Seasoned Customer Care Representative II – Remote Full‑Time Healthcare Claims & Benefits Support Specialist – Drive Impact, Accelerate Career Growth, and Shape the Future of Patient Care at brighthush

About brighthush

brighthush is a trailblazing technology and service partner that redefines how specialty payers, government agencies, and healthcare providers manage dental and vision benefits. By blending cutting‑edge software with world‑class customer support, we empower our clients to deliver seamless, compliant, and cost‑effective benefits to patients across the United States. Our remote‑first philosophy means that talented professionals from every corner of the country can join a collaborative, high‑impact team that values creativity, continuous learning, and a relentless commitment to excellence.

Why brighthush is the Place to Build Your Future

At brighthush, we don’t just offer a job – we offer a mission. Every interaction you handle directly supports patients and providers in accessing the care they need. Whether you’re answering a patient’s question about coverage or resolving a complex claim, you’re making a tangible difference in people’s lives. Our culture is built on transparency, collaboration, and continuous improvement, and we celebrate every win, big or small.

• Impactful Work: Your daily contributions help shape the patient experience and improve access to essential care.
• Remote Flexibility: Work from anywhere in the U.S. with a reliable internet connection and a supportive virtual team.
• Career Growth: Clear pathways from entry‑level to senior roles in customer support, operations, and product development.
• Competitive Compensation: Base salary range of $34,153 – $51,230 per year, with performance bonuses and overtime pay.
• Comprehensive Benefits: Health, dental, vision, 401(k) with company match, paid time off, and professional development stipends.
• Inclusive Culture: Diversity, equity, and inclusion are woven into every aspect of our work environment.

What You’ll Do

As a Customer Care Representative II, you will be the frontline advocate for our clients, ensuring their inquiries and claims are handled with precision, empathy, and efficiency. Your day‑to‑day tasks will include:

• Customer Interaction: Respond to inbound calls from patients, providers, and internal stakeholders, providing timely and accurate information.
• Claims Resolution: Review claim data, identify discrepancies, and coordinate with cross‑functional teams to secure resolution.
• Documentation: Record all call details, actions taken, and follow‑up steps in our CRM system to maintain a comprehensive audit trail.
• Escalation Management: Escalate complex or unresolved issues to senior support staff or specialized departments while ensuring a smooth handoff.
• Product Knowledge: Maintain up‑to‑date knowledge of brighthush’s products, policies, and industry regulations to deliver informed support.
• Continuous Improvement: Participate in process improvement initiatives, provide feedback on gaps, and suggest enhancements to improve customer experience.
• Quality Assurance: Adhere to quality standards, including call monitoring, performance metrics, and compliance guidelines.
• Flexibility: Occasionally work overtime or on a flexible schedule to meet peak call volume or critical project deadlines.

How Your Work Drives Impact

Every call you handle is a chance to improve a patient’s journey. By resolving claims efficiently, you reduce wait times, lower costs, and increase satisfaction for both patients and providers. Your expertise helps maintain the integrity of our clients’ benefit programs and supports the broader goal of accessible, high‑quality healthcare.

Essential Qualifications

• Education: High school diploma or equivalent; additional coursework or certification in healthcare, business, or customer service is a plus.
• Experience: Minimum of 1 year of customer service experience in a high‑volume environment such as healthcare, call center, banking, or retail.
• Technical Proficiency: Proficiency with Microsoft Office Suite (Word, Excel, Outlook) and comfortable navigating multiple software applications simultaneously.
• Communication: Strong verbal and written communication skills, with the ability to convey complex information clearly and professionally.
• Data Accuracy: Excellent data entry skills, including accuracy, speed, and attention to detail.
• Customer Empathy: Demonstrated ability to handle challenging customer interactions with patience, empathy, and problem‑solving acumen.
• Self‑Motivation: Self‑motivated, organized, and able to work independently in a remote setting while maintaining high productivity.
• Industry Knowledge: Basic understanding of healthcare claims processes and terminology is highly desirable.

