Seasoned Remote Customer Service Representative – Health Benefits & Medicaid Support – Pittsburgh Equipment Pickup – brighthush

About brighthush

brighthush is a leading innovator in health service management, dedicated to delivering seamless, patient‑centric solutions that empower individuals and communities to make informed health decisions. With a mission to simplify access to benefits and streamline care coordination, brighthush has become the trusted partner for health plans, Medicaid programs, and community health organizations across the United States. Our culture is built on collaboration, continuous learning, and a relentless focus on customer satisfaction. As we expand our reach, we’re looking for passionate, customer‑first professionals to join our dynamic team.

Why Join brighthush?

• Impactful Work: Every interaction you handle directly improves the lives of patients navigating complex benefit systems.
• Remote Flexibility: Work from anywhere while meeting a one‑time equipment pickup in Pittsburgh, PA.
• Growth Opportunities: Clear career pathways from frontline support to specialist roles and leadership positions.
• Inclusive Culture: A diverse, supportive environment that values every voice and encourages innovation.
• Competitive Compensation & Perks: Comprehensive benefits package, paid time off, wellness programs, and ongoing training.

Key Responsibilities

As a Remote Customer Service Representative at brighthush, you will be the frontline advocate for individuals seeking assistance with health benefits. Your role will involve:

• Providing accurate, timely, and empathetic support to customers via phone, chat, and email regarding Medicaid, Medicare, and private insurance benefits.
• Answering inquiries about enrollment, coverage details, claim status, and eligibility requirements.
• Documenting all interactions in our CRM system with precision and compliance to data privacy standards.
• Escalating complex issues to specialized teams while ensuring a smooth handoff and follow‑up.
• Collaborating with cross‑functional teams—such as billing, compliance, and technology—to resolve customer challenges.
• Maintaining up‑to‑date knowledge of policy changes, benefit updates, and industry best practices.
• Participating in continuous improvement initiatives to enhance service quality and operational efficiency.
• Adhering to performance metrics, including average handle time, first‑contact resolution, and customer satisfaction scores.

Essential Qualifications

• Minimum of 2 years’ experience in a high‑volume call center or customer service environment.
• Strong PC proficiency: comfortable navigating multiple applications, spreadsheets, and CRM platforms.
• High School Diploma or GED required; an Associate’s Degree in Social Sciences, Behavioral Sciences, or a related field is preferred.
• Excellent verbal and written communication skills in English.
• Demonstrated ability to handle sensitive information with confidentiality and professionalism.
• Proactive problem‑solving mindset and a commitment to delivering exceptional customer experiences.

Preferred Qualifications

• Experience in health or human services, particularly with Medicaid or Medicare programs.
• Knowledge of health benefit terminology, enrollment processes, and regulatory requirements.
• Bilingual proficiency (e.g., Spanish, French, Mandarin) is a significant advantage.
• Previous experience using help desk or ticketing systems.
• Familiarity with HIPAA regulations and data privacy best practices.

Skills & Competencies

• Customer‑Centric Mindset: Passion for helping others and a genuine desire to improve their health journey.
• Communication Excellence: Clear, concise, and empathetic communication across multiple channels.
• Technical Aptitude: Ability to quickly learn new software and troubleshoot basic technical issues.
• Time Management: Efficiently handle multiple tasks while maintaining high quality and accuracy.
• Adaptability: Thrive in a fast‑changing environment and embrace continuous learning.
• Team Collaboration: Work effectively with colleagues across departments to achieve shared goals.

Career Growth & Learning Opportunities

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

• Structured onboarding and mentorship programs to accelerate your success.
• Regular training sessions on new products, policy updates, and customer service best practices.
• Opportunities to transition into specialized roles such as Claims Specialist, Enrollment Coordinator, or Quality Assurance Analyst.
• Leadership development tracks for high‑performing team members, including management and supervisory positions.
• Cross‑departmental projects that broaden your skill set and expose you to different facets of the organization.

Work Environment & Company Culture

brighthush fosters a culture of transparency, respect, and innovation. Our remote teams are supported by:

• Regular virtual town halls and team‑building events.
• Open‑door communication channels with leadership.
• A commitment to work‑life balance, with flexible scheduling options.
• Inclusive hiring practices that celebrate diversity and promote equity.
• Employee resource groups that provide community and support.

Compensation, Perks, and Benefits

While specific salary ranges are tailored to experience and location, brighthush offers a competitive compensation package that includes:

• Base salary commensurate with market standards.
• Performance‑based bonuses and incentive programs.
• Paid Time Off (PTO) and holidays.
• Health, dental, and vision insurance plans.
• Employee Wellness Program: gym memberships, mental health resources, and wellness stipends.
• Retirement savings plan with company match.
• Professional development stipend for courses, certifications, and conferences.
• Technology stipend for home office setup.

How to Apply

Ready to make a difference in the lives of patients while advancing your career? Click the link below to submit your application and join the brighthush team:

Apply to brighthush Today

Closing Statement

At brighthush, we’re more than a company—we’re a community of dedicated professionals committed to transforming health service delivery. If you’re driven by empathy, thrive in a fast‑paced environment, and are eager to grow both personally and professionally, we invite you to bring your talents to our remote Customer Service team. Together, we’ll empower individuals to navigate their health benefits with confidence and clarity.

We look forward to welcoming you to the brighthush family!