Bilingual Billing & Claims Specialist – Remote Customer Service Representative (English/Spanish) – Championing Transparent Patient Financial Support

About brighthush

brighthush is a forward‑thinking leader in the healthcare services sector, dedicated to simplifying the complex world of medical billing and claims for patients across the United States. With a mission to make healthcare more transparent and accessible, we partner with health plans, providers, and technology innovators to deliver accurate, timely billing information and exceptional customer support. Our remote‑first culture empowers employees to work from anywhere while staying connected to a vibrant, collaborative community that values empathy, innovation, and continuous learning.

Why Join brighthush?

At brighthush, you’ll be part of a team that transforms the patient experience by turning confusing medical jargon into clear, actionable information. We believe that every member deserves a seamless financial journey, and we’re committed to providing the tools, training, and support that enable our representatives to do just that. Whether you’re a seasoned call‑center professional or a bilingual newcomer eager to make a difference, brighthush offers a dynamic environment where your voice matters and your career can flourish.

Role Overview

The Bilingual Billing & Claims Specialist – Remote Customer Service Representative is a fully remote, full‑time position that serves as the frontline advocate for members navigating their healthcare billing. You’ll handle a high volume of inbound calls, resolve complex billing inquiries, and ensure compliance with HIPAA and other regulatory standards. Your empathetic communication style and analytical mindset will help members understand their financial responsibilities, resolve disputes, and ultimately make informed healthcare decisions.

Key Responsibilities

• Answer up to 70 inbound calls daily, providing clear, concise explanations of billing statements, payment responsibilities, and eligibility information.
• Translate complex medical terminology into plain language that members can easily understand.
• Research and resolve escalated billing issues, including claim denials, payment discrepancies, and plan coverage questions.
• Navigate the brighthush billing system and related applications with precision, ensuring accurate data entry and record‑keeping.
• Maintain detailed, HIPAA‑compliant logs of all member interactions, including call notes, resolution steps, and follow‑up actions.
• Collaborate with cross‑functional teams—claims, finance, and member services—to streamline issue resolution and improve process efficiency.
• Participate in ongoing training and development initiatives, staying current on industry regulations, billing codes, and best practices.
• Contribute to continuous improvement projects, providing feedback on system enhancements and customer experience initiatives.
• Adhere to all company policies, including data security, privacy, and compliance requirements.

Essential Qualifications

• Bilingual proficiency in English and Spanish (both written and spoken).
• Minimum age of 18 years.
• High school diploma or GED.
• At least 1 year of call‑center experience managing high call volumes.
• Minimum 1 year of experience in a medical or healthcare setting addressing customer concerns.
• Solid understanding of healthcare claims, billing, finance, and eligibility processes.
• Proficiency with Windows applications and the ability to quickly learn new systems.
• Strong independent work ethic, accountability, and time‑management skills.
• Excellent listening, rapport‑building, and compassionate communication abilities.
• Conflict‑management skills to handle stressful situations with professionalism.
• Availability for full‑time training attendance without absences.
• Ability to work a 9‑hour shift Monday through Friday between 8:30 AM and 8:00 PM ET post‑training.

Preferred Qualifications

• Certification in medical billing or health information management.
• Experience with electronic health record (EHR) systems or billing software such as brighthush, brighthush, or similar.
• Knowledge of the Affordable Care Act (ACA) and related consumer protection regulations.
• Previous remote work experience in a high‑volume customer service environment.
• Demonstrated ability to meet or exceed performance metrics, such as call resolution time and customer satisfaction scores.

Skills & Competencies

• Communication Excellence – Ability to convey complex information in a clear, empathetic manner.
• Analytical Thinking – Strong problem‑solving skills to diagnose and resolve billing discrepancies.
• Technical Proficiency – Comfortable navigating multiple software platforms and troubleshooting basic technical issues.
• Attention to Detail – Meticulous record‑keeping and data entry to maintain compliance and accuracy.
• Team Collaboration – Willingness to share insights and collaborate with colleagues across departments.
• Adaptability – Ability to thrive in a fast‑changing environment and embrace new processes.
• Customer‑Centric Mindset – Commitment to delivering exceptional service and fostering member trust.

Career Growth & Learning Opportunities

At brighthush, we believe in investing in our people. As a Billing & Claims Specialist, you’ll have access to a structured career ladder that includes:

• Progression to Senior Billing Specialist roles, with increased responsibility and higher compensation.
• Opportunities to transition into quality assurance, process improvement, or training and development teams.
• Regular skill‑building workshops covering advanced billing codes, regulatory updates, and customer service best practices.
• Mentorship programs pairing new hires with seasoned representatives to accelerate learning and integration.
• Annual performance reviews that identify growth areas and align career goals with organizational objectives.

Work Environment & Company Culture

brighthush’s remote‑first approach means you can work from anywhere while staying connected through:

• Weekly virtual team huddles and cross‑departmental town halls.
• Instant messaging and video conferencing tools that foster real‑time collaboration.
• Access to a digital knowledge base, FAQs, and interactive training modules.
• A culture that celebrates diversity, equity, and inclusion, ensuring every voice is heard.
• Regular virtual social events, such as trivia nights, wellness challenges, and cultural celebrations.

Compensation & Benefits

We offer a competitive compensation package that reflects your skills, experience, and dedication:

• Base Pay: Starting at $20.00 per hour, with potential for hourly increases based on performance and tenure.
• Performance Bonuses: Eligible for annual bonuses tied to individual and team metrics.
• Health Coverage: Comprehensive medical, dental, and vision plans available from day one for full‑time employees.
• Well‑Being Programs: Access to mental health resources, counseling services, and wellness stipends.
• Paid Time Off: Generous vacation, sick leave, and holiday schedule, plus an additional personal day each year.
• Financial Wellness: Financial coaching, 401(k) plan with company match after 12 months, and an employee stock purchase plan.
• Insurance Options: Life and disability coverage with optional buy‑up plans.
• Flexible Spending Accounts: Health and dependent care FSA, along with educational assistance for continued learning.

How to Apply

Ready to make a tangible impact on patients’ financial journeys? Click the button below to submit your application and join the brighthush team. We look forward to learning how your bilingual skills and customer‑service expertise can help us elevate the member experience.

Apply Now

Equal Opportunity Statement

brighthush is an equal‑opportunity employer committed to fostering an inclusive workplace. We celebrate diversity and are dedicated to creating an environment where all employees can thrive, regardless of race, color, religion, gender, gender identity or expression, sexual orientation, or national origin.