Remote Customer Service Advocate – Temporary to Permanent Health Benefits Support Specialist at brighthush

About brighthush

brighthush is a trailblazing health benefits provider that empowers individuals and families across the United States to navigate the complex world of health insurance with confidence and clarity. With a mission to make health coverage accessible, understandable, and affordable, brighthush partners with employers, health plans, and community organizations to deliver personalized support and innovative solutions. Our remote-first culture values flexibility, collaboration, and continuous learning, allowing our team members to thrive in a dynamic, purpose-driven environment.

Why Join brighthush?

At brighthush, you’ll be part of a forward‑thinking organization that places people at the center of everything we do. We celebrate diversity, champion inclusion, and foster a culture of respect and transparency. As a Remote Customer Service Advocate, you’ll have the opportunity to make a tangible impact on the lives of our members while enjoying the freedom and balance that comes with a fully remote role.

Key Highlights

• Fully remote position – work from anywhere in the United States
• Competitive hourly rate of $19.00–$22.25, with potential to transition to a full‑time, salaried role
• Opportunities for overtime and flexible scheduling to accommodate your lifestyle
• Comprehensive benefits package for full‑time employees, including health, dental, vision, 401(k), and paid time off
• Continuous learning and professional development programs
• Inclusive, supportive, and collaborative team culture

Role Overview

As a Remote Customer Service Advocate at brighthush, you will serve as the frontline voice for our members, providing timely, accurate, and compassionate assistance with benefits, claims, and eligibility inquiries. You will act as an advocate, ensuring that each member’s experience is seamless and positive, while collaborating with providers, plan administrators, and internal stakeholders to resolve complex issues.

Primary Responsibilities

• Handle inbound calls and chat inquiries from members regarding benefits, claims, eligibility, and plan details.
• Accurately document all member interactions in the CRM system, ensuring data integrity and compliance with privacy regulations.
• Advocate for members by navigating claims processes, resolving denials, and coordinating with providers to expedite care.
• Educate members on plan benefits, coverage options, and cost‑sharing responsibilities, empowering them to make informed decisions.
• Escalate complex or unresolved issues to the appropriate internal teams, following established escalation protocols.
• Maintain up‑to‑date knowledge of plan rules, policy changes, and regulatory requirements to provide accurate guidance.
• Participate in continuous improvement initiatives, sharing insights and suggestions to enhance member experience and operational efficiency.
• Adhere to all company policies, quality standards, and performance metrics, including call handling time, first‑call resolution, and member satisfaction scores.
• Support team collaboration by sharing best practices, contributing to knowledge bases, and mentoring new hires.

Essential Qualifications

• High school diploma or equivalent; associate’s degree preferred.
• Minimum of 1–2 years of customer service experience, preferably in a health insurance or benefits environment.
• Strong verbal and written communication skills, with the ability to explain complex information in a clear and empathetic manner.
• Proficiency with computer systems, CRM platforms, and Microsoft Office Suite.
• Demonstrated ability to handle high‑volume, fast‑paced work while maintaining accuracy and attention to detail.
• Excellent problem‑solving skills and a proactive, solution‑oriented mindset.
• Commitment to confidentiality and compliance with HIPAA and other privacy regulations.
• Flexibility to work variable hours, including evenings, weekends, and holidays as needed.

Preferred Qualifications

• Experience working with electronic health record (EHR) systems or claims processing software.
• Knowledge of health insurance terminology, plan structures, and regulatory frameworks (e.g., ACA, Medicare, Medicaid).
• Previous experience in a remote or virtual customer support role.
• Certification in customer service or healthcare support (e.g., Certified Customer Service Professional).
• Multilingual abilities, especially in Spanish or other widely spoken languages in the U.S.

Key Skills & Competencies

• Empathy & Compassion: Ability to connect with members and understand their unique needs.
• Communication: Clear, concise, and professional communication across multiple channels.
• Technical Proficiency: Comfortable navigating multiple software applications and troubleshooting basic technical issues.
• Time Management: Efficiently manage call queues, documentation, and follow‑ups within tight deadlines.
• Adaptability: Thrive in a fast‑changing environment, quickly learning new policies and procedures.
• Team Collaboration: Work effectively with cross‑functional teams to resolve member issues.
• Analytical Thinking: Assess situations, identify root causes, and recommend actionable solutions.

Career Growth & Development

At brighthush, we believe in investing in our people. As a Remote Customer Service Advocate, you’ll have access to a range of learning opportunities, including:

• Onboarding training modules covering health benefits, claims processes, and customer service best practices.
• Ongoing professional development courses in healthcare compliance, communication skills, and leadership.
• Mentorship programs pairing new hires with experienced advocates for guidance and support.
• Clear career pathways to roles such as Senior Advocate, Team Lead, Claims Specialist, or Program Manager.
• Annual performance reviews with actionable feedback and personalized growth plans.

Work Environment & Culture

brighthush’s remote-first culture means you’ll enjoy the flexibility to work from your preferred location while staying connected to a vibrant, collaborative team. Our culture is built on:

• Inclusivity: A diverse workforce that values different perspectives and experiences.
• Transparency: Open communication channels and regular updates from leadership.
• Well‑being: Resources for mental health, physical fitness, and work‑life balance.
• Recognition: Celebrating achievements through shout‑outs, awards, and team celebrations.
• Innovation: Encouraging creative problem‑solving and continuous improvement.

Compensation & Benefits

For the temporary remote role, you will receive an hourly rate of $19.00–$22.25, with the potential to transition to a full‑time, salaried position. Full‑time employees at brighthush enjoy a comprehensive benefits package, including:

• Health, dental, and vision insurance plans with competitive premiums.
• 401(k) retirement plan with company match.
• Paid time off (vacation, sick leave, holidays) and flexible scheduling.
• Employee assistance program (EAP) for mental health support.
• Professional development stipend and tuition reimbursement.
• Well‑being initiatives such as wellness challenges, gym memberships, and mindfulness resources.
• Regular team virtual events and opportunities for in‑person gatherings when safe.

How to Apply

If you are passionate about helping people navigate their health benefits and thrive in a remote, collaborative environment, we encourage you to apply today. Join brighthush and become part of a mission‑driven team that values your expertise, supports your growth, and celebrates your contributions.

Ready to make a difference? Click the link below to submit your application and start your journey with brighthush.