Remote Customer Service Specialist – Health Benefits & Enrollment Support – Join brighthush
Introduction
At brighthush, we are redefining how people connect with the health benefits they deserve. As a leading partner in public‑sector service delivery, brighthush empowers state and local governments to deliver seamless, customer‑centric solutions that improve outcomes for millions of citizens. Our Health Benefits & Enrollment Support team plays a pivotal role in ensuring that individuals across Texas can access the programs and resources that keep them healthy, secure, and empowered.
We are looking for a dedicated, customer‑focused professional to join our remote Customer Service Specialist team. If you thrive in a fast‑paced environment, love helping people solve real‑world problems, and want to be part of a mission‑driven organization that values innovation, diversity, and continuous learning, we want to hear from you.
Key Responsibilities
As a Remote Customer Service Specialist, you will be the frontline advocate for our clients, delivering accurate, timely, and compassionate support across multiple channels. Your day‑to‑day tasks will include:
- Answering inbound inquiries via telephone, Interactive Voice Response (IVR), web chat, and other approved contact methods while adhering to performance standards, policies, and privacy regulations.
- Providing clear, accurate information about health benefit programs, enrollment procedures, and service options to consumers, prospective enrollees, and representatives.
- Documenting every interaction in our customer relationship management (CRM) system, ensuring data integrity and compliance with confidentiality requirements.
- Executing transactions and tasks—such as enrollment updates, benefit adjustments, and document requests—according to established guidelines to guarantee accuracy and completeness.
- Navigating multiple computer systems simultaneously, entering data efficiently, and troubleshooting basic technical issues while maintaining a positive customer experience.
- Coordinating the fulfillment of customer requests for materials via mail, email, or electronic delivery, ensuring timely and secure delivery.
- Escalating complex or sensitive issues to the appropriate internal or external stakeholders, following escalation protocols and ensuring timely resolution.
- Facilitating translation or interpretation services for non‑English speaking customers, ensuring clear communication and compliance with accessibility standards.
- Collaborating with supervisors and team members to identify service improvement opportunities, share best practices, and maintain up‑to‑date knowledge of all programs, systems, and policies.
- Meeting or exceeding Quality Assurance (QA), productivity, and other key performance metrics, and participating in continuous improvement initiatives.
- Attending required training sessions, workshops, and team meetings to stay current on program updates, technology enhancements, and regulatory changes.
- Performing any additional duties as assigned by management to support the overall success of the team and organization.
Essential Qualifications
- High school diploma or GED (or equivalent combination of education and experience).
- 0–6 months of relevant professional experience in customer service, call center, or health benefits support.
- Proficient typing skills (minimum 35 words per minute) and strong written communication abilities.
- Demonstrated ability to work under pressure, maintain composure, and deliver high‑quality service during peak call volumes.
- Strong organizational skills and the ability to prioritize tasks effectively in a dynamic environment.
- Basic computer aptitude in Windows and/or Mac operating systems, with familiarity in using multiple applications simultaneously.
- Capacity to handle 100+ calls per day, including repetitive inquiries, while maintaining accuracy and empathy.
- Commitment to confidentiality and adherence to privacy regulations (e.g., HIPAA, FERPA).
Preferred Qualifications
- Prior experience in a health benefits, insurance, or public‑sector customer service role.
- Knowledge of health benefit programs such as Medicaid, CHIP, or other state‑level initiatives.
- Experience with CRM platforms (e.g., Salesforce, Zendesk) and call‑center software.
- Multilingual proficiency (Spanish, French, or other languages) is a plus.
- Certification in customer service or call‑center operations (e.g., Certified Customer Service Professional).
- Experience with data entry, document management, and electronic communication tools.
Skills & Competencies
- Customer‑Centric Mindset: Passion for helping others and a genuine desire to improve the customer experience.
- Communication: Clear, concise, and empathetic verbal and written communication skills.
- Problem‑Solving: Ability to analyze situations, identify root causes, and implement effective solutions.
- Adaptability: Comfortable working in a fast‑paced, evolving environment and quickly learning new systems.
- Team Collaboration: Willingness to share knowledge, support peers, and contribute to a positive team culture.
- Attention to Detail: Meticulous data entry and documentation practices to ensure compliance and accuracy.
- Time Management: Efficiently manage multiple tasks and priorities while meeting performance targets.
Career Growth & Learning Opportunities
At brighthush, we believe that professional development is a shared responsibility. As a Customer Service Specialist, you will have access to:
- Comprehensive onboarding and paid training programs that cover program knowledge, system navigation, and customer‑service best practices.
- Ongoing workshops, webinars, and conferences that keep you at the forefront of industry trends and regulatory changes.
- Clear career pathways, including opportunities to advance to Senior Specialist, Team Lead, or Program Analyst roles.
- Mentorship programs that pair you with experienced leaders to guide your growth and skill development.
- Access to a robust learning platform with courses on communication, data analytics, and health policy.
Work Environment & Culture
brighthush fosters a culture of inclusion, innovation, and impact. Our remote work model offers flexibility while maintaining strong team cohesion through:
- Regular virtual team huddles, knowledge‑sharing sessions, and cross‑functional collaboration.
- Open‑door communication channels with leadership, ensuring your voice is heard and valued.
- A commitment to work‑life balance, with flexible scheduling options and a supportive environment.
- Recognition programs that celebrate achievements, milestones, and contributions to our mission.
Compensation & Benefits
While specific salary ranges may vary based on experience, we offer a competitive compensation package that includes:
- Base salary commensurate with industry standards and your experience level.
- Paid, comprehensive training with a $1.00 per hour increase upon successful completion.
- Full‑time remote work with an initial onsite orientation day.
- Health, dental, vision, and prescription insurance plans, along with a partially funded Health Savings Account (HSA).
- 401(k) retirement savings plan with company matching.
- Paid time off, holidays, sick leave, and short‑ and long‑term disability coverage.
- Employee Assistance Program (EAP) for physical, emotional, and financial wellness.
- Tuition reimbursement for approved courses and certifications.
- Employee discounts on auto, home, renter’s, pet insurance, and other partner services.
- Recognition platform and bonus opportunities based on performance.
- Equipment and technology stipend to support your remote work setup.
How to Apply
Ready to make a difference in the lives of Texans while advancing your career? Click the link below to submit your application and join the brighthush team.
We look forward to welcoming you to a community that values your expertise, supports your growth, and celebrates your impact.
Apply for this job