Remote Bilingual Patient Financial Services Representative – Advanced Claims Processing, Customer Support & Team Leadership

About brighthush

brighthush is a leading nonprofit healthcare organization that delivers high‑quality, patient‑centered care across the Northern Virginia and Washington, D.C. metropolitan area. With a legacy that dates back to 1956, brighthush has grown into a vibrant community of over 10,000 dedicated professionals who share a common mission: to improve the health and well‑being of every individual who walks through our doors. Our commitment to innovation, compassion, and continuous improvement drives everything we do—from cutting‑edge clinical services to robust revenue‑cycle operations that keep our organization financially healthy and sustainable.

As a remote‑first employer, brighthush empowers its workforce to thrive from anywhere in the United States. We believe that flexibility, collaboration, and a culture of trust are essential to attracting and retaining top talent. If you are passionate about making a tangible difference in patients’ lives while working in a dynamic, supportive environment, brighthush is the place for you.

Position Overview

We are seeking an experienced, bilingual Patient Financial Services Representative – Level 4 to join our remote customer‑service team. In this role, you will be the linchpin between patients, payers, and internal stakeholders, ensuring that complex claims are processed accurately, efficiently, and in compliance with all regulatory and payer requirements. Your expertise will help maintain the financial integrity of our organization while delivering exceptional service to our diverse patient population.

Key Responsibilities

• Advanced Claims Processing: Perform all duties of a Level 3 representative, including editing, submitting, and following up on assigned claims across multiple payer types (Commercial, Managed Care, Blue Cross, Medicare, Medicaid, etc.).
• Quality & Productivity: Ensure that all claims meet clearinghouse and payer criteria, and that follow‑up is completed within established timeframes. Maintain departmental productivity and quality review standards.
• Issue Identification & Resolution: Proactively identify problems in the claims workflow, recommend solutions, and communicate potential resolutions to management.
• Team Leadership: Provide support, education, and guidance to team members in the absence of the supervisor or manager. Serve as a point of escalation for complex issues.
• Real‑Time Submission: Submit clean claims on the same day they are received, using the appropriate medium and attaching all required documentation.
• Complex Account Management: Resolve high‑value or intricate patient accounts, coordinating with Patient Accounts staff, other hospital departments, and payers as needed.
• Documentation & Compliance: Record all account activity in HealthQuest and TRAC, ensuring accuracy, professionalism, and adherence to quality standards.
• Report Analysis: Work with payer response and rejection reports, ensuring they meet productivity and quality benchmarks while staying current on payer requirements, UB‑92 standards, and system functionality.
• Continuous Improvement: Take direction from management to resolve issues, provide training, and implement process improvements that enhance team efficiency.
• Additional Duties: Perform any other responsibilities as assigned to support the revenue‑cycle function.

Essential Qualifications

• Education: Associate’s degree or equivalent combination of education and experience (minimum 3 years in revenue cycle, finance, customer service, or data analytics).
• Experience: Minimum 3 years of hands‑on experience in claims processing, patient billing, or a related financial services role.
• Bilingual Proficiency: Fluency in English and Spanish is strongly preferred to serve our diverse patient community.
• Technical Skills: Proficient in EPIC, HealthQuest, TRAC, and other revenue‑cycle software. Comfortable navigating complex payer systems and interpreting Explanation of Benefits (EOBs).
• Customer‑Service Excellence: Demonstrated ability to handle patient inquiries with professionalism, empathy, and clear communication.
• Analytical Thinking: Strong problem‑solving skills, with the ability to identify root causes and implement effective solutions.
• Remote Work Readiness: Proven track record of maintaining productivity, accountability, and collaboration in a remote environment.
• Compliance Knowledge: Familiarity with payer requirements, UB‑92 standards, and hospital policies related to billing and claims.

Preferred Qualifications

• Experience in a Level 4 or senior claims processing role.
• Knowledge of payer contracts, eligibility verification, and denial management.
• Prior exposure to a large, nonprofit healthcare system.
• Certification in revenue cycle management (e.g., Certified Professional Biller).
• Experience coaching or mentoring junior team members.

Skills & Competencies

• Communication: Clear, concise, and compassionate communication with patients, payers, and internal stakeholders.
• Attention to Detail: Meticulous approach to data entry, documentation, and quality control.
• Time Management: Ability to prioritize tasks, meet deadlines, and manage multiple work streams simultaneously.
• Collaboration: Strong teamwork skills, with a willingness to share knowledge and support colleagues.
• Adaptability: Comfortable navigating changing policies, payer requirements, and technology updates.
• Customer‑Centric Mindset: Commitment to delivering a positive patient experience, even in challenging situations.

Career Growth & Learning Opportunities

At brighthush, we believe in investing in our people. As a Level 4 representative, you will have access to:

• Structured career pathways that can lead to senior claims analyst, revenue‑cycle manager, or finance leadership roles.
• Ongoing training programs in EPIC, payer systems, and regulatory compliance.
• Mentorship from experienced revenue‑cycle professionals.
• Opportunities to participate in cross‑functional projects that impact the entire organization.
• Annual tuition reimbursement up to $5,250 and student‑loan assistance up to $10,000.

Work Environment & Culture

brighthush fosters a culture of inclusion, innovation, and accountability. Our remote workforce enjoys:

• Flexible work schedules that accommodate personal and family commitments.
• Regular virtual team‑building events, wellness challenges, and peer‑recognition programs.
• A supportive leadership team that values transparency and open communication.
• Access to cutting‑edge technology and a robust virtual collaboration platform.
• A commitment to diversity, equity, and inclusion, reflected in our hiring practices and workplace policies.

Compensation & Benefits

While specific salary ranges are competitive and commensurate with experience, brighthush offers a comprehensive benefits package designed to support your health, well‑being, and financial security:

• Medical, dental, and vision coverage.
• Retirement plan with a 5% employer match starting on day one.
• Paid time off, paid parental leave, and flexible work arrangements.
• Robust wellness program, including 25 mental‑health coaching or therapy sessions per year at no cost.
• Education assistance up to $5,250 per year.
• Student‑loan repayment assistance up to $10,000.
• Eligibility for remote work from a broad list of states, including VA, MD, DC, DE, FL, GA, NC, OH, PA, SC, TN, TX, and WV.

How to Apply

Ready to make a difference in patients’ lives while advancing your career in a supportive, remote environment? Submit your application today and join the brighthush team. We look forward to learning how your skills and passion align with our mission to provide exceptional, patient‑centered care.