‑date knowledge of brighthush products, policies, and industry regulations.
• Adhering to quality standards, call metrics, and compliance guidelines.
• Participating in continuous improvement initiatives to enhance customer experience and operational efficiency.

Essential Qualifications

We’re looking for candidates who bring both skill and passion to the role. The following qualifications are essential:

• High school diploma or equivalent; associate’s degree preferred.
• Minimum of 1 year of customer service experience in healthcare, call center, banking, or retail environments.
• Proficiency in Microsoft Office Suite (Word, Excel, Outlook) and familiarity with CRM platforms.
• Strong verbal and written communication skills in English.
• Excellent data entry accuracy and attention to detail.
• Ability to manage multiple tasks, prioritize effectively, and meet performance targets.
• Flexibility to work occasional overtime or shift hours as needed.

Preferred Qualifications

While not mandatory, the following experience and skills will set you apart:

• Experience in healthcare claims processing or insurance support.
• Knowledge of dental and vision benefit programs.
• Previous remote work experience with self‑management and time‑zone coordination.
• Certifications in customer service or healthcare administration.
• Multilingual capabilities to serve diverse client populations.

Core Competencies & Skills

Success at brighthush requires a blend of technical proficiency and soft skills. Key competencies include:

• Customer‑Centric Mindset: A genuine desire to help others and a commitment to delivering outstanding service.
• Problem‑Solving: Ability to analyze issues, identify root causes, and propose effective solutions.
• Adaptability: Comfort with evolving processes, new technologies, and changing priorities.
• Team Collaboration: Willingness to share knowledge, support peers, and contribute to a positive team culture.
• Time Management: Efficiently handling high call volumes while maintaining accuracy.
• Compliance Awareness: Understanding of HIPAA, data privacy, and industry regulations.

Career Growth & Development

At brighthush, we invest in your professional journey. As a Customer Care Representative II, you’ll have access to:

• Structured onboarding and mentorship programs to accelerate your learning curve.
• Regular performance reviews and goal‑setting sessions to track progress.
• Cross‑training opportunities across claims, billing, and technical support teams.
• Leadership development tracks for those aspiring to supervisory or managerial roles.
• Industry certifications and continuing education stipends to broaden your expertise.

Work Environment & Culture

Our remote‑first model is built on trust, transparency, and collaboration. You’ll enjoy:

• Flexible scheduling that respects your personal commitments.
• Weekly virtual team huddles and monthly all‑hands meetings to stay connected.
• Access to a digital collaboration hub (Slack, Teams, SharePoint) for real‑time communication.
• A culture that celebrates diversity, inclusion, and innovation.
• Employee resource groups and wellness programs to support mental and physical health.

Compensation & Benefits

We offer a competitive salary range of $34,153 to $51,230 per year, commensurate with experience and performance. In addition to base pay, you’ll receive:

• Annual performance bonuses tied to individual and team metrics.
• Health, dental, and vision insurance plans with employer contributions.
• 401(k) retirement plan with company match.
• Paid time off (vacation, sick leave, holidays) and flexible work‑from‑home days.
• Wellness stipend for gym memberships, meditation apps, or home office upgrades.
• Employee assistance program (EAP) for confidential counseling and support.
• Professional development budget for courses, conferences, and certifications.

How to Apply

Ready to make a difference in the lives of patients and providers? Submit your application through our careers portal and join the brighthush family. We’re excited to learn how your skills and passion align with our mission.

Join brighthush Today!

At brighthush, you’re not just filling a role—you’re becoming part of a movement to transform healthcare benefits. If you thrive in a fast‑paced, customer‑focused environment and are eager to grow your career while making a tangible impact, we want to hear from you. Apply now and start your journey with brighthush, where your voice matters and your work changes lives.