Experienced Customer Operations Specialist – Workers' Compensation Claims Billing & Revenue Recovery Specialist for brighthush

About brighthush

brighthush is a trailblazing revenue recovery partner that empowers hospitals and medical providers across the United States to unlock the full value of every claim. With a trusted partnership spanning more than 1,300 hospitals in 48 states, we combine deep industry expertise with proprietary technology to solve complex revenue recovery challenges that others cannot. Our culture is built on collaboration, innovation, and a relentless focus on delivering value to our clients and our people. We are not just a service provider; we are a strategic ally that helps healthcare organizations thrive financially, so they can focus on what matters most—patient care.

Why Join brighthush?

Working at brighthush means you’ll be part of a high‑impact team that directly influences the financial health of healthcare organizations. You’ll receive comprehensive training, ongoing support, and the tools you need to excel. In return, we offer a competitive pay structure, a flexible remote work environment, and a culture that celebrates growth, creativity, and accountability. Our remote-first model gives you the freedom to work from anywhere in the U.S. while staying connected to a vibrant, collaborative community.

Position Overview

As a Customer Operations Specialist – Workers' Compensation Claims Billing & Revenue Recovery, you will serve as the frontline advocate for our hospital partners. Your primary responsibility will be to conduct high‑volume outbound calls to investigate, bill, and maximize payments on workers' compensation claims. You will work closely with employers, insurance carriers, attorneys, and patients to resolve denied or delayed claims, ensuring that our clients receive the revenue they deserve. This role blends customer service excellence with analytical rigor, making it ideal for individuals who thrive in a fast‑paced, metrics‑driven environment.

Key Responsibilities

• Make high‑volume outbound calls to employers, insurance representatives, attorneys, and patients to investigate workers' compensation claims.
• Analyze claim details, verify medical documentation, and determine the appropriate billing strategy.
• Submit accurate bills and supporting documentation to insurance carriers, ensuring compliance with payer guidelines.
• Track claim status, follow up on pending payments, and resolve discrepancies or denials in a timely manner.
• Maintain meticulous records in our CRM and billing systems, ensuring data integrity and audit readiness.
• Collaborate with the revenue recovery team on special projects to improve processes, increase payment accuracy, and drive client success.
• Meet or exceed productivity metrics, including call volume, resolution rate, and billing accuracy.
• Participate in continuous learning initiatives, including weekly team huddles, training modules, and knowledge‑base updates.

Essential Qualifications

• High school diploma or equivalent; associate’s degree or higher preferred.
• Proven experience in a customer‑facing role, ideally in healthcare billing, insurance, or claims processing.
• Strong working knowledge of Microsoft Office (Word, Excel, Outlook) and the ability to multitask across multiple screens and applications.
• Excellent verbal and written communication skills, with a professional tone and clear articulation.
• Demonstrated critical thinking and problem‑solving abilities, able to navigate complex claim scenarios.
• Self‑motivated, detail‑oriented, and capable of thriving in a fast‑paced, metrics‑driven environment.
• Reliable, secure home office setup with a private, distraction‑free workspace and a minimum internet speed of 20 Mbps download / 10 Mbps upload.
• U.S. residency in one of the states listed below (CST time zone states included).

Preferred Qualifications

• Experience with Coordination of Benefits (COB) or general insurance billing knowledge.
• Familiarity with workers' compensation claim processes and payer guidelines.
• Previous exposure to revenue recovery or healthcare finance roles.
• Knowledge of billing software such as brighthush, brighthush, or similar platforms.

Skills & Competencies

• Strong analytical skills with the ability to interpret complex medical and billing data.
• Exceptional organizational skills, capable of managing multiple priorities simultaneously.
• Proactive communication style, comfortable engaging with diverse stakeholders.
• Adaptability to new technologies, processes, and evolving payer requirements.
• Team player who thrives in a collaborative, remote environment.

Career Growth & Learning Opportunities

At brighthush, we believe in nurturing talent and providing clear pathways for advancement. As you master the fundamentals of workers' compensation billing, you’ll have opportunities to:

• Progress into senior billing specialist roles or team lead positions.
• Transition into revenue recovery strategy, analytics, or client success management.
• Participate in cross‑functional projects that shape the future of healthcare finance.
• Access to ongoing training, certifications, and industry conferences at no cost.
• Mentorship from experienced leaders who are invested in your professional development.

Work Environment & Culture

brighthush is a fully remote organization that values flexibility, transparency, and mutual respect. Our culture is defined by:

• On‑camera presence during virtual meetings to foster trust and connection.
• Regular team huddles, knowledge‑sharing sessions, and social events.
• Data‑driven performance metrics that empower you to set and achieve personal goals.
• A supportive management team that leans in to help you meet productivity targets.
• Access to a robust knowledge base and internal resources for continuous learning.

Compensation & Benefits

Base Pay: $15 per hour Incentive Plan: Performance‑based bonuses tied to call volume, resolution rate, and billing accuracy. Benefits Package (for eligible employees): Health, dental, and vision insurance; 401(k) with company match; paid time off; and flexible work schedule. Equipment: Company‑provided laptop, headset, and necessary software licenses. Professional Development: Paid certifications, training courses, and conference attendance.

How We Set You Up for Success

• Extensive multi‑week onboarding program with hands‑on training and mentorship.
• Access to a comprehensive knowledge base and real‑time support from teammates.
• Clear visibility into individual performance metrics and goal‑setting tools.
• Regular feedback sessions and coaching to refine skills and accelerate growth.
• Company‑provided equipment and a stipend for home office setup.

Remote Work Requirements

• Private, distraction‑free workspace at home.
• Reliable, secure internet connection (minimum 20 Mbps download / 10 Mbps upload).
• On‑camera presence during virtual meetings and training sessions.
• Compliance with all company policies regarding data security and confidentiality.

Location & Eligibility

This is a fully remote position. Eligible candidates must reside in the United States, specifically within one of the following states (CST time zone states included):

• Alabama, Arkansas, Connecticut, Florida, Georgia, Iowa, Indiana, Kansas, Kentucky, Louisiana, Massachusetts, Maine, Michigan, Minnesota, Missouri, Mississippi, North Carolina, Nebraska, New Hampshire, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Vermont, Virginia, Wisconsin, West Virginia.

Equal Opportunity Employer

brighthush is an affirmative action/equal opportunity employer committed to providing equal employment opportunities for all applicants and employees. We make employment decisions without regard to any characteristic protected by applicable law and encourage individuals of all backgrounds to apply.

Application Process

To apply, please submit your resume and a brief cover letter outlining your interest and relevant experience. Our hiring team will review your application and contact you for next steps. All employment is contingent upon eligibility to work in the United States, verification of employment history, and successful completion of a background check.

Join brighthush Today

If you are driven, detail‑oriented, and passionate about making a tangible impact in the healthcare industry, we want to hear from you. Become a key player in our revenue recovery mission and help hospitals secure the revenue they deserve. Apply now and start your journey with brighth Apply for this job