Entry-Level Precertification Specialist – Customer Service & Claims Support – Remote (Oregon)

About brighthush

At brighthush, we believe that the heart of healthcare lies in the people we serve. Our mission is to empower patients, providers, and payers with compassionate, data‑driven solutions that streamline care and improve outcomes. As a rapidly growing, technology‑first healthcare organization, we blend clinical expertise with operational excellence to deliver seamless, patient‑centric services across the continuum of care. Whether you’re a seasoned professional or just starting your career, brighthush offers a culture of collaboration, innovation, and continuous learning.

Why Join brighthush?

When you become part of brighthush, you’re not just filling a role—you’re contributing to a movement that places people at the center of every decision. Our remote‑first environment empowers you to work from anywhere in Oregon—whether that’s the vibrant city of Portland, the scenic town of Bend, the historic streets of Eugene, or the comfort of your own home. We value flexibility, autonomy, and work‑life balance, and we back that up with a comprehensive benefits package, ongoing professional development, and a supportive community of colleagues who are as passionate about healthcare as you are.

Position Overview

We’re looking for an energetic, detail‑oriented Precertification Specialist I to join our Customer Service team. In this entry‑level role, you’ll serve as the first point of contact for patients, providers, and internal stakeholders, ensuring that all precertification requests are processed accurately and efficiently. Your work will directly impact the quality of care and the financial health of our organization, making this a critical role in our mission to deliver patient‑centered solutions.

Key Responsibilities

• Inbound Call Management: Answer and triage a high volume of inbound calls from patients, healthcare providers, and internal partners, providing clear, courteous, and accurate information.
• Precertification Processing: Review, verify, and submit precertification requests in accordance with payer policies, ensuring compliance and timely approvals.
• Documentation & Data Entry: Accurately record call details, request status, and follow‑up actions in our secure, cloud‑based customer relationship management (CRM) system.
• Issue Resolution: Identify and resolve discrepancies or issues in precertification requests, escalating complex cases to senior team members as needed.
• Cross‑Functional Collaboration: Work closely with billing, coding, and clinical teams to gather necessary documentation and ensure seamless handoffs.
• Quality Assurance: Participate in regular audits and quality improvement initiatives to maintain high standards of accuracy and compliance.
• Continuous Learning: Stay current on payer guidelines, industry regulations, and best practices through ongoing training and professional development.

Essential Qualifications

• Minimum of one year of call center or telephone‑based customer service experience.
• High school diploma or GED; associate’s degree or higher is a plus.
• Current Oregon residency with reliable high‑speed internet and a dedicated phone line.
• Strong verbal and written communication skills in English.
• Ability to handle confidential information with discretion and professionalism.
• Basic computer literacy and proficiency with Microsoft Office Suite (Word, Excel, Outlook).
• Adaptability and a proactive attitude in a fast‑paced, remote work environment.

Preferred Qualifications

• Experience in healthcare claims, billing, or precertification processes.
• Familiarity with payer portals, electronic health records (EHR), or practice management systems.
• Knowledge of HIPAA regulations and data privacy best practices.
• Previous exposure to remote customer service or telehealth support.
• Strong analytical skills and attention to detail.

Skills & Competencies

• Customer‑Centric Mindset: Demonstrated ability to empathize with patients and providers while maintaining professionalism.
• Problem‑Solving: Quick thinking and resourcefulness in resolving complex issues.
• Time Management: Efficiently prioritize tasks to meet daily call volume and turnaround targets.
• Team Collaboration: Effective communication with cross‑functional teams in a virtual setting.
• Technical Proficiency: Comfortable navigating multiple software platforms and learning new tools rapidly.
• Compliance Awareness: Adherence to regulatory standards and internal policies.

Career Growth & Learning Opportunities

At brighthush, we believe in nurturing talent from the ground up. As a Precertification Specialist I, you’ll have a clear pathway to advance into:

• Senior Precertification Specialist
• Team Lead or Supervisor roles
• Specialty areas such as Medical Coding, Revenue Cycle Management, or Clinical Operations
• Leadership development programs that prepare you for executive roles within the organization

We provide structured onboarding, mentorship, and continuous learning through webinars, workshops, and access to industry certifications. Whether you’re looking to deepen your expertise in healthcare operations or pivot into a new specialty, brighthush offers the resources and support to help you achieve your career goals.

Work Environment & Company Culture

Our remote‑first culture is built on trust, transparency, and collaboration. You’ll enjoy:

• Flexible scheduling that respects your personal commitments
• Regular virtual team huddles and social events to foster connection
• A culture of open feedback and continuous improvement
• Access to a digital knowledge base and peer‑to‑peer support network
• Recognition programs that celebrate your achievements and milestones

We’re committed to creating an inclusive environment where every voice is heard and every contribution is valued. Diversity, equity, and inclusion are not just buzzwords at brighthush—they’re the foundation of our success.

Compensation & Benefits

• Salary Range: $44,720 – $54,100 per year, commensurate with experience and performance.
• Health & Wellness: Comprehensive medical, dental, and vision plans with competitive premiums.
• Retirement Savings: 401(k) plan with company match to help you plan for the future.
• Paid Time Off: Generous vacation, sick leave, and personal days to recharge.
• Professional Development: Reimbursement for industry certifications, conferences, and training courses.
• Remote Work Perks: Home office stipend, high‑speed internet allowance, and ergonomic equipment support.
• Employee Assistance Program: Confidential counseling and mental health resources.
• Wellness Initiatives: Virtual fitness classes, mindfulness sessions, and wellness challenges.

How to Apply

If you’re ready to make a tangible impact in the healthcare industry while enjoying the flexibility of remote work, we’d love to hear from you. Submit your application through our career portal, and let’s explore how your skills and passion can help brighthush continue to deliver patient‑centered excellence.

Join the brighthush Team Today!

At brighthush, your career is more than a job—it’s a journey of growth, purpose, and innovation. We’re excited to welcome a dedicated, customer‑focused Precertification Specialist who is eager to contribute to our mission of putting people at the heart of healthcare. Apply now and become part of a forward‑thinking organization that values your expertise, supports your development, and celebrates your successes.