Experienced Remote Healthcare Customer Service Representative – Billing & Insurance Support – Tennessee
About brighthush
brighthush is a forward‑thinking health‑care solutions provider that has been empowering patients, providers, and payers for over three decades. Our mission is simple: to make health‑care more accessible, transparent, and affordable for everyone. We invest heavily in our people, offering continuous learning, mentorship, and a culture that celebrates curiosity, collaboration, and compassion. Whether you work from home or from our modern office in Marshfield, WI, you’ll find a supportive environment that values your growth and rewards your dedication.
Why Join brighthush?
At brighthush, you’ll be part of a high‑impact team that directly improves the patient experience. Our remote‑first approach gives you flexibility, while our robust training program ensures you’re equipped to handle complex billing and insurance scenarios with confidence. We’re proud of our inclusive culture, competitive compensation, and the opportunity to advance into leadership or specialized roles.
Position Overview
As a Remote Healthcare Customer Service Representative, you will be the frontline advocate for patients, law offices, insurance companies, and other external stakeholders. Your primary focus will be to resolve billing and insurance inquiries, guide patients toward payment solutions, and maintain meticulous account documentation—all while upholding the highest standards of empathy, accuracy, and compliance.
Key Responsibilities
- Handle inbound and outbound calls from patients, legal representatives, insurers, and partner facilities to resolve complex billing and insurance issues.
- Provide clear, compassionate explanations of deductibles, co‑insurance, co‑pays, denials, charge disputes, claim resubmissions, eligibility questions, and coding disputes.
- Review financial statements and recommend payment options or assistance programs in line with brighthush guidelines.
- Navigate both internal and client systems (including brighthush’s proprietary platforms) to access account data, update records, and document interactions.
- Use scripted verbiage strategically to maximize recovery while maintaining a personalized, patient‑centered tone.
- Handle objections and concerns with professionalism, turning challenging conversations into positive outcomes.
- Maintain accurate, timely notes and coding for every interaction, ensuring compliance with PHI and SPI regulations.
- Meet or exceed key performance indicators such as call volume, resolution rate, and quality scores.
- Collaborate with cross‑functional teams—billing, collections, compliance—to resolve escalated issues.
- Participate in ongoing training, process improvement initiatives, and quality assurance reviews.
Essential Qualifications
- High School Diploma or GED (Bachelor’s degree preferred).
- Minimum of 1–2 years in a call center or healthcare customer service environment.
- Strong verbal and written communication skills, with impeccable grammar and telephone etiquette.
- Proficiency in navigating multiple computer applications and databases simultaneously.
- Moderate to advanced keyboard typing speed and navigation skills.
- Ability to perform basic math calculations (addition, subtraction, multiplication, division, percentages).
- Self‑motivated, reliable, and capable of managing time effectively in a remote setting.
- Professional judgment, client business acumen, and a commitment to confidentiality of PHI and SPI.
Preferred Qualifications
- Experience with brighthush’s billing and coding systems (formerly Artiva, Cerner Soarian, EPIC).
- Background in medical billing, coding, or a general understanding of health insurance.
- Prior supervisory or team‑lead experience.
- Knowledge of payment plans, assistance programs, and financial counseling.
- Familiarity with regulatory requirements such as HIPAA, PCI, and state‑specific billing laws.
Skills & Competencies
- Empathy & Compassion – genuinely caring about patient outcomes.
- Problem‑Solving – turning complex billing puzzles into clear solutions.
- Adaptability – thriving in a fast‑paced, evolving environment.
- Attention to Detail – ensuring accuracy in documentation and compliance.
- Team Collaboration – working seamlessly with billing, collections, and compliance teams.
- Resilience – maintaining composure under pressure and handling objections gracefully.
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:
- Team Lead – oversee a group of representatives, mentor new hires, and drive performance.
- Specialist Roles – transition into billing analyst, collections manager, or compliance officer.
- Leadership Development – participate in leadership training, mentorship programs, and cross‑functional projects.
- Continuous Learning – access to online courses, certifications in medical billing, coding, and customer experience.
Work Environment & Culture
Our hybrid model blends the flexibility of remote work with the camaraderie of a modern office. You’ll enjoy:
- Fully equipped home‑office stipend to create a productive workspace.
- Regular virtual team huddles, video conferences, and social events.
- Transparent communication from leadership and a flat hierarchy that values every voice.
- Commitment to work‑life balance, with flexible scheduling and generous paid time off.
- Inclusive culture that celebrates diversity, equity, and belonging.
Compensation & Benefits
While specific figures vary by experience, brighthush offers a competitive salary package that includes:
- Base salary with performance‑based bonuses.
- Health, dental, and vision insurance.
- 401(k) plan with company match.
- Paid parental leave and family support.
- Professional development stipend and tuition reimbursement.
- Employee wellness programs and mental health resources.
How to Apply
If you’re passionate about delivering exceptional patient support, thrive in a dynamic environment, and want to grow your career with a forward‑thinking organization, we’d love to hear from you. Submit your application through our careers portal and join the brighthush family today.
Join brighthush – Where Compassion Meets Excellence
At brighthush, we don’t just solve billing problems; we build trust, empower patients, and create a healthier future for everyone involved. Your expertise, empathy, and drive will be the cornerstone of our success. Apply now and become a vital part of a team that makes a real difference.
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