Experienced Remote Healthcare Customer Service Representative – Billing & Collections Specialist with Insurance Expertise

About brighthush

brighthush is a leading provider of integrated healthcare solutions, dedicated to delivering exceptional patient experiences and financial clarity across the United States. With a mission to streamline billing, collections, and patient support, we empower healthcare organizations to focus on what matters most: quality patient care. Our remote workforce model offers flexibility, professional growth, and a culture built on empathy, innovation, and accountability.

Position Overview

We are seeking a highly motivated, customer‑centric Remote Healthcare Customer Service Representative to join our dynamic team. In this role, you will be the frontline advocate for patients, addressing billing inquiries, negotiating payment plans, and ensuring compliance with all regulatory standards. Your expertise in health insurance, combined with strong communication and problem‑solving skills, will help patients navigate complex financial landscapes while maintaining the highest level of service.

Key Responsibilities

• Handle a high volume of inbound calls and emails, providing timely, accurate, and courteous responses to patient billing inquiries.
• Research and resolve billing discrepancies, including reviewing Explanation of Benefits (EOBs), claim status, and payment history.
• Negotiate payment arrangements and financial assistance programs in line with hospital financial policies.
• Identify patients eligible for financial assistance and guide them through the application process.
• Maintain meticulous records in the Electronic Health Record (EHR) system, ensuring data integrity and confidentiality.
• Adhere to departmental production standards and quality metrics, consistently meeting or exceeding targets.
• Collaborate with cross‑functional teams—billing, finance, compliance—to resolve complex issues.
• Participate in ongoing training and professional development initiatives to stay current on industry best practices and regulatory changes.
• Perform additional duties as assigned by management to support operational excellence.

Essential Qualifications

• High school diploma or equivalent (required).
• Minimum of 2 years’ experience in healthcare customer service, collections, or billing.
• Proficient knowledge of Medicare, Medicaid, HMO, PPO, and other commercial payers.
• Hands‑on experience with Epic EHR (required).
• Strong understanding of HIPAA and other privacy regulations.
• Advanced computer skills, including Microsoft Word, Excel, and multi‑screen workflow.
• Excellent written and verbal communication, with the ability to convey complex information clearly.
• Empathy, patience, and a genuine commitment to patient advocacy.
• Self‑motivated, critical thinker with strong organizational skills.
• Ability to work independently from a home office while maintaining a professional environment.

Preferred Credentials

• CPAR, CHAA, or CFC certifications.
• Experience in a hospital or large health system setting.
• Knowledge of advanced billing software and analytics tools.
• Previous experience negotiating payment plans and managing collections portfolios.

Core Competencies

• Customer‑First Mindset: Demonstrates empathy, respect, and patience in every interaction.
• Analytical Thinking: Ability to dissect complex billing scenarios and provide clear solutions.
• Proficiency in reading and interpreting EOBs and claim documents.
• Strong attention to detail and commitment to data accuracy.
• Adaptability to changing policies, technology, and patient needs.
• Team collaboration and cross‑department communication.
• Time management and prioritization skills to handle high call volumes.

Career Growth & Learning Opportunities

At brighthush, we believe in nurturing talent and fostering career advancement. As a Remote Healthcare Customer Service Representative, you will have access to:

• Structured mentorship programs with senior billing and finance leaders.
• Regular training sessions on the latest healthcare regulations, billing software, and customer service techniques.
• Opportunities to transition into specialized roles such as Collections Manager, Billing Analyst, or Compliance Officer.
• Leadership development tracks for high performers seeking managerial responsibilities.
• Annual performance reviews with clear pathways for salary increases and role expansion.

Work Environment & Culture

Our remote-first culture empowers you to work from the comfort of your home while staying connected to a vibrant, collaborative team. Key cultural pillars include:

• Flexibility: Choose your own schedule within core hours to balance personal and professional commitments.
• Transparency: Open communication channels with leadership and peers.
• Inclusivity: A diverse workforce that values every voice and perspective.
• Well‑Being: Access to wellness resources, mental health support, and ergonomic guidance.
• Recognition: Regular shout‑outs, awards, and incentive programs for outstanding performance.

Compensation & Benefits (General Overview)

While specific compensation details are tailored to each state, brighthush offers a competitive package that includes:

• Base salary commensurate with experience and market rates.
• Performance‑based bonuses and incentive plans.
• Health, dental, and vision insurance options.
• 401(k) retirement plan with company match.
• Paid time off, holidays, and sick leave.
• Professional development stipend and tuition reimbursement.
• Technology stipend for home office setup.
• Employee assistance program and wellness benefits.

How to Apply

Ready to make a difference in patient financial wellness while enjoying the flexibility of remote work? Click the link below to view state‑specific benefits and submit your application. We look forward to welcoming you to the brighthush family!