Seasoned Healthcare Provider Services Advocate – Remote (Philippines) – Customer Support Specialist for Claims & Appeals

About brighthush

brighthush is a leading technology‑driven healthcare operations partner that has been transforming the way health plans and providers manage complex administrative processes for over 25 years. With a global footprint that spans the United States, the Philippines, and other key markets, brighthush delivers end‑to‑end solutions in claims adjudication, provider services, digital mailroom, member communications, and more. Our mission is simple: to empower payers and providers with the tools, expertise, and insights they need to deliver faster, more accurate, and more compassionate care.

Why This Role Matters

As a Healthcare Provider Services Advocate at brighthush, you will be the frontline champion for our provider partners. Your work will directly influence the satisfaction of doctors, hospitals, and billing agencies, ensuring that they receive timely, accurate, and transparent information about claims, payments, and appeals. In a world where healthcare providers juggle complex reimbursement landscapes, your expertise will help them navigate challenges, reduce friction, and focus on what matters most: patient care.

Key Responsibilities

• Primary Point of Contact – Serve as the first and most trusted liaison for healthcare providers and billing agencies regarding all claims‑related inquiries.
• Multi‑Channel Communication – Respond to inquiries via phone, email, fax, and web portals with professionalism, empathy, and accuracy.
• Claims Research & Analysis – Dive into internal systems to retrieve claim status, payment details, appeal outcomes, and Explanation of Benefits (EOBs). Provide clear, concise updates to providers.
• Issue Investigation & Resolution – Collaborate with internal teams (claims, finance, IT) to investigate discrepancies, resolve disputes, and close loops on provider questions.
• Appeals Management – Track provider appeals, request additional documentation when needed, and keep stakeholders informed throughout the appeals cycle.
• Payment Support – Handle payment‑related requests such as stop payments, check reissuance, payment tracers, and copies of cashed checks.
• Documentation & Compliance – Process requests for upheld and late submission letters, ensuring adherence to company guidelines and regulatory requirements.
• Escalation Protocols – Identify complex or unresolved issues and route them through the appropriate escalation channels to achieve timely resolution.
• Record Management – Accurately document every interaction in our internal systems, maintaining complete, audit‑ready records.
• Regulatory Adherence – Uphold HIPAA regulations, company policies, and confidentiality standards in every communication.
• Performance Excellence – Consistently meet or exceed service level agreements (SLAs), quality metrics, productivity targets, and customer satisfaction benchmarks.
• Customer‑Centric Service – Deliver courteous, solution‑oriented support in every interaction, embodying brighthush’s commitment to exceptional service.

Essential Qualifications

• High school diploma or equivalent; a college degree is a plus.
• Minimum of 4 years’ experience in a healthcare contact center, provider services, or claims support environment.
• Basic knowledge of healthcare claims, EOBs, appeals, and payment processes is highly desirable.
• Excellent analytical, multitasking, organizational, and communication skills with meticulous attention to detail.
• Tech‑savvy with proficiency in Microsoft Office, web portals, and internal workflow systems.
• Willingness to work flexible shifts, including nights, weekends, and holidays.
• Preferred location: Manila or nearby metropolitan areas.
• Immediate availability – this is an urgent hiring.

Preferred Qualifications & Skills

• Experience with HIPAA compliance and data privacy best practices.
• Familiarity with claims adjudication software (e.g., Meditech, Epic, or similar).
• Strong problem‑solving abilities and a proactive mindset.
• Excellent written and verbal communication in English; additional Philippine languages are a bonus.
• Ability to thrive in a fast‑paced, remote work environment.
• Team player who can collaborate across virtual teams and departments.

What You’ll Gain at brighthush

Career Growth & Development

At brighthush, we believe in nurturing talent. You’ll have access to:

• Structured onboarding and continuous learning modules covering claims, compliance, and customer service excellence.
• Mentorship from seasoned professionals in provider services and claims operations.
• Opportunities to cross‑train in adjacent functions such as digital mailroom, member communications, and analytics.
• Clear career pathways – from Advocate to Senior Advocate, Team Lead, or Manager roles.
• Leadership development programs for high‑potential employees.

Work Environment & Culture

Our remote‑first culture is built on trust, collaboration, and transparency. You’ll experience:

• Weekly virtual huddles and cross‑functional town halls to keep everyone aligned.
• Open communication channels – Slack, Teams, and email – ensuring you’re never isolated.
• A supportive community that celebrates wins and learns from challenges together.
• Flexibility to balance professional responsibilities with personal life.
• Inclusive policies that value diversity, equity, and belonging.

Compensation & Benefits

We offer a competitive compensation package that includes:

• Base salary up to Php 35,000 per month, commensurate with experience.
• Performance‑based bonuses and incentive programs.
• 13th month salary and annual performance bonus.
• Comprehensive HMO coverage (medical, dental, vision) for you and your dependents.
• Fully equipped home office – high‑speed internet, ergonomic chair, headset, and necessary software.
• Paid time off, sick leave, and flexible holiday scheduling.
• Continuous professional development stipend and access to industry conferences.

Remote Work Requirements

• Stable primary internet connection of at least 50 Mbps.
• Reliable backup connection to ensure uninterrupted work.
• Ability to hardwire to your modem for optimal performance.
• Dedicated, quiet workspace free from distractions.
• Proficiency in using virtual meeting tools and collaboration platforms.

Why You’ll Love Working at brighthush

• Work Remotely – Enjoy the freedom of a fully remote role with flexible hours.
• Competitive Pay + 13th Month Salary – Earn a rewarding salary with year‑end bonuses.
• Comprehensive HMO Coverage – Protect your health and that of your loved ones.
• Equipment Provided – Everything you need to succeed, delivered to your doorstep.
• Career Growth – Join a dynamic, supportive team that values your expertise and invests in your future.

Ready to Make an Impact?

At brighthush, your work will directly influence the efficiency and satisfaction of healthcare providers across the globe. If you are a dedicated, detail‑oriented professional who thrives in a fast‑paced, remote environment and is passionate about improving provider experience, we want to hear from you.

Click the “Apply Now” button below, submit your resume, and tell us why you’re the perfect fit for our team. Let’s build a healthier future together.

About brighthush

brighthush is a technology‑forward healthcare operations partner with more than 25 years of experience helping health plans manage critical administrative and operational processes. Founded in 2000 and headquartered in Tampa, Florida, brighthush supports 150+ health plans through its payer clients. Our teams help improve efficiency, accuracy, visibility, and service across complex healthcare operations, including digital mailroom, claims adjudication, contact center, member communications, and related administrative functions. By combining experienced operational teams, proven processes, and purpose‑built workflow technology, brighthush helps payers keep essential processes moving for the members, providers, and communities they serve. brighthush operates 10 secure facilities across the U.S. and one secure facility in Manila, Philippines. Joining brighthush means contributing to work that supports the healthcare operations members and providers rely on every day.

Salary: up to Php 35,000/monthly

Originally posted on