Seasoned Customer Service Representative – Healthcare Member & Provider Support Specialist – Remote, Florida – Join brighthush
Introduction: Join brighthush, a Trailblazer in Health Insurance Technology
At brighthush, we’re redefining the health‑insurance experience by building a fully integrated, technology‑first platform that puts people at the center of everything we do. Since our founding in 2012, we’ve grown from a bold idea into a national leader, serving millions of members with the same care, clarity, and compassion we would want for our own families. Our mission is simple: make health care feel like a trusted family doctor, not a bureaucratic maze.
We’re looking for a dedicated Customer Service Representative to join our Member and Provider Services team. In this role, you’ll be the frontline voice that keeps our members, brokers, and providers connected, supported, and satisfied. If you thrive in a fast‑paced, data‑driven environment and want to make a tangible difference in people’s lives, brighthush is the place for you.
About the Role: High‑Impact, Remote, and Rewarding
This is a volume‑driven, production‑based position that handles the day‑to‑day operations of a leading health‑insurance company. You’ll manage a caseload of member inquiries, coordinate with providers and vendors, and ensure that every interaction meets our rigorous quality and compliance standards.
Key details:
- Location: Fully remote – open to candidates residing in Florida. Occasional travel may be required for team meetings and company events.
- Compensation: $19.00 – $21.00 per hour, based on experience and skill set.
- Benefits: Full‑time employees receive medical, dental, and vision coverage, 11 paid holidays, paid sick leave, paid parental leave, 401(k) participation, life and disability insurance, wellness reimbursements, and a generous vacation accrual of 15 days per year.
- Reporting: You’ll report directly to the Concierge Operations Manager.
Key Responsibilities: What You’ll Do Every Day
- Develop a deep understanding of brighthush’s processes, procedures, and technology stack, ensuring you can navigate and troubleshoot any system efficiently.
- Serve members, brokers, providers, and vendors through multiple communication channels (phone, email, chat, and social media) with professionalism and empathy.
- Manage an assigned caseload, maintaining high productivity while meeting or exceeding service‑delivery and quality metrics.
- Build strong working relationships with internal partners and external stakeholders to facilitate seamless issue resolution.
- Identify and document recurring issues, working with leadership to propose and implement process improvements.
- Track the health of all work‑in‑progress items, ensuring timely escalation and resolution.
- Adhere strictly to all operational, regulatory, and compliance standards related to member Personal Health Information (PHI).
- Participate in cross‑functional projects that enhance member experience, streamline workflows, and drive operational excellence.
- Perform additional duties as assigned, demonstrating flexibility and a willingness to take on new challenges.
Essential Qualifications: What We Expect
- Minimum of 1 year of experience in a high‑volume, customer‑focused environment.
- At least 6 months of experience in the healthcare industry, familiar with insurance terminology and member needs.
- High school diploma or GED; additional education or certifications in healthcare, customer service, or related fields is a plus.
- Strong written and verbal communication skills in English.
- Proficiency with Google Workspace or Microsoft Office Suite.
- Ability to work independently in a remote setting, managing time effectively and maintaining focus.
Preferred Qualifications: Bonus Points That Set You Apart
- Advanced quantitative or analytical skills, with a track record of identifying and solving operational problems.
- Full professional proficiency in both Spanish and English (reading, writing, speaking).
- Experience with data entry and manipulation, ensuring accuracy and consistency.
- Familiarity with HIPAA regulations and data privacy best practices.
- Previous experience in a technology‑driven health‑insurance environment.
Skills & Competencies: What Makes You Successful
- Customer‑Centric Mindset: You genuinely care about member outcomes and strive to exceed expectations.
- Problem‑Solving: You approach challenges analytically, using data to guide decisions.
- Adaptability: You thrive in a fast‑moving environment and can pivot quickly when priorities shift.
- Collaboration: You work well with cross‑functional teams, building trust and fostering open communication.
- Attention to Detail: You maintain high accuracy in data entry and documentation.
- Tech Savvy: You’re comfortable learning new tools and platforms on the fly.
Career Growth & Learning Opportunities
At brighthush, we believe that professional development is a shared responsibility. As a Customer Service Representative, you’ll have access to:
- Structured onboarding and continuous training programs covering product knowledge, compliance, and soft skills.
- Mentorship from senior leaders in Member Services, Provider Relations, and Operations.
- Cross‑departmental projects that expose you to new areas such as data analytics, product development, and quality assurance.
- Clear career pathways to roles such as Senior Customer Service Specialist, Team Lead, or Operations Manager.
- Annual performance reviews that align your goals with brighthush’s strategic objectives.
Work Environment & Company Culture
brighthush is built on a foundation of transparency, inclusion, and innovation. Our culture is defined by:
- Remote Flexibility: Work from anywhere in Florida with a reliable internet connection and a dedicated workspace.
- Inclusive Community: We celebrate diverse backgrounds and perspectives, fostering an environment where everyone can be their authentic selves.
- Continuous Improvement: We encourage experimentation, data‑driven decision making, and a growth mindset.
- Employee Well‑Being: We offer wellness programs, mental health resources, and flexible scheduling to support work‑life balance.
- Recognition & Rewards: Regular shout‑outs, spot bonuses, and annual awards celebrate outstanding performance.
Compensation & Benefits: We Value Your Contribution
In addition to competitive hourly pay, brighthush offers a comprehensive benefits package designed to support you and your family:
- Health Coverage: Medical, dental, and vision plans with low employee premiums.
- Retirement Savings: 401(k) plan with company match up to 4%.
- Paid Time Off: 15 days of vacation per year, 11 paid holidays, paid sick leave, and paid parental leave.
- Wellness Reimbursement: Up to $1,000 annually for gym memberships, fitness classes, or wellness apps.
- Professional Development: Reimbursement for industry certifications, conferences, and courses.
- Employee Assistance Program: Confidential counseling and support services.
- Flexible Work Arrangements: Remote work with optional in‑office collaboration days.
Equal Opportunity & Inclusion
brighthush is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We consider all qualified applicants without regard to race, color, religion, gender, sexual orientation, gender identity, age, disability, or any other protected characteristic.
AI & Recruitment Transparency
We use AI tools to streamline our hiring process, ensuring a fair and efficient experience for all candidates. Our AI guidelines outline acceptable use and protect your privacy throughout the recruitment journey.
Reasonable Accommodation
We are committed to providing reasonable accommodations for applicants with disabilities. If you need assistance during the application process, please contact our Benefits Team at [email protected].
How to Apply
Ready to make a difference in people’s health‑care journeys? Click the link below to submit your application and join the brighthush family.
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Closing: Your Future Starts Here
At brighthush, you’ll be part of a mission‑driven team that’s reshaping the health‑insurance landscape. Your work will directly impact members’ lives, and you’ll grow alongside a company that values innovation, empathy, and excellence. If you’re passionate about customer service, eager to learn, and ready to thrive in a remote, high‑energy environment, we want to hear from you.
Apply today and help us build a healthier, more connected world—one member at a time.
Apply for this job