Eligibility Service Representative - Russian Speaking

About the role

Brighton Health Plan Solutions (BHPS) is seeking an Eligibility Service Representative (ESR) who are experienced in understanding eligibility, communicating through various multi-channel features such as phone, chat and email, and following workflows to assist in issue resolution. BHPS shall serve as the client’s eligibility vendor and forward eligibility files to health plans, dental vendors and any other vendor the client utilizes. The ESR will confirm, identify and research matters as they relate to eligibility, changes to coverage and participation as well as support the Eligibility & Benefits team. At Brighton Health Plan Solutions, LLC, our people are committed to the improvement of how healthcare is accessed and delivered. When you join our team, you’ll become part of a diverse and welcoming culture focused on encouragement, respect and increasing diversity, inclusion and a sense of belonging at every level. Here, you’ll be encouraged to bring your authentic self to work with all of your unique abilities. Brighton Health Plan Solutions partners with self-insured employers, Taft-Hartley Trusts, health systems, providers as well as other TPAs, and enables them to solve the problems facing today’s healthcare with our flexible and cutting-edge third-party administration services. Our unique perspective stems from decades of health plan management expertise, our proprietary provider networks, and innovative technology platform. As a healthcare enablement company, we unlock opportunities that provide clients with the customizable tools they need to enhance the member experience, improve health outcomes and achieve their healthcare goals and objectives. Together with our trusted partners, we are transforming the health plan experience with the promise of turning today’s challenges into tomorrow’s solutions. Come be a part of the Brightest Ideas in Healthcare™. Company Mission Transform the health plan experience – how health care is accessed and delivered – by bringing outstanding products and services to our partners. Company Vision Redefine health care quality and value by aligning the incentives of our partners in powerful and unique ways. DEI Purpose Statement At BHPS, we encourage all team members to bring your authentic selves to work with all of your unique abilities. We respect how you experience the world and welcome you to bring the fullness of your lived experience into the workplace. We are building, nurturing and embracing a culture focused on increasing diversity, inclusion and a sense of belonging at every level. We are an Equal Opportunity Employer

Responsibilities

• Receive and resolve caregiver inquiries.
• Work with the Benefits Enrollment team to review and resolve eligibility, hours, or co-premium issues, including follow‑up outreach to caregivers.
• Listen attentively to customer needs and concerns; demonstrate empathy and offer solutions.
• Demonstrate strong customer service skills, attention to detail, research & analysis, and issue resolution.
• Clarify customer requirements; probe for and confirm understanding of requirements or problems.
• Manage caregiver requests within required turnaround time, conducting outreach to internal partners and engaging Team Leader or Supervisor support as needed.
• Communicate effectively with individuals/teams to ensure high‑quality, timely handling of customer requests.
• Participate in activities designed to improve customer satisfaction and business performance.
• Use decision‑support tools to answer questions when needed.
• Apply critical thinking to solve complex problems and identify when to escalate to the appropriate department.
• Perform call‑center functions, handling inbound calls and support projects as directed by management.
• Maintain broad knowledge of client requirements, procedures, and key contacts.
• Support projects and other departments in completing tasks when directed by management.

Qualifications

• Biling