Seasoned Customer Operations Specialist – Workers' Compensation Claims Billing & Revenue Recovery Lead for Healthcare Providers – Champion Financial Health & Growth at brighthush

Welcome to brighthush: Pioneering the Future of Healthcare Revenue Recovery

In today’s rapidly evolving healthcare landscape, hospitals and medical practices face a dual challenge: delivering world‑class patient care while maintaining financial resilience. brighthush is at the forefront of this transformation, partnering with over 1,300 facilities across 48 states to uncover hidden revenue streams and streamline complex billing workflows. Our mission is simple yet powerful: help healthcare organizations recover the money they rightfully earned so they can continue investing in patient‑centered care, innovative treatments, and community outreach. At brighthush, we don’t just provide a service; we build a collaborative ecosystem where every team member is empowered to innovate, support one another, and take ownership of their work.

Why This Role Matters

As a Customer Operations Specialist – Workers' Compensation Claims, you become the frontline advocate for our hospital partners. Your work directly influences the financial stability of the facilities we serve, ensuring that medical claims are accurately investigated, billed, and paid in full. By mastering the intricacies of workers’ compensation, you help hospitals secure the revenue they need to invest in new technology, expand services, and ultimately improve patient outcomes. In short, you become a key player in the revenue cycle that keeps the healthcare system running smoothly.

Key Responsibilities

• High‑Volume Outbound Calls: Conduct proactive outreach to patient employers, insurance representatives, attorneys, and patients to investigate, resolve, and maximize workers’ compensation claims.
• Claims Investigation & Resolution: Analyze claim status, identify denials or payment discrepancies, and collaborate with payers to secure correct and timely reimbursement.
• Billing & Documentation: Prepare and submit accurate medical bills and supporting documentation to insurance companies, ensuring compliance with payer guidelines and maximizing payment amounts.
• Data Accuracy & Record Keeping: Maintain meticulous records of all interactions, decisions, and outcomes in our secure knowledge base and CRM system.
• Team Collaboration: Participate in special projects, share best practices, and contribute to continuous improvement initiatives that drive client success.
• Performance Metrics: Meet or exceed daily productivity targets, quality scores, and customer satisfaction metrics.
• Continuous Learning: Engage in ongoing training modules and knowledge‑base updates to stay current on industry regulations, payer policies, and internal processes.

Essential Qualifications

• High school diploma or equivalent; associate’s degree preferred.
• Proven experience in a customer‑facing role, ideally within healthcare billing, insurance claims, or a related field.
• Working knowledge of Microsoft Office Suite (Word, Excel, Outlook) and the ability to navigate multiple applications simultaneously.
• Strong analytical and problem‑solving skills, with a knack for dissecting complex claim scenarios and identifying actionable solutions.
• Excellent verbal and written communication skills; ability to convey complex information clearly and professionally.
• Self‑motivated, detail‑oriented, and capable of maintaining high performance in a fast‑paced environment.
• Experience with Coordination of Benefits (COB) and a foundational understanding of insurance billing is a plus, but not required.

Preferred Qualifications & Desired Traits

• Prior exposure to workers’ compensation claims or a related insurance domain.
• Familiarity with payer portals, electronic claim submission, and medical billing software.
• Strong organizational skills and the ability to juggle multiple priorities without sacrificing quality.
• Comfortable with on‑camera communication; we value transparency and collaboration in our virtual environment.
• Passion for continuous improvement and a willingness to contribute ideas that enhance team performance.

Skills & Competencies for Success

• Technical Proficiency: Ability to work efficiently across multiple computer screens and software applications.
• Critical Thinking: Use data and logic to troubleshoot claim issues and devise effective solutions.
• Time Management: Prioritize tasks, meet deadlines, and maintain productivity metrics.
• Customer‑Centric Mindset: Deliver exceptional service to both internal stakeholders and external partners.
• Adaptability: Thrive in a dynamic environment where processes and payer rules evolve.
• Team Collaboration: Share insights, support peers, and contribute to a culture of continuous learning.

Career Growth & Learning Opportunities

At brighthush, we believe that your professional development is as important as the work you do. Our structured career ladder for Customer Operations Specialists includes:

• Advanced Training Programs: After the initial 8‑10 day onboarding, you’ll receive ongoing workshops covering advanced billing techniques, payer negotiations, and regulatory updates.
• Mentorship & Coaching: Pairing with experienced team leads ensures you receive real‑time feedback and guidance.
• Cross‑Functional Exposure: Opportunities to shadow teams in Revenue Cycle Management, Compliance, and Data Analytics.
• Leadership Pathways: High performers can progress to Team Lead, Operations Manager, or specialized roles in Claims Strategy.
• Certification Support: We sponsor industry certifications such as Certified Professional Biller (CPB) or Certified Revenue Cycle Professional (CRCP).

Work Environment & Company Culture at brighthush

Although you’ll be working remotely, brighthush fosters a vibrant, inclusive culture that feels like a close‑knit family. Our core values—innovation, collaboration, integrity, and accountability—guide every interaction. You’ll enjoy:

• Regular virtual team huddles and social events to build camaraderie.
• Transparent communication channels, including daily stand‑ups and an open‑door policy with leadership.
• A culture that celebrates wins, learns from challenges, and rewards creative problem‑solving.
• Flexibility to balance personal commitments while meeting performance expectations.

Compensation, Perks, and Benefits

Base Pay: $15.00 per hour, with a competitive incentive plan that rewards high performance and client satisfaction. Benefits: We offer a comprehensive benefits package for eligible employees, including health, dental, vision, and a 401(k) plan with company match. Additional perks include:

• Fully equipped home office stipend (computer, headset, ergonomic chair).
• High‑speed internet reimbursement to ensure a reliable connection.
• Paid time off and holiday schedule aligned with the U.S. calendar.
• Professional development budget for courses, conferences, and certifications.
• Employee wellness programs and mental health resources.

Remote Work Requirements

To thrive in this role, you’ll need a private, distraction‑free workspace at home, a secure internet connection with speeds >20 Mbps for downloads and >10 Mbps for uploads, and a reliable webcam for on‑camera presence. Our culture places a strong emphasis on visual collaboration, so being on camera during meetings is essential for building trust and fostering teamwork.

Who Should Apply?

If you are a motivated, detail‑oriented professional who thrives in a fast‑paced environment, enjoys solving complex problems, and is passionate about supporting healthcare providers, brighthush invites you to join our team. Bring your curiosity, your drive for excellence, and your commitment to continuous improvement, and you’ll find a place where your contributions truly matter.

How to Apply

Ready to make a tangible impact on the financial health of hospitals across the nation? Click the link below to submit your application and take the first step toward a rewarding career with brighthush.