Experienced Remote Healthcare Customer Service Representative – Billing & Insurance Specialist – Texas – Join brighthush

About brighthush

brighthush is a forward‑thinking healthcare solutions provider that has been delivering exceptional patient support for over three decades. Our mission is simple: empower our people to grow, innovate, and provide the highest quality service to patients, insurers, and healthcare partners. With a culture rooted in integrity, collaboration, and continuous learning, we offer a dynamic work environment where every team member can thrive—whether they’re working from home or from our modern office in Marshfield, WI.

Why This Role Matters

As a Remote Healthcare Customer Service Representative, you’ll be the frontline advocate for patients and partners navigating the complex world of medical billing and insurance. Your expertise will help patients understand their financial responsibilities, resolve disputes, and ultimately improve their experience with the healthcare system. In a role that blends empathy with analytical precision, you’ll play a pivotal part in ensuring that brighthush’s commitment to transparency and patient satisfaction is realized every day.

Key Responsibilities

• Patient & Partner Support: Handle inbound and outbound calls from patients, law offices, insurance carriers, and other external stakeholders to resolve billing and insurance inquiries.
• Complex Issue Resolution: Address advanced billing questions—deductibles, co‑insurance, co‑pays, denials, charge disputes, claim resubmissions, eligibility issues, and coding disputes—using a deep understanding of medical billing and coding.
• Payment Guidance: Review financial information and recommend payment options or assistance programs in line with brighthush policies and client guidelines.
• Objection Management: Skillfully manage both common and challenging objections, guiding patients toward feasible payment solutions and referrals when necessary.
• Script & Compliance: Follow required scripts and verbatims while navigating guidelines to maximize recovery and maintain compliance with all regulatory requirements.
• Documentation & Accuracy: Independently document calls, notes, and codes with minimal errors, ensuring all records are accurate and up to date.
• System Proficiency: Operate efficiently within internal and client systems, including Artiva, Cerner Soarian, and EPIC, while maintaining a high level of data integrity.
• Performance Excellence: Meet or exceed key performance indicators such as call volume, successful payment resolution rates, and call quality scores.
• Continuous Learning: Stay current on industry trends, billing regulations, and software updates to provide the most accurate and helpful information to patients.
• Team Collaboration: Work closely with cross‑functional teams—billing, collections, compliance, and technology—to resolve complex cases and improve processes.

Essential Qualifications

• High School Diploma or equivalent (GED) required; associate’s degree or higher is a plus.
• Prior experience in a call center or healthcare customer service environment.
• Working knowledge of medical billing and coding practices.
• Familiarity with Artiva and Cerner Soarian applications; EPIC experience is a strong advantage.
• Excellent verbal and written communication skills, with proper grammar and telephone etiquette.
• Proficiency in navigating multiple computer applications and databases simultaneously.
• Strong typing speed and accuracy, with the ability to perform basic math calculations on the fly.
• Ability to handle sensitive personal information (SPI) and protected health information (PHI) with strict confidentiality.
• Self‑motivated, reliable, and capable of managing time effectively in a remote setting.
• Professional judgment and a strong sense of client business acumen.

Preferred Qualifications

• Prior supervisory or team‑lead experience.
• Experience working in a medical office or with general health insurance knowledge.
• Advanced proficiency in Excel, data analysis, or reporting tools.
• Knowledge of state and federal healthcare regulations (e.g., HIPAA, ACA).
• Experience with payment processing platforms and financial reconciliation.

Skills & Competencies

• Empathy & Compassion: Ability to listen actively and respond with genuine care.
• Problem‑Solving: Analytical mindset to diagnose issues and propose effective solutions.
• Negotiation: Skilled at guiding patients toward payment options while maintaining a positive relationship.
• Adaptability: Comfortable with evolving processes, technology updates, and changing regulatory landscapes.
• Team Player: Collaborative attitude, ready to share insights and support colleagues.
• Time Management: Efficiently balance multiple tasks while meeting performance metrics.

Career Growth & Learning Opportunities

At brighthush, we believe in nurturing talent from the ground up. As a Customer Service Representative, you’ll have clear pathways to advance into:

• Team Lead or Supervisor roles, overseeing call center operations and mentoring new hires.
• Specialist positions in billing, collections, or compliance, where you can deepen your expertise.
• Cross‑functional projects that influence product development, customer experience, and process improvement.

We invest in your professional development through:

• Structured onboarding and continuous training programs.
• Access to industry certifications (e.g., Certified Medical Billing Professional).
• Mentorship and coaching from senior leaders.
• Regular performance reviews with actionable feedback and growth plans.

Work Environment & Company Culture

brighthush offers a flexible, inclusive, and supportive work environment:

• Remote work options with a dedicated home‑office stipend to set up a productive workspace.
• Optional on‑site work at our Marshfield, WI office for those who prefer a hybrid model.
• Regular virtual team meetings, town halls, and social events to foster connection.
• Commitment to diversity, equity, and inclusion—every voice matters.
• Employee wellness initiatives, including mental health resources and fitness stipends.

Compensation, Perks & Benefits

While specific figures may vary based on experience, brighthush offers a competitive compensation package that includes:

• Base salary commensurate with industry standards.
• Performance‑based bonuses tied to key metrics.
• Health, dental, and vision insurance plans.
• 401(k) with company match.
• Paid time off, holidays, and sick leave.
• Professional development budget and tuition reimbursement.
• Employee assistance program and wellness resources.
• Flexible work schedule and remote work flexibility.

How to Apply

If you’re passionate about making a difference in patient care, thrive in a fast‑paced environment, and are ready to grow with a company that values your contributions, we’d love to hear from you. Submit your application through our careers portal or click the link below to start your journey with brighthush.

Apply to brighthush Today

Join brighthush – Where Your Expertise Meets Purpose

At brighthush, you’ll find more than just a job—you’ll discover a community that celebrates success, encourages innovation, and places patient well‑being at the heart of everything we do. If you’re ready to bring your skills, compassion, and drive to a role that truly matters, apply now and help us shape the future of healthcare customer service.