Remote Healthcare Customer Service Representative – Engaging Health Plan Members, Driving Positive Outcomes, and Supporting Brighthush’s Mission to Empower Health
About Brighthush
Brighthush is a forward‑thinking healthcare partner dedicated to transforming the way people experience health and wellness. By leveraging technology, data, and a people‑first philosophy, we help health plans connect members with the right care at the right time. Our remote workforce is the backbone of this mission, enabling us to reach individuals across the United States while offering flexibility, growth, and a culture of continuous learning.
Role Overview
As a Remote Healthcare Customer Service Representative at Brighthush, you will be the friendly voice that guides health plan members through their journey. Your daily interactions will help members understand their benefits, schedule care assessments, and ultimately take proactive steps toward better health. Whether you’re answering a quick question or navigating a complex concern, you’ll play a pivotal role in turning conversations into meaningful outcomes.
Why Brighthush?
- Work from anywhere in the United States (subject to state eligibility).
- Competitive hourly rate of $15.00 with a clear path to overtime and performance bonuses.
- Comprehensive benefits package that includes health, dental, vision, 401(k) with company match, paid time off, and wellness programs.
- Continuous learning opportunities through online courses, mentorship, and cross‑functional projects.
- A culture that values empathy, collaboration, and innovation.
Key Responsibilities
- Engage & Educate: Make outbound calls to members, explain health plan benefits, and introduce in‑home or virtual care assessments.
- Build Rapport: Use a friendly, empathetic tone to establish trust and encourage members to take action.
- Convert Opportunities: Identify member needs, address hesitations, and guide them toward scheduling appointments or enrolling in programs.
- Problem‑Solve: Resolve member inquiries, troubleshoot scheduling issues, and provide clear, solution‑oriented responses.
- Maintain Accuracy: Enter data into the CRM, update member records, and ensure all information is current and compliant.
- Meet Goals: Achieve daily productivity targets, call volume, and conversion metrics while maintaining high quality of service.
- Collaborate: Work closely with the Care Coordination team, Sales, and Technical Support to deliver a seamless member experience.
- Adapt & Improve: Provide feedback on scripts, processes, and tools to continuously enhance the member journey.
Essential Qualifications
- High School Diploma or GED (required).
- Strong computer skills: data entry, screen navigation, and keyboarding speed.
- Proficiency with Microsoft Outlook and Word.
- Excellent verbal and written communication skills.
- Empathy, patience, and a genuine desire to help others.
- Ability to adhere to schedules, daily tasks, and performance metrics.
- Two monitors (minimum 22 inches each) with HDMI and DisplayPort connections ready before your start date.
- Reliable high‑speed internet connection and a quiet, dedicated workspace.
Preferred Qualifications
- Previous experience in a customer service or call center environment.
- Experience in the healthcare or insurance industry.
- Knowledge of health plan benefits, medical terminology, or care coordination processes.
- Familiarity with CRM systems (e.g., Salesforce, Zendesk).
- Experience with outbound calling campaigns and lead qualification.
- Basic understanding of HIPAA privacy regulations.
Skills & Competencies
- Active listening and effective questioning techniques.
- Conflict resolution and de‑escalation skills.
- Time management and prioritization.
- Adaptability in a fast‑moving, remote environment.
- Team collaboration and cross‑functional communication.
- Data‑driven mindset: interpreting metrics and using insights to improve performance.
Tools & Technology
You will be equipped with the following tools to support your daily work:
- CRM platform (e.g., Salesforce) for tracking member interactions.
- VoIP phone system with call recording and analytics.
- Microsoft Office Suite (Outlook, Word, Excel).
- Two‑monitor setup for multitasking and efficient workflow.
- Secure VPN access to protect member data.
Work Environment & Culture
Brighthush fosters a culture of inclusion, respect, and continuous improvement. As a remote team member, you’ll enjoy:
- Flexible scheduling options to accommodate personal commitments.
- Regular virtual team huddles, training sessions, and social events.
- Access to an internal knowledge base and peer‑to‑peer support.
- Recognition programs that celebrate achievements and milestones.
- Open communication channels with leadership and HR.
Career Growth & Development
At Brighthush, we believe in nurturing talent from the ground up. Your journey can include:
- Progression to Senior Customer Service Representative or Team Lead roles.
- Cross‑training in Care Coordination, Sales, or Technical Support.
- Leadership development programs and mentorship opportunities.
- Access to industry certifications (e.g., Certified Customer Experience Professional).
- Annual performance reviews with clear career pathways and compensation adjustments.
Compensation & Benefits
Your base hourly rate is $15.00, with the potential for overtime and performance bonuses. In addition to competitive pay, Brighthush offers a robust benefits package:
- Health, dental, and vision insurance starting from day one.
- 401(k) plan with company match to help you plan for the future.
- Paid time off (PTO) and paid holidays to recharge and spend time with loved ones.
- Flexible spending accounts (FSAs) for medical and dependent care expenses.
- Employee wellness programs, including virtual fitness classes and mental health resources.
- Career development and growth opportunities with tuition reimbursement for relevant courses.
Eligibility & State Restrictions
This remote position is available to U.S. residents in eligible states. Please note that Brighthush does not currently hire in the following states due to internal business considerations: AZ, CA, CO, ME, NE, NJ, NY, NV, OR, WA, MD, RI, WV, AK, HI, CT, DE, VT, or Puerto Rico. If you reside in an eligible state, we encourage you to apply.
Application Process
Ready to make a difference from your home office? Follow these steps to apply:
- Submit your application through the Brighthush career portal.
- Complete any required assessments independently; unauthorized completion may result in disqualification.
- Participate in a phone interview with our hiring team.
- Complete a skills assessment and a role‑specific scenario exercise.
- Receive a formal offer and onboarding instructions.
Join Brighthush Today
If you’re passionate about helping people take charge of their health, thrive in a remote environment, and enjoy a culture that rewards empathy and performance, we want to hear from you. Apply now and become the voice that empowers members to achieve their health goals.
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, age, disability, veteran status, or any other characteristic protected by law.
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