Remote Customer Service Representative – Claims & Revenue Support Specialist – Healthcare Billing & Payer Relations

About brighthush

brighthush is a leading provider of durable medical equipment (DME) and home health solutions, dedicated to improving patient outcomes through education, clinical support, and innovative technology. Since our founding in 1987, we have grown to a global workforce of over 10,000 employees, delivering high‑quality care to patients across the United States and beyond. Our mission is simple: empower patients to live healthier, more independent lives by providing the equipment, expertise, and support they need.

As a remote‑first organization, brighthush embraces flexibility, collaboration, and continuous learning. We believe that great work can happen anywhere, and we provide our teams with the tools, resources, and culture to thrive from any location. If you are passionate about healthcare, customer service, and revenue integrity, and you thrive in a fast‑paced, process‑driven environment, we invite you to join our mission‑driven team.

Why This Role Matters

Revenue integrity is the lifeblood of any healthcare organization. Our Customer Service Representatives play a pivotal role in ensuring that every claim is accurately processed, every payer policy is correctly applied, and every patient receives the care they deserve. By collecting and validating documentation, communicating with payers and patients, and monitoring accounts for barriers, you will directly influence the financial health of brighthush while delivering exceptional service to our customers.

Key Responsibilities

• Revenue Assurance: Identify opportunities to enhance operational efficiency and improve overall results by proactively managing held revenue.
• Documentation Management: Obtain, review, and validate required documentation to support claim resolution, ensuring completeness and compliance.
• Stakeholder Communication: Engage with customers, payers, and internal teams to gather information, clarify requirements, and resolve outstanding issues.
• Payer Policy Application: Apply in‑depth knowledge of payer medical policies, coverage criteria, and reimbursement guidelines to guarantee accurate claim processing.
• Standard Operating Procedures: Follow established SOPs to maintain compliance, consistency, and quality across all workflows.
• Account Monitoring: Track accounts for delays, missing documentation, or policy‑related barriers, taking proactive steps to resolve them.
• Trend Analysis: Identify trends, gaps, or recurring issues that impact revenue flow, and recommend or implement solutions.
• Process Improvement: Collaborate with team members to streamline processes, enhance operational efficiency, and improve overall performance.
• Record Keeping: Maintain accurate records, notes, and documentation within company systems to support audit readiness and transparency.
• Performance Metrics: Meet productivity, quality, and turnaround time expectations as defined by departmental standards.
• Continuous Learning: Participate in training, policy updates, and continuous improvement initiatives to stay current with payer requirements and internal processes.

Essential Qualifications

• High School Diploma or General Education Degree (GED) – foundational education that demonstrates commitment and discipline.
• Minimum of 1 year experience in held revenue, accounts receivable, medical billing, or related healthcare reimbursement functions.
• Proficiency with Microsoft Excel and Word, including data entry, documentation management, and basic reporting.
• Strong attention to detail and analytical mindset for reviewing account information and identifying discrepancies.
• Excellent written and verbal communication skills for interacting with customers, payers, and internal teams.
• Ability to manage multiple tasks, prioritize workload, and meet productivity and quality expectations in a fast‑paced environment.
• Comfortable working in a process‑driven setting with evolving payer requirements and regulatory changes.
• Knowledge of payer requirements, medical policies, and coverage guidelines – a plus if you have experience in the DME or insurance verification space.

Preferred Qualifications

• Experience with healthcare billing software (e.g., Epic, Meditech, or similar platforms).
• Background in durable medical equipment (DME) or home health services.
• Familiarity with payer portals and electronic claim submission systems.
• Previous exposure to compliance audits or quality assurance processes.
• Certification in medical billing or revenue cycle management (e.g., CPC, CBHRS).

Skills & Competencies for Success

• Customer‑Centric Mindset: Passion for helping patients and payers navigate complex reimbursement processes.
• Analytical Thinking: Ability to dissect complex claim data and identify root causes of delays.
• Problem‑Solving: Creative and proactive approach to resolving barriers and improving revenue flow.
• Collaboration: Strong teamwork skills to work effectively with cross‑functional teams.
• Adaptability: Thrive in a dynamic environment where payer policies and regulations evolve rapidly.
• Time Management: Efficiently juggle multiple priorities while maintaining high quality.
• Technology Savvy: Comfortable learning new software tools and platforms.

Career Growth & Learning Opportunities

At brighthush, we believe in investing in our people. As a Customer Service Representative, you will have access to:

• Structured onboarding and mentorship programs to accelerate your learning curve.
• Regular training sessions on payer policies, industry regulations, and new technology tools.
• Clear career pathways into senior revenue cycle roles, quality assurance, or process improvement leadership.
• Opportunities to lead cross‑functional projects, enhancing your project management and leadership skills.
• Access to industry conferences, webinars, and certification courses to broaden your expertise.

Work Environment & Culture at brighthush

Our remote‑first culture means you can work from anywhere in the USA while staying connected to a vibrant, collaborative team. We value:

• Flexibility: Flexible work hours to accommodate your personal and professional life.
• Regular virtual team huddles, knowledge sharing sessions, and social events.
• Open communication channels with leadership and peers.
• A culture of recognition, where achievements are celebrated and contributions are acknowledged.
• Commitment to diversity, equity, and inclusion – fostering an environment where every voice is heard.

Compensation, Perks, and Benefits

While specific figures may vary based on experience and location, brighthush offers a competitive salary package that reflects the value of your expertise. In addition to base pay, you can expect:

• Health, dental, and vision insurance plans.
• 401(k) retirement plan with company match.
• Paid time off (PTO), holidays, and sick leave.
• Professional development stipend and tuition reimbursement.
• Employee wellness programs and mental health resources.
• Technology stipend for home office setup.
• Employee referral bonuses and performance‑based incentives.

How to Apply

If you are ready to make a tangible impact on patient care and revenue integrity, we encourage you to apply today. Join brighthush and become part of a team that values innovation, collaboration, and excellence.