Preferred Qualifications

• Experience working with claims management or benefits administration systems.
• Knowledge of HIPAA regulations and data privacy best practices.
• Previous exposure to remote work environments and familiarity with virtual collaboration tools (Zoom, Teams, Slack).
• Multilingual capabilities, especially in Spanish or other widely spoken languages in the U.S., to broaden customer reach.
• Proactive mindset with a track record of contributing to process improvements and quality initiatives.

Key Skills & Competencies

• Customer‑Centric Mindset: Passion for delivering exceptional service and building lasting relationships.
• Analytical Thinking: Ability to interpret data, identify patterns, and propose actionable solutions.
• Technical Proficiency: Comfortable learning new software quickly and troubleshooting basic technical issues.
• Time Management: Prioritize tasks effectively in a fast‑paced, remote environment.
• Collaboration: Work seamlessly with cross‑functional teams, including claims processors, IT, and product specialists.
• Adaptability: Thrive in a dynamic setting where processes and priorities evolve.
• Attention to Detail: Ensure accuracy in documentation, data entry, and compliance adherence.
• Problem‑Solving: Quickly diagnose issues and implement effective solutions.
• Resilience: Maintain composure under pressure and handle high call volumes with professionalism.

Career Growth & Learning Opportunities

At brighthush, we believe in nurturing talent and providing clear pathways for advancement. As a Customer Care Representative II, you will have the chance to:

• Progress to a Senior Customer Support Specialist role, taking on more complex claims and leading small project initiatives.
• Transition into a Claims Analyst or Operations Coordinator position, leveraging your frontline experience to influence process design.
• Explore product management or customer success roles, where you can shape the future of our benefits solutions.
• Participate in our internal training programs, including healthcare industry certifications, customer service excellence workshops, and leadership development courses.
• Earn professional certifications such as Certified Customer Service Professional (CCSP) or Certified Claims Specialist (CCS) through our tuition reimbursement program.
• Attend industry conferences and webinars to stay ahead of emerging trends in healthcare technology and customer experience.

Work Environment & Culture

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

• Weekly virtual town halls where leadership shares company updates and celebrates milestones.
• Monthly virtual coffee chats that encourage informal networking across departments.
• Access to a digital resource hub with training videos, best‑practice guides, and community forums.
• A flexible work schedule that respects work‑life balance while meeting business needs.
• Recognition programs that reward outstanding performance, innovation, and teamwork.
• Inclusive events and initiatives that celebrate diversity and promote belonging.
• Regular feedback loops and one‑on‑one coaching sessions to support professional growth.

Compensation & Benefits

While the base salary for this role ranges from $34,153 to $51,230 per year, brighthush offers a comprehensive benefits package designed to support your well‑being and professional growth:

• Competitive health, dental, and vision insurance plans with low employee premiums.
• 401(k) retirement plan with company match up to 4% of your salary.
• Paid time off (PTO) that accrues annually, plus paid holidays and sick leave.
• Professional development stipend for courses, certifications, and conferences.
• Employee wellness program, including virtual fitness classes and mental health resources.
• Flexible work hours and the ability to work from any U.S. location.
• Performance‑based bonuses and overtime pay for additional hours worked.
• Access to a comprehensive employee assistance program (EAP) for personal and professional support.
• Discounts on industry events, technology tools, and partner services.

How to Apply

Ready to bring your customer service expertise to a dynamic, remote team that values impact and innovation? Click the link below to submit your application and take the first step toward a rewarding career at brighthush.

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Join brighthush Today

At brighthush, we’re not just building a company; we’re building a community of dedicated professionals who are passionate about improving healthcare access for everyone. If you’re a motivated, customer‑focused individual with a desire to grow and make a tangible difference, we want to hear from you. Apply now and become part of a forward‑thinking organization that rewards excellence, embraces diversity, and champions your professional journey.