Remote Billing Customer Service Representative – Medical Billing & Insurance Claims Specialist at brighthush (Full‑Time, Remote)
Welcome to brighthush – Where Every Breath Matters
Since 1979, brighthush has stood at the forefront of allergy and respiratory care, pioneering diagnostics, immunotherapy, and patient‑centered solutions across the United States. With a legacy spanning more than four decades, we have become the trusted partner for patients, clinicians, and payers alike. Our mission is simple yet profound: to empower individuals to breathe easier and live healthier by delivering personalized, evidence‑based care.
At brighthush, we believe that exceptional patient experiences begin long before the first appointment. That’s why we invest heavily in our people, our processes, and our technology. Our workforce of over 800 professionals shares a common passion for quality care, innovation, and community impact. Whether you’re a seasoned billing veteran or a recent graduate eager to launch your career, brighthush offers a dynamic, supportive environment where you can thrive.
Why This Role Is a Game‑Changer
As a Remote Billing Customer Service Representative, you will be the frontline of our billing operations, ensuring that patients and insurance carriers receive accurate, timely, and transparent communication. This role is more than a job—it’s an opportunity to:
- Make a tangible difference in patients’ financial journeys, helping them understand their responsibilities and navigate complex insurance landscapes.
- Work in a fully remote setting that offers flexibility, autonomy, and a healthy work‑life balance.
- Collaborate with a cross‑functional team of billing experts, medical coders, and customer service professionals who are committed to continuous improvement.
- Grow your skill set through ongoing training, certifications, and mentorship programs.
- Benefit from a culture that values diversity, inclusion, and professional development.
Key Responsibilities
In this role, you will:
- Serve as the primary point of contact for patients and insurance carriers, handling inquiries related to Explanation of Benefits (EOB), patient responsibility, and payment processing.
- Deliver outstanding customer service by actively listening, empathizing, and providing clear, concise explanations of billing statements and insurance coverage.
- Investigate and resolve billing discrepancies, including returned correspondence due to address updates, denied claims, and payment errors.
- Process payments securely and accurately, ensuring that all transactions are recorded in our billing system.
- Assist with filing secondary paper claims, accessing insurance EOBs, and coordinating with the billing team to reprocess claims as needed.
- Route incoming faxes and documents to the appropriate billing staff, maintaining an organized and efficient workflow.
- Support the billing department’s reminder system, ensuring timely follow‑ups on outstanding balances.
- Participate in cross‑training initiatives, gaining exposure to various billing functions and enhancing your versatility.
- Contribute to special billing projects and process improvement initiatives as directed by management.
Essential Qualifications
To excel in this role, you should possess:
- High School Diploma or equivalent (Bachelor’s degree in Health Administration, Finance, or a related field is a plus).
- Minimum of 2 years of experience in medical billing, preferably in a clinical or healthcare setting.
- Strong understanding of insurance terminology, including deductibles, copays, coinsurance, and out‑of‑pocket maximums.
- Familiarity with medical coding systems (ICD‑10, CPT) and the ability to interpret coding and billing documents.
- Proficiency in Microsoft Office (Excel, Word, Outlook, Teams) and Adobe Acrobat for document editing, printing, and routing.
- Excellent verbal and written communication skills in English, with the ability to explain complex billing concepts in a clear, patient‑friendly manner.
- Strong problem‑solving skills and the ability to resolve issues independently without unnecessary call transfers.
- High level of attention to detail, accuracy, and organizational skills.
Preferred Qualifications
We’ll be even more excited if you bring:
- Experience with electronic health record (EHR) systems and billing software such as Epic, Meditech, or Athenahealth.
- Knowledge of state and federal regulations governing medical billing and patient privacy (HIPAA).
- Bilingual proficiency in Spanish (or another language) to better serve our diverse patient population.
- Previous experience in a remote or hybrid work environment, demonstrating self‑discipline and time‑management.
- Certifications such as Certified Professional Biller (CPB) or Certified Medical Reimbursement Specialist (CMRS).
Skills & Competencies
Success at brighthush requires a blend of technical and soft skills:
- Customer‑Centric Mindset: Ability to put patients first, providing empathy and clear guidance.
- Analytical Thinking: Skill in reviewing billing statements, identifying discrepancies, and proposing solutions.
- Collaboration: Comfortable working with billing, coding, and clinical teams to resolve complex issues.
- Adaptability: Thrive in a fast‑paced environment where priorities can shift quickly.
- Technology Savvy: Comfortable navigating multiple software platforms and troubleshooting basic technical issues.
- Time Management: Prioritize tasks effectively to meet daily call and processing targets.
Career Growth & Learning Opportunities
At brighthush, we’re committed to your professional development. As a Remote Billing Customer Service Representative, you’ll have access to:
- Structured onboarding that covers our billing processes, compliance standards, and customer service best practices.
- Ongoing training modules on medical coding updates, insurance policy changes, and new billing technologies.
- Mentorship from senior billing analysts and managers who provide guidance and career advice.
- Opportunities to transition into specialized roles such as Billing Analyst, Revenue Cycle Manager, or Compliance Officer.
- Support for industry certifications and continuing education, including reimbursement for exam fees and study materials.
Work Environment & Culture
brighthush fosters a culture of collaboration, innovation, and respect. Even though this role is remote, you’ll feel connected through:
- Weekly virtual team huddles to share updates, challenges, and successes.
- Monthly town‑hall meetings where leadership shares company news and strategic goals.
- Access to an internal knowledge base, discussion forums, and peer‑to‑peer learning groups.
- A supportive HR team that champions work‑life balance, mental health resources, and employee wellness programs.
- Recognition programs that celebrate outstanding performance and contributions to the team.
Compensation & Benefits
While the exact salary range will be determined based on experience and qualifications, brighthush offers a competitive compensation package that includes:
- Base salary commensurate with industry standards for remote billing professionals.
- Performance‑based bonuses tied to call resolution metrics, accuracy rates, and customer satisfaction scores.
- Health, dental, and vision insurance plans with generous coverage options.
- 401(k) retirement plan with company matching contributions.
- Paid time off (PTO), holidays, and sick leave.
- Flexible work schedule and remote work stipend to support home‑office setup.
- Professional development budget for certifications, conferences, and continuing education.
- Employee assistance program (EAP) for counseling and mental health support.
How to Apply
Ready to take the next step in your billing career? Submit your application through our career portal or click the link below to apply directly:
Apply to this Remote Billing Customer Service Representative position at brighthush
We look forward to learning how your skills, experience, and passion for patient care can contribute to the brighthush mission. Join us and help shape the future of allergy and respiratory care—one bill at a time.
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