Remote Healthcare Customer Service Representative – Billing & Insurance Specialist – Tennessee

About brighthush

brighthush is a forward‑thinking healthcare solutions provider that has been empowering patients, providers, and payers for over three decades. Our mission is simple: to streamline the complex world of medical billing and insurance so that everyone can focus on what matters most—health and well‑being. We invest heavily in our people, offering continuous learning, mentorship, and clear career pathways. Whether you’re working from home or from our modern Marshfield, WI office, you’ll be part of a collaborative, high‑performing team that values empathy, integrity, and innovation.

Why Join brighthush?

At brighthush, we believe that exceptional customer service is the cornerstone of a thriving healthcare ecosystem. As a Remote Healthcare Customer Service Representative, you’ll be the first line of support for patients, law offices, insurance carriers, and other stakeholders. Your work will directly impact patient satisfaction, financial recovery, and the overall health of our partners’ operations.

We offer:

• Competitive base salary plus performance‑based incentives
• Comprehensive health, dental, and vision insurance plans
• 401(k) with company match
• Generous paid time off and flexible holiday schedule
• Unlimited learning budget for courses, certifications, and conferences
• Modern, ergonomic home‑office stipend and remote‑work support
• Annual wellness stipend and on‑site fitness center access (Marshfield location)
• Employee referral bonuses and recognition programs

Position Summary

As a Remote Healthcare Customer Service Representative at brighthush, you will deliver consistent, compassionate, and solution‑oriented service to a diverse clientele. Your primary focus will be resolving billing and insurance inquiries, facilitating payment options, and ensuring compliance with all regulatory and company policies. You will operate independently, meeting or exceeding key performance indicators (KPIs) such as call volume, resolution rate, and quality scores.

Key Responsibilities

• Handle inbound and outbound calls from patients, law offices, insurance carriers, and external facilities to resolve complex billing and insurance issues.
• Conduct outbound outreach to patients with aging balances, offering payment plans and negotiating settlements.
• Answer detailed questions about deductibles, co‑insurance, co‑pays, denials, charge disputes, claim resubmissions, eligibility, and coding disputes.
• Review financial statements and recommend payment options or assistance programs in line with client guidelines.
• Manage objections and concerns with empathy, professionalism, and a solution‑focused mindset.
• Use scripts and verbatims strategically to maximize recovery while maintaining compliance.
• Maintain accurate, up‑to‑date documentation in internal and client systems, including notes and codes.
• Navigate multiple computer applications and databases simultaneously, ensuring data integrity.
• Adhere to brighthush Core Values and Strategic Anchors in every interaction.
• Collaborate with cross‑functional teams (Billing, Collections, Compliance) to resolve escalated issues.
• Participate in ongoing training and quality improvement initiatives.
• Perform additional duties as assigned to support business needs.

Essential Qualifications

• High School Diploma or GED (equivalent). College coursework or a bachelor’s degree is a plus.
• Minimum of 1–2 years experience 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 systems and databases; moderate to advanced keyboard typing skills.
• Ability to perform basic math calculations (addition, subtraction, multiplication, division, percentages) accurately.
• Self‑motivated, reliable, and able to thrive in a remote work environment.
• Excellent time‑management skills and a proven track record of meeting or exceeding KPIs.
• Professional judgment, discretion, and a client‑centric mindset.
• Understanding of Sensitive Personal Information (SPI) and Protected Health Information (PHI) confidentiality requirements.
• Prior supervisory experience is welcome but not required.

Preferred Qualifications

• Experience with medical billing and coding (e.g., ICD‑10, CPT, HCPCS).
• Familiarity with Artiva, Cerner Soarian, or EPIC systems.
• Background in a medical office or general knowledge of health insurance processes.
• Experience negotiating payment plans and resolving complex billing disputes.
• Knowledge of state and federal healthcare regulations (HIPAA, HITECH).
• Previous experience in a high‑volume, fast‑paced call center environment.

Core Skills & Competencies

• Customer‑Centric Mindset: Demonstrates empathy, patience, and a genuine desire to help patients navigate billing challenges.
• Problem‑Solving: Quickly analyzes complex billing scenarios and identifies actionable solutions.
• Communication: Articulates information clearly, both verbally and in writing, and adapts tone to diverse audiences.
• Technical Proficiency: Comfortable with CRM platforms, billing software, and Microsoft Office Suite.
• Compliance & Ethics: Adheres strictly to PHI regulations and company policies.
• Adaptability: Thrives in a dynamic environment, adjusting to new processes and technologies.
• Team Collaboration: Works effectively with cross‑functional teams to resolve escalated issues.
• Self‑Management: Maintains focus, organization, and productivity in a remote setting.

Career Growth & Learning Opportunities

At brighthush, we view every role as a stepping stone to greater responsibility. As a Customer Service Representative, you can progress to:

• Team Lead – overseeing a group of representatives, coaching performance, and driving KPI achievement.
• Billing Analyst – deepening expertise in medical coding, denial management, and revenue cycle optimization.
• Compliance Specialist – ensuring adherence to HIPAA, HITECH, and industry best practices.
• Operations Manager – leading process improvement initiatives across the customer service function.

We support your growth through:

• Annual tuition reimbursement for relevant certifications (e.g., Certified Professional Biller).
• Monthly skill‑building workshops on communication, negotiation, and technology.
• Mentorship programs pairing you with senior leaders.
• Annual performance reviews with clear career path discussions.

Work Environment & Culture

brighthush fosters a culture of transparency, collaboration, and continuous improvement. Whether you’re working from home or our state‑of‑the‑art Marshfield office, you’ll experience:

• Flexible scheduling to accommodate personal commitments.
• Regular virtual team huddles and in‑person retreats.
• A supportive manager who provides autonomy and constructive feedback.
• Access to cutting‑edge technology and tools that streamline your workflow.
• A diverse, inclusive workplace that celebrates different perspectives.

Compensation & Benefits Overview

While specific figures vary by experience and location, our compensation package includes:

• Competitive base salary commensurate with market rates.
• Performance bonuses tied to individual and team KPIs.
• Health, dental, and vision insurance plans with low employee premiums.
• 401(k) plan with company match up to 5%.
• Paid time off, sick leave, and a generous holiday schedule.
• Remote‑work stipend covering home‑office setup and internet.
• Annual wellness stipend and access to on‑site fitness facilities.
• Employee referral program with bonus incentives.

How to Apply

Ready to make a tangible impact in the healthcare industry? Click the link below to submit your application and join the brighthush team.

Apply to brighthush Today

We’re Excited to Meet You!

At brighthush, we’re committed to building a workforce that reflects the communities we serve. If you’re passionate about helping patients navigate billing challenges, thrive in a remote environment, and grow your career in healthcare customer service, we want to hear from you. Join us and be part of a team that values empathy, excellence, and innovation.