Remote Customer Service Representative I – Full‑Time Day Shift, Member & Patient Support for Healthcare Services at brighthush

About brighthush – Transforming Healthcare Through Compassionate Service

At brighthush, we believe that every interaction with a member or patient is an opportunity to make a meaningful difference in their health journey. As a leading provider of comprehensive health services, brighthush combines cutting‑edge medical technology with a deep commitment to community well‑being. Our mission, “to improve health every day,” drives us to deliver exceptional care, innovative solutions, and a supportive environment for both our patients and our employees. Join a team where your voice matters, your growth is nurtured, and your dedication is celebrated.

Position Overview

We are seeking a dedicated, full‑time Remote Customer Service Representative I to become the front‑line champion for our members and patients. This role is perfect for individuals who thrive in a high‑volume call‑center environment, possess strong data‑entry and scheduling skills, and are passionate about resolving inquiries with empathy and efficiency. While the position is remote, candidates must reside in Virginia or North Carolina and be prepared to travel on‑site for training or connectivity troubleshooting when necessary.

Key Responsibilities

• Answer inbound calls from members, patients, and providers, delivering courteous, accurate, and timely assistance.
• Research and resolve inquiries related to member eligibility, prescription benefits, claim payments, and billing concerns.
• Update member records, process payment plans, and handle billing adjustments while maintaining strict confidentiality.
• Schedule appointments, coordinate referrals, and manage patient‑centric logistics across multiple departments.
• Document all interactions in the electronic health record (EHR) system with precision, ensuring compliance with HIPAA and internal policies.
• Identify trends in member inquiries and collaborate with cross‑functional teams to improve processes and reduce repeat calls.
• Participate in ongoing training sessions, webinars, and quality‑assurance reviews to continuously elevate service standards.
• Escalate complex issues to senior specialists or supervisors while providing clear, concise hand‑off notes.
• Maintain a professional, solution‑focused demeanor during high‑stress situations, turning challenges into positive experiences.

Essential Qualifications

• High school diploma or equivalent (GED) required; additional post‑secondary education is a plus.
• Minimum of two (2) years of customer service experience, preferably in a healthcare or high‑volume call‑center setting.
• Demonstrated proficiency in data entry with a focus on accuracy and speed.
• Prior experience scheduling appointments, coordinating referrals, or managing patient flow.
• Strong verbal and written communication skills, with the ability to convey complex information in plain language.
• Comfortable working the standard day shift (8:00 AM – 4:30 PM) and adhering to a consistent schedule.
• Reliable high‑speed internet connection and a quiet, private workspace conducive to professional phone interactions.
• Eligibility to work in the United States and residence in Virginia or North Carolina.

Preferred Qualifications & Additional Skills

• Experience with electronic health record (EHR) platforms, claims processing systems, or pharmacy benefit management tools.
• Familiarity with insurance terminology, member eligibility verification, and prescription benefit structures.
• Certification in Customer Service Excellence (e.g., CCSP, HDI) or related fields.
• Demonstrated ability to meet or exceed key performance indicators (KPIs) such as average handle time, first‑call resolution, and customer satisfaction scores.
• Proficiency in Microsoft Office Suite (Word, Excel, Outlook) and basic troubleshooting of computer hardware/software.
• Multilingual abilities, especially Spanish, are highly valued.

Core Competencies for Success

• Empathy & Active Listening: Ability to understand member concerns and respond with genuine care.
• Problem‑Solving: Quickly diagnose issues, explore solutions, and follow through to resolution.
• Attention to Detail: Accurate data entry and meticulous record‑keeping to protect patient information.
• Time Management: Efficiently handle multiple calls and tasks while maintaining quality standards.
• Team Collaboration: Work closely with supervisors, peers, and clinical staff to ensure seamless service delivery.
• Adaptability: Thrive in a dynamic environment with evolving policies, technology updates, and regulatory changes.

Compensation & Benefits – A Comprehensive Package

Base Pay: $20.65 – $30.78 per hour, commensurate with experience, location, and performance.

Additional compensation opportunities may include shift differentials, overtime, on‑call pay, premium incentives, and performance‑based bonuses.

Health, Wellness, and Financial Security

• Medical, dental, and vision insurance with multiple plan options.
• Life insurance, short‑term and long‑term disability, and critical illness coverage.
• Adoption, fertility, and surrogacy reimbursement up to $10,000 per year.
• Paid time off (vacation, sick leave, holidays) and paid parental/family caregiver leave.
• Emergency backup care for unexpected family needs.
• 401(k)/403(b) retirement plans with employer matching contributions.
• Tuition assistance up to $5,250 annually and discounted educational programs through Guild Education.
• Student loan repayment assistance up to $10,000.
• Pet insurance, legal resources plan, and voluntary supplemental benefits.
• Eligibility for an annual discretionary bonus based on individual and company performance.

Professional Development & Career Growth

At brighthush, your career trajectory is a priority. We invest in continuous learning through:

• Structured onboarding and mentorship programs that pair you with seasoned professionals.
• Regular webinars, workshops, and certifications to expand your healthcare knowledge and customer‑service expertise.
• Clear promotion pathways—from Representative I to Senior Representative, Team Lead, and Management roles.
• Cross‑departmental exposure, allowing you to explore specialties such as claims adjudication, member services management, and health‑information technology.
• Access to an internal learning portal with courses on communication, conflict resolution, data analytics, and more.

Work Environment & Culture at brighthush

Our remote workforce is united by a shared purpose and a supportive culture that values diversity, inclusion, and belonging. Highlights include:

• Inclusive Community: brighthush proudly embraces a workforce of nearly 30,000 members, reflecting the rich diversity of the communities we serve.
• Collaborative Spirit: Virtual team huddles, peer‑recognition programs, and open‑door communication channels keep everyone connected.
• Well‑Being Focus: A tobacco‑free environment, mental‑health resources, and wellness challenges promote a balanced lifestyle.
• Recognition & Rewards: Employee of the Month awards, spot bonuses, and celebration of milestones reinforce a culture of appreciation.
• Technology Enablement: State‑of‑the‑art call‑center platforms, secure VPN access, and ergonomic home‑office stipends ensure you have the tools to succeed.

Why Choose brighthush?

Choosing a career with brighthush means aligning yourself with an organization that places people—both patients and employees—at the heart of everything we do. You’ll be part of a mission‑driven team that:

• Delivers high‑quality, compassionate care to thousands of members daily.
• Offers a stable, competitive salary with transparent pay structures.
• Provides a robust benefits suite that supports your health, family, and financial goals.
• Encourages lifelong learning and offers clear pathways for advancement.
• Celebrates diversity, equity, and inclusion as core organizational values.

How to Apply

If you are ready to bring your customer‑service expertise to a purpose‑filled organization and make a tangible impact on the health and happiness of our members, we want to hear from you. Click the link below to submit your application, upload your resume, and begin your journey with brighthush today.

Apply Now – Remote Customer Service Representative I

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, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected characteristic.