Seasoned Bilingual Spanish/English Customer Service Representative – Remote, Full‑Time, Healthcare Claims & Benefits Support Specialist at brighthush

About brighthush

brighthush is a trailblazer in the healthcare administration arena, delivering world‑class claims processing and employee benefits solutions to a diverse portfolio of employers, insurance carriers, and healthcare providers across the United States. Founded in the bustling heart of Manhattan, New York, we have grown into a national powerhouse, now extending our reach with a vibrant satellite hub in sunny Florida. Our mission is clear: empower individuals to navigate their benefits with confidence, while providing partners with unmatched service quality and operational excellence.

At brighthush, every interaction is an opportunity to make a difference. Whether you’re helping a member file a claim, clarifying a benefit detail, or resolving a complex issue, your work directly influences the well‑being of thousands of employees and their families. We nurture a culture of collaboration, continuous learning, and innovation—values that propel our success and set us apart in a highly competitive industry.

Why Join brighthush?

• Competitive Compensation: Earn $14.00 per hour, with opportunities for overtime and performance bonuses.
• Comprehensive Benefits: Medical, dental, vision, mental health, and pharmacy coverage—designed to support you and your loved ones.
• Remote Flexibility: Work from anywhere in Florida, with a fully equipped home‑office stipend and flexible scheduling.
• Career Growth: Structured learning paths, mentorship programs, and internal promotion pipelines.
• Inclusive Culture: A diverse, supportive environment that values work‑life balance and personal well‑being.
• Impactful Work: Your role directly improves the lives of employees and strengthens our partners’ relationships.

Job Summary

As a Bilingual Customer Service Representative at brighthush, you will serve as the first line of support for our clients’ employees. You will handle inbound and outbound calls, resolve inquiries related to benefit programs, and maintain accurate member data across multiple systems. Your ability to communicate clearly in both Spanish and English, combined with a passion for customer service, will help us deliver the high‑quality experience our partners expect.

Key Responsibilities

• Provide comprehensive assistance to callers regarding employer benefit programs, including health, dental, vision, and supplemental plans.
• Guide members through claim filing, direct deposit setup, and new vendor card issuance.
• Update and maintain member demographic information in internal CRM and external partner systems.
• Capture and advise on plan elections, ensuring employees understand and maximize their benefits.
• Conduct provider searches, enroll dependents, and coordinate seamless benefits experiences.
• Act as a liaison for escalated issues, collaborating with Account Managers to resolve complex inquiries.
• Manage a high volume of calls while employing de‑escalation techniques and striving for first‑call resolution.
• Maintain detailed call logs and documentation to ensure thorough follow‑up and timely resolution.
• Participate in outreach campaigns, building strong relationships with clients and their employees.
• Collaborate with a team of Account Specialists and Managers to monitor and resolve pending eligibility issues.

Essential Qualifications

• Fluency in both Spanish and English (spoken and written).
• Minimum of 1 year of customer service experience, preferably in a call‑center environment.
• Strong communication skills with the ability to convey complex information clearly and empathetically.
• Basic understanding of employee benefits, insurance terminology, and related products/services.
• Proficiency with computer systems, including CRM platforms, Microsoft Office Suite, and the ability to learn new software quickly.
• Experience using standard office equipment (fax, copier, postage machines).
• Ability to manage a high volume of calls, especially during peak periods, while maintaining a positive and professional demeanor.
• Team player who thrives in a collaborative environment but can also work independently.

Preferred Qualifications

• Experience in the healthcare industry, particularly in claims administration or benefits support.
• Knowledge of healthcare regulations (HIPAA, ACA) and compliance standards.
• Previous exposure to benefit enrollment platforms or vendor management systems.
• Experience with call‑center metrics and performance dashboards.
• Certifications in customer service or healthcare administration.

Core Skills & Competencies

• Exceptional verbal and written communication in Spanish and English.
• Active listening and problem‑solving abilities.
• Time management and organizational skills.
• Technical proficiency with CRM, ticketing, and reporting tools.
• Adaptability to changing processes and technologies.
• Strong customer‑centric mindset and empathy.
• Team collaboration and cross‑functional coordination.

Career Growth & Learning Opportunities

At brighthush, we invest in your professional development. As a Customer Service Representative, you will have access to:

• On‑boarding training modules covering healthcare claims, benefits, and compliance.
• Monthly skill‑building workshops on communication, conflict resolution, and technology tools.
• Mentorship programs pairing you with senior Account Specialists and Directors.
• Internal career ladder that includes roles such as Senior Customer Support Specialist, Team Lead, and Account Manager.
• Annual performance reviews with clear metrics and growth plans.
• Opportunities to cross‑train in related departments (e.g., Claims Processing, Vendor Relations).

Work Environment & Culture at brighthush

Our remote‑first culture means you can work from the comfort of your home while staying connected to a vibrant, collaborative team. We prioritize:

• Regular virtual team huddles and knowledge‑sharing sessions.
• Transparent communication channels—Slack, Teams, and weekly all‑hands meetings.
• Inclusive policies that celebrate diversity and promote equity.
• Well‑being initiatives, including mental health resources, virtual fitness classes, and flexible scheduling.
• Recognition programs that celebrate milestones, achievements, and innovative ideas.

Compensation & Benefits

In addition to a competitive hourly rate, brighthush offers:

• Health, dental, and vision insurance plans with employer contributions.
• Mental health coverage, including counseling and therapy services.
• Pharmacy benefits and prescription coverage.
• Paid time off (vacation, sick leave, personal days) with accrual based on tenure.
• Retirement savings plan (401(k) with company match).
• Home‑office stipend to ensure you have the tools you need.
• Employee assistance program (EAP) for personal and professional support.

How to Apply

If you are a bilingual Spanish/English speaker with a passion for customer service and a desire to make a real difference in people’s lives, we want to hear from you. Submit your resume and a brief cover letter outlining your experience and why you’re excited about this role at brighthush. We look forward to welcoming you to our team and supporting your growth as a valued member of our remote workforce.

Join brighthush today and become part of a company that values your expertise, supports your well‑being, and empowers you to help others thrive.