Experienced Customer Service Representative – Billing & Claims Support Specialist – Remote – Full Time – brighthush
Job Description
Join brighthush, a trailblazer in healthcare billing and member support, as a Customer Service Representative – Billing II. In this pivotal role, you will be the frontline advocate for our members, ensuring they receive clear, compassionate guidance on their health plans and billing inquiries. Your expertise will help them navigate complex healthcare systems, ultimately improving their access to quality care.
Why brighthush?
At brighthush, we believe that every member deserves a seamless experience when it comes to understanding their health benefits. Our mission is to simplify the billing process, empower patients with knowledge, and drive transparency across the healthcare ecosystem. By joining our team, you’ll become part of a forward‑thinking organization that values innovation, empathy, and continuous learning.
Key Responsibilities
- Handle a high volume of inbound calls (up to 70 per day) from patients and their representatives, providing timely and accurate billing information.
- Translate complex medical terminology and billing jargon into clear, actionable guidance that members can easily understand.
- Investigate, troubleshoot, and resolve intricate billing disputes and customer complaints, ensuring full resolution and member satisfaction.
- Navigate the Quest Billing System (or equivalent) and other internal applications with proficiency, maintaining accurate records of all interactions.
- Maintain a detailed tracking log of patient contacts, documenting key details and follow‑up actions.
- Adhere strictly to HIPAA regulations and all compliance standards, safeguarding member privacy at all times.
- Participate in ongoing training and development programs to stay current on industry best practices and system updates.
- Collaborate with cross‑functional teams—including claims, finance, and technical support—to resolve complex issues and improve processes.
- Contribute to continuous improvement initiatives by sharing insights and suggestions for enhancing the member experience.
- Perform additional projects or tasks as needed to support business priorities.
Essential Qualifications
- Minimum of 1 year of experience in a high‑volume call center environment, handling inbound customer inquiries.
- At least 1 year of experience in a medical office or healthcare setting, dealing with billing, claims, or member support.
- Strong knowledge of healthcare claims billing, finance, and eligibility processes.
- Exceptional ability to translate complex healthcare concepts into simple, step‑by‑step instructions.
- Proficient computer skills, including Windows PC applications and the ability to learn new systems quickly.
- Flexibility to work any 9‑hour shift (including breaks and lunch) within the 8:30 AM–8:00 PM ET window.
- Commitment to full‑time attendance during the training period, with zero absences.
- Strong independent work ethic and accountability.
- Excellent listening skills, with a proven track record of building rapport and delivering compassionate service.
- Conflict management expertise, capable of de‑escalating stressful situations.
- Minimum age of 18 years and a high‑school diploma or GED.
Preferred Qualifications
- Bi‑lingual proficiency in English and Spanish.
- Experience with customer relationship management (CRM) systems or billing platforms.
- Prior exposure to HIPAA compliance training.
Skills & Competencies
- Customer‑centric mindset with a passion for helping others.
- Strong analytical and problem‑solving abilities.
- Excellent verbal and written communication skills.
- Time‑management and organizational skills to handle multiple tasks efficiently.
- Adaptability to changing priorities and new technologies.
- Team collaboration and cross‑functional communication.
Career Growth & Learning Opportunities
At brighthush, we invest heavily in your professional development. You’ll have access to:
- Comprehensive onboarding and continuous training programs covering billing systems, compliance, and customer service excellence.
- Mentorship from seasoned billing specialists and leaders in the healthcare industry.
- Internal career pathways, including opportunities to advance into senior support roles, team leadership, or specialized billing positions.
- Access to industry conferences, webinars, and certifications that enhance your skill set.
- Regular performance reviews with clear metrics and growth plans.
Work Environment & Company Culture
brighthush fosters a culture of inclusion, innovation, and employee well‑being. Our remote work model offers flexibility while maintaining strong team cohesion through:
- Weekly virtual team huddles and knowledge‑sharing sessions.
- Open‑door communication channels with leadership.
- Employee resource groups that celebrate diversity and support professional networking.
- Regular virtual social events and wellness challenges.
Compensation & Benefits
Base Pay: $17.20+ per hour, with potential for hourly increases based on performance and tenure.
Performance Bonus: Eligible for annual performance‑based bonus compensation.
Benefits Package (Full‑Time Employees)
- Medical, dental, and vision coverage starting Day 1.
- Well‑being programs, including annual health assessments and mental health support.
- Paid time off (vacation, sick leave, and flexible personal days).
- 6 paid holidays plus one “MyDay” off for personal or family needs.
- Financial wellness resources such as FinFit coaching and 401(k) with company match up to 5% after 12 months.
- Employee stock purchase plan.
- Life and disability insurance with optional buy‑up.
- Flexible Spending Accounts (FSA) for medical and dependent care.
- Matching gift program to support charitable causes.
- Education assistance through MyQuest for Education.
- Ongoing professional development and tuition reimbursement.
How to Apply
Ready to make a difference in the lives of our members? Submit your application through the brighthush careers portal. We encourage candidates who are passionate about customer service, billing, and healthcare to apply. If you are a veteran, we especially welcome your application.
Closing
As a Customer Service Representative – Billing II at brighthush, you will play a critical role in ensuring our members receive the support they need to navigate their healthcare journey confidently. This is more than a job; it’s an opportunity to grow professionally, contribute to a mission‑driven organization, and be part of a team that values empathy, innovation, and excellence. If you thrive in a fast‑paced environment, enjoy problem‑solving, and are committed to delivering outstanding service, we want to hear from you.