Remote Position

Remote Healthcare Customer Service Representative – Billing & Insurance Specialist (KS)

🌍 Remote · United States 💼 Full-time

About brighthush and the Healthcare Customer Experience Landscape

brighthush is a forward‑thinking, patient‑centric organization that has spent more than three decades redefining how healthcare services are delivered and experienced. Our mission is simple yet powerful: empower every employee to grow, innovate, and provide exceptional care to patients across the United States. Whether you work from a bustling office in Marshfield, WI, or from the comfort of your home, you’ll be part of a culture that values empathy, resilience, and continuous learning.

In today’s fast‑moving healthcare environment, the role of a Customer Service Representative (CSR) has evolved far beyond answering a phone. CSRs are the frontline ambassadors who translate complex billing jargon into clear, actionable guidance for patients, insurers, and partner organizations. At brighthush, we recognize that every interaction can transform a patient’s experience, and we are looking for a dedicated professional to help us maintain that high standard.

Key Responsibilities – What You’ll Do Every Day

  • Handle inbound and outbound calls from patients, law offices, insurance carriers, and external facilities, ensuring each conversation is courteous, professional, and solution‑oriented.
  • Resolve billing and insurance inquiries that range from simple balance checks to complex denials, coding disputes, and eligibility questions.
  • Provide payment options and assistance programs tailored to individual patient circumstances, following brighthush’s guidelines and compliance standards.
  • Document all interactions accurately in our electronic systems, including notes, codes, and follow‑up actions, with minimal errors.
  • Maintain a deep understanding of account requirements by reviewing financial statements, insurance policies, and internal documentation.
  • Collaborate with cross‑functional teams such as billing, collections, and compliance to ensure seamless resolution of complex issues.
  • Meet and exceed Key Performance Indicators (KPIs) such as call volume, successful payment resolution rate, and call quality scores.
  • Operate independently in a remote or office setting, managing your own schedule while staying aligned with team goals.
  • Adhere to all applicable laws and regulations (HIPAA, FERPA, etc.) and brighthush’s internal policies.

Essential Qualifications – What We Expect

  • High school diploma or equivalent; a bachelor’s degree in business, healthcare administration, or a related field is a plus.
  • Minimum of 1–2 years of experience in a call center or customer service environment, preferably within healthcare.
  • 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 (minimum 45 WPM) and navigation skills.
  • Ability to manage self‑effortfully in a remote work environment, staying focused and delivering results.
  • Understanding of sensitive personal information (SPI) and sensitive consumer information (SCI) handling protocols.

Preferred Qualifications – What Gives You an Edge

  • Prior experience in medical billing and coding, with familiarity in coding systems such as ICD‑10, CPT, and HCPCS.
  • Hands‑on knowledge of electronic health record (EHR) platforms like Artiva, Cerner Soarian, and EPIC.
  • Experience with insurance claim resubmission, denial management, and charge dispute resolution.
  • Background in a medical office setting or a general understanding of health insurance structures.
  • Previous exposure to payment assistance programs and financial counseling for patients.
  • Comfort with screen monitoring, video conferencing, and remote collaboration tools.

Core Skills & Competencies – What Makes You Successful

  • Customer‑centric mindset – always putting the patient’s needs first.
  • Problem‑solving acumen – quickly diagnosing issues and crafting effective solutions.
  • Attention to detail – ensuring accuracy in documentation and compliance.
  • Adaptability – thriving in a fast‑changing environment with evolving policies.
  • Time management – balancing multiple tasks while meeting performance targets.
  • Team collaboration – working seamlessly with billing, collections, and compliance teams.
  • Technical proficiency – comfortable with CRM systems, call routing software, and data entry tools.

Career Growth & Learning Opportunities – Your Path at brighthush

At brighthush, we believe that professional development is as important as the work itself. As a CSR, you’ll have access to:

  • Structured onboarding and an intensive August training program that covers billing fundamentals, EHR navigation, and customer service best practices.
  • Ongoing mentorship from senior CSRs and billing specialists.
  • Regular performance reviews that identify growth areas and potential career pathways.
  • Cross‑training opportunities in billing, collections, and compliance roles.
  • Access to online learning modules, webinars, and industry conferences.
  • Clear promotion tracks to Senior CSR, Team Lead, or Billing Analyst positions.

Work Environment & Company Culture – Why brighthush Stands Out

Whether you’re working from our Marshfield office or from home, you’ll experience a culture that values:

  • Flexibility – flexible scheduling options to accommodate personal commitments.
  • Inclusivity – a diverse workforce that celebrates different perspectives.
  • Transparency – open communication channels with leadership and peers.
  • Recognition – regular shout‑outs and awards for outstanding performance.
  • Team‑building activities, both virtual and in‑person, to foster camaraderie.

Compensation, Perks, and Benefits – What You’ll Receive

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

  • Base salary commensurate with industry standards for remote healthcare CSRs.
  • Performance‑based bonuses tied to KPI achievements.
  • Health, dental, and vision insurance plans.
  • 401(k) retirement plan with company match.
  • Paid time off (PTO), sick leave, and holidays.
  • Professional development stipend and tuition reimbursement.
  • Employee assistance program (EAP) and wellness resources.
  • Remote work equipment stipend for home office setup.

How to Apply – Join the brighthush Team Today

If you’re passionate about making a tangible difference in patients’ lives, thrive in a dynamic environment, and meet the qualifications above, we encourage you to apply. Submit your resume and a brief cover letter outlining why you’re the ideal candidate for this role. We look forward to welcoming you to our dedicated team of healthcare professionals.

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