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About The Role

Brighton Health Plan Solutions is seeking an Account Supervisor is responsible for building and maintaining strong relationships with both new and existing clients, ensuring customer satisfaction and long-term retention. This role requires a detail-oriented professional who communicates with clarity, accuracy, and professionalism across all interactions.

Primary Responsibilities

+ Provide accurate, independent responses to all client inquiries (written or verbal) within 24–48 hours.

+ Serve as the primary liaison between clients, internal matrix partners, and vendors.

+ Develop and maintain effective working relationships with client contacts.

+ Perform advanced claims processing, including professional, facility, and ancillary claims.

+ Communicate directly with providers as required.

+ Document all tasks and maintain accurate records.

+ Perform client-specific duties as assigned.

+ Utilize self-help tools to generate approved member claim history reports.

+ Stay current and adapt to evolving platforms, systems, and applications.

Essential Qualifications

+ Bachelor’s degree preferred, or equivalent healthcare industry experience.

+ Minimum 1 year of healthcare experience; 1–2 years of client and vendor interaction preferred.

+ Excellent oral and written communication skills.

+ High attention to detail with strong analytical skills.

+ Exceptional organizational and time management skills, with the ability to prioritize and multitask in a fast-paced environment.

+ Strong problem-solving skills and proactive approach.

+ Enthusiastic, adaptable, and collaborative team player.

+ Proficient in computer systems with high technical aptitude.

+ Advanced claims processing expertise preferred but can be trained

+ Strong understanding of the healthcare industry and claims processing (preferred).

About

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 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 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

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