Remote Customer Service Representative – Member & Provider Support Specialist at brighthush

About brighthush

brighthush is a forward‑thinking, technology‑driven organization that is redefining how people experience health and wellness. With a mission to empower individuals and communities through accessible, high‑quality care, brighthush partners with leading health plans, providers, and technology innovators to deliver seamless, personalized support. Our remote‑first culture empowers employees to work from anywhere while staying connected to a vibrant, collaborative team that values diversity, inclusion, and continuous learning.

Why Join brighthush?

• Impactful Work – Every interaction you have helps members navigate complex benefits, resolve concerns, and ultimately improve their health outcomes.
• Flexible Remote Environment – Work from the comfort of your home with a company‑issued PC and a dedicated workspace, while enjoying a healthy work‑life balance.
• Career Growth – brighthush invests in your professional development through mentorship, training programs, and clear advancement pathways.
• Inclusive Culture – We celebrate diverse perspectives and provide a supportive environment where every voice is heard.
• Competitive Compensation & Perks – Competitive salary, health benefits, paid time off, and a range of employee wellness programs.

Key Responsibilities

As a Remote Customer Service Representative at brighthush, you will be the frontline advocate for our members and providers. Your day‑to‑day tasks will include:

• Delivering high‑quality member and provider support by resolving service inquiries, addressing retention concerns, educating stakeholders on plan benefits, and achieving first‑call resolution whenever possible.
• Managing customer service requests through telephonic intake, independently resolving non‑clinical issues, escalating clinical concerns appropriately, and ensuring timely follow‑up and service delivery.
• Maintaining accurate documentation and data management by recording call details, processing requests, reconciling information across systems, and supporting compliance and reporting requirements.
• Serving as a trusted resource for members, providers, and internal teams by explaining benefit coverage, service processes, appeals, and troubleshooting issues while fostering strong customer‑focused relationships.
• Upholding regulatory and performance standards by protecting confidentiality, complying with federal and state requirements, demonstrating empathy and effective communication, meeting contact center metrics, and contributing to continuous process improvement.

Essential Qualifications

• Minimum of 1 year of customer service experience, preferably in a healthcare, health plan, or related environment.
• Strong verbal communication, active listening, and customer service skills with the ability to build rapport and resolve concerns effectively.
• Proficiency in using CRM and call‑center software; experience with Microsoft Office Suite (Word, Excel, Outlook).
• Ability to work independently in a remote setting, manage time effectively, and maintain a professional workspace.
• High level of integrity and confidentiality, with a strong understanding of HIPAA and other privacy regulations.
• Military Spouse Employment Partnership (MSEP) candidates are encouraged to apply and will receive priority consideration.

Preferred Qualifications

• Experience in a call center or contact center environment, especially within the health insurance industry.
• Knowledge of health plan benefits, provider networks, and claims processes.
• Experience with data entry, reporting, and analytics tools.
• Multilingual abilities or experience serving diverse populations.
• Previous remote work experience with a proven track record of meeting or exceeding performance metrics.

Skills & Competencies

• Customer‑Centric Mindset – Passion for helping others and a genuine desire to improve member experiences.
• Problem‑Solving – Ability to analyze issues, identify root causes, and implement effective solutions quickly.
• Communication – Clear, concise, and empathetic communication across multiple channels (phone, email, chat).
• Adaptability – Comfortable navigating changing processes, policies, and technology platforms.
• Team Collaboration – Willingness to collaborate with cross‑functional teams, share insights, and contribute to continuous improvement.
• Time Management – Strong organizational skills to handle multiple tasks and priorities in a fast‑paced environment.

Career Growth & Learning Opportunities

At brighthush, we believe that growth is a shared journey. As a Remote Customer Service Representative, you will have access to:

• Structured onboarding and mentorship programs to accelerate your learning curve.
• Regular training sessions on industry best practices, new technologies, and regulatory updates.
• Internal career pathways that allow you to transition into roles such as Senior Support Specialist, Team Lead, or Process Improvement Analyst.
• Opportunities to participate in cross‑functional projects, enhancing your skill set and expanding your professional network.
• Access to a digital learning library, webinars, and conferences to keep you at the forefront of customer service innovation.

Work Environment & Culture at brighthush

Our remote work model is built on trust, flexibility, and collaboration. You will:

• Receive a company‑issued PC and all necessary software to perform your duties efficiently.
• Participate in weekly virtual team huddles, knowledge‑sharing sessions, and social events.
• Enjoy a culture that values mental and physical well‑being, with resources such as virtual fitness classes, mindfulness sessions, and wellness challenges.
• Benefit from a transparent communication style, where feedback is encouraged and ideas are welcomed.
• Be part of a diverse workforce that celebrates different backgrounds, experiences, and perspectives.

Compensation & Benefits

While specific figures may vary based on experience and location, brighthush offers a competitive salary package that includes:

• Base salary commensurate with industry standards and your experience level.
• Health, dental, and vision insurance options.
• Paid time off (vacation, sick leave, personal days) and holiday schedule.
• 401(k) retirement plan with company match.
• Employee assistance program (EAP) for mental health support.
• Professional development stipend and tuition reimbursement for relevant courses.
• Flexible work hours and a robust remote‑work policy.

How to Apply

If you are passionate about delivering exceptional customer experiences, thrive in a remote setting, and want to make a tangible impact on people’s health journeys, we encourage you to apply today. Join brighthush and become part of a team that is dedicated to innovation, inclusion, and excellence.

Ready to take the next step? Submit your application through our careers portal or contact our recruitment team for more information. We look forward to welcoming you to the brighthush family!