Remote Customer Service Representative – Member Support & Retention Specialist for Health Plans at brighthush

About brighthush

brighthush is a forward‑thinking health‑care solutions provider that empowers individuals and families to navigate complex benefit landscapes with confidence and clarity. With a mission to deliver compassionate, personalized support, we partner with leading health plans, home‑care agencies, hospice providers, and personal‑care organizations to ensure every member receives the care they deserve. Our remote‑first culture blends cutting‑edge technology with a human touch, allowing our team members to thrive from anywhere while making a tangible difference in people’s lives.

Why Join brighthush?

At brighthush, you’ll be part of a dynamic, mission‑driven team that values innovation, empathy, and continuous learning. We champion diversity, equity, and inclusion, and we’re proud to offer flexible remote work arrangements that support work‑life balance. Whether you’re a seasoned customer‑service professional or just starting your career in health‑care support, brighthush provides the tools, training, and growth opportunities you need to excel.

Key Responsibilities

• Member Engagement & Issue Resolution: Serve as the first point of contact for members, providers, and internal staff, identifying and resolving service and retention‑related concerns with a focus on first‑call resolution.
• Education & Advocacy: Educate potential members and community representatives on plan features, benefits, and admission requirements, ensuring they understand their options and the value of their coverage.
• Clinical & Non‑Clinical Triage: Coordinate telephonic intake, assess the nature of each call, and independently resolve non‑clinical issues while escalating clinical matters to the appropriate departments.
• Documentation & Compliance: Accurately record call details, actions taken, and educational content across multiple interdepartmental systems, maintaining compliance with regulatory and internal standards.
• Data Management & Service Scheduling: Enter and reconcile data, process service requests, and follow up to guarantee timely scheduling and delivery of services.
• Benefit Navigation Support: Provide clear guidance on benefit coverage, service expectations, and the appeals process, acting as a trusted resource for consumers and providers alike.

Essential Qualifications

• Minimum of 1 year of customer‑service experience, preferably within healthcare, health‑plan, or related environments.
• Exceptional verbal communication skills, active listening, and a genuine passion for helping others.
• Proficiency in using CRM and ticketing systems, with a keen eye for detail and accuracy.
• Strong problem‑solving abilities and the capacity to remain calm under pressure.
• Dedicated, professional workspace with a reliable high‑speed internet connection and a company‑issued PC.

Preferred Qualifications

• Experience working with health‑plan benefits, home‑care, hospice, or personal‑care services.
• Knowledge of regulatory requirements such as HIPAA, ACA, and state‑specific health‑care laws.
• Prior exposure to remote customer‑service roles and familiarity with virtual collaboration tools.
• Fluency in additional languages (Spanish, French, Mandarin, etc.) is a plus.
• Military Spouse Employment Partnership (MSEP) candidates are encouraged to apply and will receive priority consideration.

Core Skills & Competencies

• Customer‑Centric Mindset: Ability to put the member first, anticipate needs, and deliver solutions that exceed expectations.
• Communication Excellence: Clear, concise, and empathetic verbal and written communication across diverse audiences.
• Technical Proficiency: Comfortable navigating multiple software platforms, data entry, and troubleshooting basic tech issues.
• Adaptability & Resilience: Thrive in a fast‑paced, evolving environment while maintaining a positive attitude.
• Team Collaboration: Work effectively with cross‑functional teams, including clinical staff, billing, and compliance, to ensure seamless member experiences.

Career Growth & Learning Opportunities

At brighthush, we believe in investing in our people. As a Customer Service Representative, you’ll have access to:

• Structured onboarding and mentorship programs that accelerate your learning curve.
• Regular training sessions on the latest health‑care regulations, benefit updates, and customer‑service best practices.
• Clear career pathways to roles such as Senior Support Specialist, Team Lead, or Program Manager.
• Opportunities to cross‑train in related functions like claims processing, member outreach, or quality assurance.
• Annual performance reviews that recognize achievements and outline personalized development plans.

Work Environment & Culture

brighthush fosters a culture of transparency, collaboration, and continuous improvement. Our remote workforce enjoys:

• Flexible scheduling that respects personal commitments while meeting business needs.
• Regular virtual team huddles, social events, and wellness initiatives.
• A supportive leadership team that values feedback and encourages innovative ideas.
• Access to a comprehensive digital resource library, including webinars, e‑learning modules, and industry research.

Compensation, Perks, and Benefits

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

• Base salary aligned with industry standards for remote customer‑service roles.
• Performance‑based bonuses and incentive programs.
• Health, dental, and vision insurance plans with generous coverage options.
• 401(k) retirement plan with company match.
• Paid time off (PTO), holidays, and sick leave.
• Professional development stipend and tuition reimbursement for relevant courses.
• Company‑issued PC, ergonomic accessories, and a stipend for home‑office setup.
• Access to mental‑health resources and employee assistance programs.

How to Apply

If you’re ready to bring your customer‑service expertise to a purpose‑driven, remote team that values growth and impact, we invite you to apply today. Click the link below to submit your application and join brighthush in making a difference in people’s health‑care journeys.

Apply to brighthush

Join brighthush – Where Compassion Meets Innovation

At brighthush, every call you handle is an opportunity to transform a member’s experience, strengthen a provider partnership, and contribute to a healthier community. Your dedication, empathy, and problem‑solving skills will be celebrated, challenged, and rewarded. If you’re passionate about delivering exceptional service in the health‑care space and thrive in a flexible, collaborative environment, we want to hear from you. Apply now and become part of a team that’s redefining member support, one conversation at a time.