Mid-Level Remote Customer Care Representative – Dental & Vision Benefits Specialist – Brighthush

About Brighthush

Brighthush is a leading provider of specialty benefits solutions, empowering health plans, employers, and government agencies to deliver seamless dental, vision, and medical benefits to members across the country. Leveraging cutting‑edge technology and a customer‑centric approach, Brighthush transforms the way benefits are administered, ensuring that every member experiences the highest level of service and support. As a fully remote organization, we bring together a diverse team of professionals who thrive on collaboration, innovation, and a shared commitment to excellence.

Why Join Brighthush?

At Brighthush, we believe that exceptional customer service is the cornerstone of a thriving benefits ecosystem. Our Customer Care team is the first line of contact for thousands of members and providers, and we are looking for passionate, empathetic individuals who can turn every interaction into a memorable experience. By joining Brighthush, you will:

• Work in a fully remote environment with flexible start times that fit your lifestyle.
• Receive comprehensive training and ongoing coaching to master the intricacies of dental and vision benefits.
• Enjoy a clear career path with opportunities to advance into senior support roles, team leadership, or specialized product expertise.
• Be part of a culture that values continuous learning, innovation, and recognition for outstanding performance.
• Benefit from a competitive pay structure, including a $2.00/hour differential on Mondays and Tuesdays, and the potential for overtime, evenings, weekends, and holiday work during peak periods such as the Annual Medicare Open Enrollment.

Key Responsibilities

As a Customer Care Representative at Brighthush, you will be the voice of our organization, ensuring that every member and provider receives accurate, timely, and compassionate support. Your day‑to‑day duties will include:

• Answering inbound calls from dental and vision members regarding eligibility, benefit coverage, authorizations, claims, and provider location.
• Utilizing your knowledge of claim adjustments and resubmission processes to resolve provider requests efficiently.
• Providing feedback to Provider Relations staff on high‑level claim issues, such as reimbursement schedule conflicts or discrepancies, to facilitate prompt resolution.
• Supporting enrollment activities, including assigning primary care providers and updating third‑party insurance information.
• Acting as a liaison between Brighthush and client Member Services teams to resolve eligibility questions, filing appeals, and grievances.
• Updating providers on the status of their credentialing applications and guiding them through the process.
• Educating callers on the benefits of using the provider web portal and directing them to self‑service resources.
• Ensuring all calls are answered in accordance with company and client guidelines, and accurately documenting call information and resolutions in our internal systems.
• Applying effective diffusion techniques to make customers feel heard, valued, and supported.
• Escalating complex issues to the appropriate leadership team members in a timely manner.

Additional Responsibilities

• Providing recommendations for system enhancements and process improvements to management.
• Keeping the Provider Relations team informed of provider manual discrepancies, location changes, or other provider‑related issues.
• Participating in departmental projects and initiatives that drive operational excellence.

Essential Qualifications

To thrive in this role, you should possess the following:

• High school diploma or equivalent.
• Minimum of 1 year of customer service experience in healthcare, call center, banking, or retail environments.
• Proficiency with Microsoft Office (Word, Excel, Outlook) and the ability to navigate multiple systems simultaneously.
• Strong data entry and typing skills, with a keen eye for detail.
• Excellent listening and communication skills, coupled with a natural ability to empathize with customers.
• Critical thinking and problem‑solving abilities to quickly analyze requests and provide appropriate solutions.
• Flexibility to work occasional overtime, evenings, weekends, and holidays as business needs dictate.

Preferred Qualifications

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

• 1+ years of customer service experience specifically within the dental, vision, or medical insurance industry.
• Previous experience working in a virtual or remote environment.
• Familiarity with dental, vision, and/or medical insurance terminology and processes.

Skills & Competencies

Success at Brighthush requires a blend of technical and interpersonal skills:

• Customer‑Centric Mindset: A genuine desire to help members and providers achieve their goals.
• Communication Excellence: Clear, concise, and empathetic verbal and written communication.
• Technical Proficiency: Comfortable using CRM systems, knowledge bases, and web portals.
• Time Management: Ability to juggle multiple tasks while maintaining high quality.
• Adaptability: Quick to learn new processes and adjust to changing priorities.
• Team Collaboration: Willingness to share insights and support colleagues across departments.

Career Growth & Learning Opportunities

Brighthush is committed to investing in your professional development. As a Customer Care Representative, you will have access to:

• Structured onboarding and continuous training modules covering product knowledge, compliance, and customer service best practices.
• Mentorship programs pairing you with experienced team members and leaders.
• Cross‑functional projects that expose you to other areas such as Provider Relations, Claims Processing, and Product Development.
• Opportunities to pursue certifications in customer service, healthcare administration, or related fields.
• Clear advancement pathways to senior support roles, team leads, or specialized product experts.

Work Environment & Culture

Brighthush fosters a culture of inclusivity, innovation, and recognition. Our remote workforce enjoys:

• Flexible scheduling that respects work‑life balance.
• Regular virtual team huddles, knowledge‑sharing sessions, and social events.
• A transparent communication style that encourages feedback and continuous improvement.
• Recognition programs that celebrate outstanding customer service and teamwork.

Compensation & Benefits

While specific figures may vary based on role and experience, Brighthush offers a competitive compensation package that includes:

• Base hourly rate with a $2.00/hour differential on Mondays and Tuesdays.
• Potential for overtime, evening, weekend, and holiday pay during peak periods such as the Annual Medicare Open Enrollment.
• Health, dental, and vision insurance options for employees and eligible dependents.
• 401(k) retirement plan with company match.
• Paid time off, including vacation, sick leave, and holidays.
• Professional development budget and access to online learning platforms.
• Employee wellness programs and resources.

How to Apply

Ready to bring your customer‑service expertise to a dynamic, remote team? Click the link below to submit your application and join Brighthush in shaping the future of specialty benefits.