Seasoned Medical Billing & Accounts Receivable Specialist – Remote, High‑Volume, High‑Accuracy – Join brighthush

About brighthush

brighthush stands at the forefront of revenue cycle management (RCM), delivering precision‑driven solutions that empower healthcare organizations to unlock the full value of every patient interaction. With a reputation built on meticulous compliance, data integrity, and a customer‑centric approach, brighthush partners with hospitals, physician groups, and specialty practices across the United States to streamline billing, accelerate collections, and drive sustainable growth. Our remote workforce is anchored in trust, expertise, and a shared commitment to excellence, allowing us to serve clients from coast to coast while maintaining a culture of collaboration and continuous improvement.

Why This Role Matters

As a Medical Billing & Accounts Receivable Specialist, you will be the first line of defense in ensuring that every patient encounter is accurately captured, every claim is submitted on time, and every payment is posted correctly. Your work directly impacts the financial health of our clients and the quality of care they can provide. In an industry where accuracy and speed are paramount, you will become an indispensable part of the revenue cycle team, driving revenue recovery and reducing claim denials.

Key Responsibilities

• Data Capture & Validation: Enter patient demographics, insurance details, charges, and payments from paper and scanned documents into brighthush systems with meticulous attention to detail.
• Charge Entry & Claim Creation: Generate accurate claims, verify completeness, and submit to payers while ensuring compliance with payer rules.
• Payment Posting: Process Electronic Remittance Advice (ERA), Explanation of Benefits (EOB), and paper remittances, posting payments and adjustments in the billing system.
• Eligibility & Benefit Verification: Check insurance eligibility and benefits to support accurate patient registration and reduce claim denials.
• Document Management: Log missing, unclear, or incomplete documents, and coordinate with clients to resolve issues promptly.
• A/R Follow‑Up: Track unpaid and under‑paid claims through payer portals and phone calls, maintaining a clear audit trail.
• Denial Management: Research denial reasons, correct claims, and file appeals to recover revenue.
• Performance Metrics: Meet or exceed productivity and accuracy targets set by our clients, ensuring high quality and efficiency.
• Documentation & Compliance: Record all work clearly in client systems and trackers, safeguarding patient information in accordance with HIPAA regulations.
• Continuous Improvement: Identify process bottlenecks and propose solutions to enhance workflow and accuracy.

Essential Qualifications

• Minimum 2 years of experience in U.S. healthcare insurance and medical billing.
• Hands‑on experience with insurance A/R follow‑up and denial management.
• Proficiency in charge entry, demographic entry, or payment posting.
• Familiarity with commercial insurance and government health plans such as Medicare and Medicaid.
• Experience using payer portals and insurance websites.
• Strong written and spoken English communication skills.
• Exceptional attention to detail and follow‑up capabilities.
• Fast, accurate typing and comfort handling high volumes of paper‑based source documents.
• Ability to work independently, manage multiple patient accounts, and prioritize tasks effectively.
• Reliable high‑speed internet connection and a dedicated remote workspace.

Preferred Qualifications

• A/R experience in specialty areas such as Critical Care, Anesthesia, or Pulmonology billing.
• Hands‑on experience with brighthush and brighthush (Intergy or Prime Suite).
• Knowledge of Pennsylvania insurance plans, including brighthush, brighthush, and Pennsylvania Medicaid.
• Experience with electronic health record (EHR) integration and data migration projects.
• Prior remote work experience in a high‑volume billing environment.

Skills & Competencies

• Analytical Thinking: Ability to interpret complex billing data and identify discrepancies quickly.
• Technical Proficiency: Comfortable navigating multiple billing platforms, payer portals, and data migration tools.
• Communication: Clear, concise, and professional communication with clients, payers, and internal stakeholders.
• Time Management: Efficiently manage a high volume of tasks while maintaining accuracy.
• Problem‑Solving: Proactively identify issues and develop actionable solutions.
• Adaptability: Thrive in a fast‑moving environment with evolving payer rules and industry regulations.
• Team Collaboration: Work effectively with cross‑functional teams, including clinical, finance, and IT.

Career Growth & Learning Opportunities

At brighthush, we believe that professional development is a shared journey. As a Medical Billing & Accounts Receivable Specialist, you will have access to:

• Industry certifications such as Certified Professional Biller (CPB) and Certified Professional Encumbered (CPE).
• Comprehensive training modules covering the latest payer rules, compliance updates, and technology integrations.
• Mentorship programs pairing you with senior specialists and project leads.
• Clear pathways to senior specialist, team lead, or project management roles within the RCM division.
• Opportunities to lead process improvement initiatives and contribute to company‑wide best practices.

Work Environment & Culture at brighthush

Our remote workforce is united by a shared mission: to deliver world‑class revenue cycle solutions that empower healthcare providers. We foster open communication, continuous learning, and a results‑oriented mindset. Whether you’re a seasoned billing professional or a recent graduate, you’ll find a supportive community that celebrates achievements and encourages growth. We value diversity, equity, and inclusion, and we actively promote a culture where every voice is heard.

Compensation, Perks, and Benefits

• Competitive Base Salary: Reflective of your experience, with performance‑based bonuses tied to accuracy and productivity.
• Comprehensive Benefits: Health, dental, and vision plans (for U.S. employees), flexible spending accounts, and a 401(k) match program.
• Technology Stipend: Reimbursement for home office equipment, high‑speed internet, and ergonomic accessories.
• Work‑Life Balance: Fully remote work with flexible scheduling during Eastern Time business hours.
• Professional Development: Access to industry certifications, training modules, and mentorship programs.
• Inclusive Culture: A collaborative, supportive environment that values diversity, equity, and inclusion.
• Career Growth: Clear pathways to senior specialist, team lead, or project management roles within the RCM division.

Schedule & Availability

• Full‑time position (40 hours per week).
• Must be available during Eastern Time business hours (8:00 a.m. – 5:00 p.m. ET).
• Final schedule will be determined based on client needs and team coverage.

Work Arrangement

• Fully remote – work from anywhere with a reliable internet connection.
• Preferred: Applicants based in the Philippines (or other regions with cost‑effective remote work setups) are encouraged to apply.

How to Apply

Ready to take the next step in your billing career? Submit your application through our career portal or click the link below to apply directly. We look forward to learning how your skills and passion can contribute to brighthush’s success.

Apply to this job

Join brighthush Today

As a Medical Billing & Accounts Receivable Specialist at brighthush, you will be part of a dynamic team that values precision, innovation, and client success. Your expertise will help healthcare providers maximize revenue, reduce denials, and focus on what matters most – patient care. If you thrive in a fast‑paced, remote environment and are committed to delivering excellence, we want to hear from you.

Apply now and become a key player in shaping the future of revenue cycle management.