Remote Eligibility Support Specialist

Brighton Health Plan Solutions; New York (NY); On-site; USD 43,000 - 50,000; Full time

Job summary

Brighton Health Plan Solutions (BHPS) is seeking an Eligibility Service Representative (ESR) experienced in understanding eligibility across phone, chat, and email channels. The ESR will support the Eligibility & Benefits team, forward eligibility files to health plans and vendors, and assist with changes to coverage and participation.

Responsibilities include handling caregiver inquiries, researching matters, and ensuring timely resolution within established workflows.

Qualifications

• Bilingual proficiency in Russian/English or Korean/English is required.
• Remote work capability with internet access.
• Experience in high-volume enrollment and eligibility transactions, premium billing, and collections.
• Knowledge of labor and commercial carrier enrollment procedures.
• Prior high-volume call center experience.

Responsibilities

• Receive and resolve caregiver inquiries.
• Review and resolve eligibility, hours or co-premium issues with Benefits Enrollment.
• Demonstrate strong customer service, attention to detail, research and issue resolution.
• Clarify requirements and confirm understanding of problems.

Skills

Bilingual (Russian/English)

Bilingual (Korean/English)

Multichannel communication

Time management

Investigative skills

Detail-oriented

Remote work capability

Strong communication across channels

Education

High School diploma or GED

Some college / business school education advantageous

Tools

Microsoft Office

Job description

Brighton Health Plan Solutions (BHPS) is seeking an Eligibility Service Representative (ESR) experienced in understanding eligibility across phone, chat, and email channels. The ESR will support the Eligibility & Benefits team, forward eligibility files to health plans and vendors, and assist with changes to coverage and participation.

Responsibilities include handling caregiver inquiries, researching matters, and ensuring timely resolution within established workflows.