Seasoned Customer Service & Billing Specialist – Healthcare Claims Expert – Remote, Full‑Time, 9‑Hour Shift – Empowering Member Experience at brighthush

About brighthush

brighthush is a trailblazer in the evolving healthcare services landscape, dedicated to demystifying the intricate world of medical billing for patients, providers, and payers alike. Our mission is simple yet powerful: to empower every member with clear, accurate information and compassionate support, transforming how people navigate health plans, claims, and payments. Operating as a fully remote-first organization, we give our team the freedom to work from anywhere while staying tightly connected to a vibrant, collaborative community that prizes innovation, integrity, and impact.

Why Join brighthush?

• Impactful Work: Every call you handle directly improves a member’s experience, helping them understand their benefits and resolve billing concerns that can affect their health and finances.
• Remote Flexibility: Work from home or any location that suits you—our fully remote model gives you the freedom to balance life and career.
• Growth & Development: We invest in your professional journey with comprehensive onboarding, ongoing training, and clear career pathways into senior support, team leadership, and specialty billing roles.
• Inclusive Culture: Diversity, equity, and inclusion are at the core of everything we do. Every voice is heard, and every team member is respected.
• Competitive Compensation & Benefits: From hourly pay to performance bonuses, we reward excellence and dedication.

Key Responsibilities

As a Customer Service Representative – Billing II, you will be the frontline advocate for our members, ensuring their billing questions are answered accurately and compassionately. Your day-to-day will involve:

• Handling a high volume of inbound calls related to billing inquiries, providing timely and accurate information.
• Translating complex medical terminology and billing jargon into clear, understandable language for members.
• Investigating and resolving intricate billing issues, including claim denials, payment discrepancies, and eligibility questions.
• Navigating our billing systems and related applications with proficiency, documenting all interactions in the member portal.
• Maintaining meticulous records of member contacts, actions taken, and outcomes to support audit and quality initiatives.
• Collaborating with cross‑functional teams—claims, finance, and compliance—to resolve escalated concerns and improve processes.
• Adhering strictly to HIPAA regulations and internal compliance policies, safeguarding member privacy at all times.
• Participating in continuous improvement projects, sharing insights that enhance member experience and operational efficiency.
• Performing additional duties as assigned to support the team and organization’s goals.

Essential Qualifications

• Minimum of 1 year experience in a high‑volume call center environment, handling inbound customer inquiries.
• At least 1 year of experience in a medical or healthcare setting, addressing billing or member support issues.
• Solid understanding of healthcare claims billing, finance, and eligibility processes.
• Proficiency with computers and complex software applications, including CRM and billing platforms.
• Strong listening skills and the ability to communicate compassionately with diverse members.
• Conflict‑management aptitude to handle stressful situations and resolve escalated concerns.
• Availability for full‑time Monday‑to‑Friday 9‑hour shifts between 8:30 AM and 8:00 PM ET.
• Commitment to full‑time attendance during training, with no absences.
• Minimum age 18 and high school diploma or GED.

Preferred Qualifications

• Experience with HIPAA compliance and privacy regulations.
• Knowledge of electronic health record (EHR) systems and insurance portals.
• Previous exposure to billing software such as Medisoft, Kareo, or similar platforms.
• Certification in medical billing or health information management (e.g., Certified Professional Biller).
• Fluency in a second language to serve a broader member base.

Core Skills & Competencies

• Communication: Clear, concise, and empathetic verbal and written communication.
• Analytical Thinking: Ability to dissect complex billing scenarios and identify root causes.
• Technical Proficiency: Comfortable navigating multiple software systems and troubleshooting basic technical issues.
• Time Management: Efficiently manage a high call volume while maintaining accuracy.
• Team Collaboration: Work effectively with cross‑functional teams to resolve member issues.
• Adaptability: Thrive in a fast‑changing environment, embracing new tools and processes.
• Customer‑Centric Mindset: Prioritize member satisfaction and advocate for their needs.

Career Growth & Learning Opportunities

At brighthush, we believe in nurturing talent and providing clear pathways for advancement. As a Billing II representative, you will have the opportunity to:

• Progress to Billing III or Senior Billing Specialist roles, taking on more complex cases and leadership responsibilities.
• Transition into specialized billing functions such as Medicare/Medicaid, commercial insurance, or specialty practice billing.
• Lead training sessions for new hires, sharing your expertise and shaping the next generation of support professionals.
• Participate in cross‑departmental projects that influence product development, member experience, and operational efficiency.
• Access continuous learning resources, including webinars, certifications, and tuition reimbursement for relevant courses.

Work Environment & Culture

Our remote‑first model means you can work from anywhere while staying connected to a supportive, collaborative team. We foster a culture of:

• Transparency: Open communication channels and regular feedback loops.
• Innovation: Encouraging creative problem‑solving and process improvement.
• Well‑being: Comprehensive wellness programs, mental health resources, and flexible time off.
• Recognition: Celebrating achievements through awards, shout‑outs, and performance bonuses.
• Diversity & Inclusion: A commitment to creating an environment where every individual feels valued and empowered.

Compensation & Benefits

We offer a competitive and transparent compensation package designed to reward your expertise and dedication.

• Hourly Pay: $20.00 – $23.00 per hour, based on experience, skills, and certifications.
• Performance Bonuses: Potential eligibility for annual performance bonuses tied to individual and team metrics.
• Health & Wellness: Medical, dental, and vision insurance starting on day one for full‑time employees.
• Financial Security: 401(k) plan with company match, employee stock purchase plan, and life & disability insurance with buy‑up options.
• Professional Development: Tuition assistance for relevant courses and certifications.
• Paid Time Off: Paid vacation, holidays, and flexible time off to support work‑life balance.
• Well‑being Programs: Mental health support, financial coaching, and wellness initiatives.

Equal Opportunity Statement

brighthush is an equal‑opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, age, disability, or any other protected status.

Ready to Make a Difference?

If you are passionate about helping people navigate the complexities of healthcare billing, thrive in a fast‑paced remote environment, and want to grow your career with a forward‑thinking organization, we want to hear from you. Join brighthush and become part of a team that values compassion, innovation, and excellence.

Apply Today! Click the link below to submit your application and take the first step toward a rewarding career with brighthush.