Remote Patient Care Advocate – Prescription Payment Plan Specialist & Customer Success Champion at brighthush

About brighthush

At brighthush, we’re on a mission to transform the way patients access the medications they need. By partnering with insurance carriers, healthcare providers, and pharmacies, we create a seamless Prescription Payment Plan that dramatically reduces out‑of‑pocket costs for millions of people. Our team is driven by compassion, innovation, and a relentless focus on customer experience. If you’re passionate about making a tangible difference in people’s lives and thrive in a fast‑paced, remote environment, brighthush is the place for you.

Why This Role Matters

As a Remote Patient Care Advocate, you’ll be the frontline champion who guides patients through every step of the Prescription Payment Plan. From enrollment to renewal, you’ll ensure that patients receive the coverage they deserve, while maintaining compliance with program rules and fostering a positive experience that keeps them coming back. Your work directly translates into lower medication costs, higher adherence, and improved health outcomes.

Key Responsibilities

• Patient Enrollment & Eligibility Verification – Assist patients in completing enrollment forms, gather required personal and insurance information, and verify eligibility against program criteria.
• Prescription Coverage Management – Confirm that prescribed medications are covered, navigate formulary restrictions, and secure approvals for eligible drugs.
• Cost‑Sharing & Payment Optimization – Apply program benefits to reduce copayments and coinsurance, and coordinate additional copay assistance when available.
• Prescription Fulfillment Coordination – Work closely with participating pharmacies to ensure benefits are applied correctly at the point of sale, guaranteeing patients pay the reduced amount.
• Refill & Continuity Support – Monitor refill requests, verify ongoing eligibility, and provide guidance to patients to maintain uninterrupted medication access.
• Program Renewal & Updates – Educate patients on annual renewal processes, inform them of formulary changes, and update enrollment status as needed.
• Data Accuracy & Compliance – Maintain meticulous records, adhere to privacy regulations, and ensure all interactions meet program compliance standards.
• Customer Satisfaction & Feedback – Deliver exceptional service, resolve issues promptly, and gather patient feedback to continuously improve the program experience.

Essential Qualifications

• High school diploma or GED (college coursework or a degree is a plus).
• Minimum of 1–2 years of experience in healthcare, insurance, or customer service, preferably with prescription assistance programs.
• Strong attention to detail and the ability to navigate complex processes with accuracy.
• Excellent verbal and written communication skills, capable of building rapport with patients, providers, and pharmacies.
• Proficiency with CRM systems, Microsoft Office Suite, and a willingness to learn new software quickly.
• Self‑motivated, independent worker who thrives in a remote setting.
• Demonstrated commitment to empathy, patient advocacy, and improving access to care.

Preferred Qualifications

• Experience with prescription benefit management or pharmacy benefit manager (PBM) platforms.
• Knowledge of insurance terminology, formulary structures, and copay assistance programs.
• Prior experience in a remote or virtual customer support role.
• Fluency in additional languages (Spanish, French, etc.) is a plus.

Core Competencies & Skills

• Customer‑Centric Mindset – Always putting the patient’s needs first and striving to exceed expectations.
• Problem‑Solving – Quickly identifying issues, researching solutions, and implementing effective fixes.
• Time Management – Prioritizing tasks, meeting deadlines, and balancing multiple patient interactions simultaneously.
• Collaboration – Working seamlessly with cross‑functional teams, including enrollment specialists, pharmacy partners, and compliance officers.
• Adaptability – Adjusting to evolving policies, technology updates, and shifting patient needs.
• Data Integrity – Maintaining accurate, up‑to‑date records and ensuring confidentiality of sensitive information.

Career Growth & Learning Opportunities

At brighthush, we believe in nurturing talent and providing clear pathways for advancement. As a Patient Care Advocate, you’ll have the chance to:

• Progress to a Senior Advocate role, overseeing complex cases and mentoring new hires.
• Transition into Program Management, where you’ll shape policy, improve processes, and influence the future of prescription payment plans.
• Explore opportunities in Customer Success, Compliance, or Operations, leveraging your experience to drive organizational impact.
• Participate in continuous learning through webinars, industry conferences, and internal training modules.
• Earn certifications in healthcare customer service, pharmacy benefit management, or related fields at no cost to you.

Work Environment & Culture at brighthush

We’re a fully remote, inclusive, and collaborative team that values transparency, innovation, and work‑life balance. Our culture is built on:

• Flexibility – Choose your own schedule within core hours to accommodate personal commitments.
• Community – Monthly virtual town halls, team‑building events, and a vibrant Slack community keep us connected.
• Diversity & Inclusion – We celebrate diverse perspectives and are committed to creating an environment where everyone feels respected and empowered.
• Recognition – Regular shout‑outs, performance bonuses, and a peer‑to‑peer recognition program highlight outstanding contributions.
• Well‑Being – Access to mental health resources, wellness stipends, and flexible PTO ensure you stay healthy and energized.

Compensation & Perks

We offer a competitive compensation package designed to reward your expertise and dedication:

• Hourly Rate – $16.50 per hour, with potential for overtime and performance bonuses.
• Comprehensive Benefits – Full medical, dental, and vision coverage for you and your family.
• Technology Stipend – $25/month per line for unlimited phone, text, and data (subject to restrictions).
• Equipment Provision – All necessary hardware and software will be supplied to ensure you can work efficiently from home.
• Referral Program – Earn $50 per paycheck for every successful referral, with no cap on payouts.
• Paid Training – Structured onboarding and ongoing training to equip you for success.
• Professional Development – Opportunities to attend industry conferences, earn certifications, and pursue advanced education.

Success Metrics

Your impact will be measured by:

• Reduction in patient out‑of‑pocket costs through effective cost‑sharing.
• Timely and accurate processing of prescription claims and approvals.
• High patient satisfaction scores and positive feedback.
• Compliance with program requirements and continuous monitoring of patient eligibility.

Ready to Make an Impact?

If you’re driven by a desire to help patients access affordable medications, thrive in a remote, collaborative setting, and are eager to grow your career in healthcare, we want to hear from you. Join brighthush and become part of a team that is redefining patient care and making a real difference in people’s lives.

How to Apply

Click the link below to submit your application and take the first step toward a rewarding career at brighthush.