Seasoned Medical Billing & Claims Specialist – Virtual Assistant for In‑House Healthcare Operations, Remote, at brighthush – Driving Revenue Cycle Excellence

Introduction

At brighthush, we’re redefining the way healthcare providers manage their revenue cycle. Our mission is to empower medical practices with streamlined, technology‑driven billing solutions that drive accuracy, speed, and compliance. As we expand our in‑house billing team, we’re looking for a dedicated Medical Billing & Claims Specialist to join us as a Virtual Assistant. This role is perfect for a self‑motivated professional who thrives in a fast‑paced, remote environment and is passionate about delivering top‑quality service to patients and providers alike.

Why brighthush?

brighthush is more than a company—it’s a community of healthcare innovators. We combine industry expertise with cutting‑edge tools to help practices reduce denials, accelerate reimbursements, and improve patient satisfaction. By joining our team, you’ll gain access to:

• World‑class training in HIPAA compliance, cybersecurity, and advanced billing techniques.
• Proprietary productivity systems that elevate your efficiency and client retention.
• A supportive culture that values work‑life balance, continuous learning, and career advancement.
• Competitive compensation and flexible scheduling that fit your lifestyle.

Position Overview

As a Medical Billing & Claims Specialist – Virtual Assistant, you will be the backbone of our billing operations. Your primary focus will be to process, submit, and follow‑up on medical claims while ensuring compliance with payer regulations. In addition, you will provide essential administrative support to keep our daily workflows running smoothly.

Schedule & Availability

• Full‑time remote position.
• Preferred shifts: 7:00 AM – 4:00 PM or 8:00 AM – 5:00 PM (Client Time).
• Availability for virtual meetings with camera on as required.

Key Responsibilities

Medical Billing & Claims

• Process and submit medical claims accurately and within established timelines.
• Track claim status, follow up on outstanding claims, and resolve denials or rejections.
• Research and resolve denied, rejected, or unpaid claims through effective communication with insurance carriers.
• Review Explanation of Benefits (EOBs) and ensure proper payment postings.
• Verify patient insurance eligibility and benefits prior to service delivery.
• Submit and monitor prior authorizations (pre‑auths) for procedures and services.
• Coordinate with providers, insurance carriers, and patients regarding billing concerns.
• Maintain accurate billing documentation and records in compliance with regulatory standards.

Administrative Support

• Assist with general administrative and clerical tasks to support daily operations.
• Maintain and update patient records and databases, ensuring data integrity.
• Manage emails and billing‑related correspondence with professionalism and timeliness.
• Support scheduling and other operational workflows as needed.
• Assist with reporting and documentation requests for internal and external stakeholders.

Essential Qualifications

• Minimum 2 years of hands‑on experience in medical billing and claims processing.
• Strong understanding of insurance verification, claims follow‑up, denials management, and prior authorizations.
• Proficiency with brighthush (highly preferred).
• Familiarity with EMR/EHR systems and medical billing software (e.g., brighthush, brighthush).
• Excellent attention to detail, organizational skills, and the ability to manage multiple priorities.
• Strong written and verbal communication skills in English.
• Ability to work independently, take initiative, and maintain a high level of professionalism.
• Comfortable working in a fast‑paced healthcare environment.
• Must submit an NBI clearance and/or Local Police Clearance background check before onboarding.

Preferred Experience & Skills

• Experience in Revenue Cycle Management (RCM) and healthcare administration.
• Proven track record in denials & appeals, insurance verification, and prior authorizations.
• Knowledge of payer contracts, CPT/HCPCS coding, and ICD‑10 guidelines.
• Strong analytical skills and the ability to interpret complex billing data.
• Proficiency in brighthush Office Suite, especially Excel for reporting.
• Experience with virtual collaboration tools (brighthush, brighthush, brighthush).
• Background in patient coordination and customer service.

Technical Requirements

• Reliable laptop or desktop computer with up‑to‑date operating system.
• High‑speed internet connection (minimum 25 Mbps).
• Noise‑canceling headset and webcam for virtual meetings.
• Quiet, professional workspace free from distractions.

Career Growth & Learning Opportunities

At brighthush, we believe in investing in our people. As a Virtual Assistant, you’ll have the chance to:

• Progress into senior billing roles or RCM management positions.
• Participate in ongoing training programs covering advanced coding, payer negotiations, and leadership skills.
• Earn certifications such as Certified Professional Biller (CPB) or Certified Professional Coder (CPC) through our partnered learning platforms.
• Collaborate with cross‑functional teams to influence process improvements and technology adoption.

Work Environment & Company Culture

Our remote culture is built on trust, transparency, and collaboration. You’ll be part of a global team that values:

• Open communication and regular feedback loops.
• Flexibility to balance professional and personal commitments.
• Recognition of achievements through performance bonuses and public shout‑outs.
• Inclusive practices that celebrate diversity and foster belonging.

Compensation, Perks, and Benefits

While the exact compensation will be discussed during the interview, you can expect:

• Competitive hourly rate or salary aligned with industry standards.
• Flexible scheduling with the option to choose between two preferred shifts.
• Access to brighthush’s premium VPN license for secure remote work.
• HIPAA & Cybersecurity training with certification upon completion.
• Top 1% VA Performance Training to sharpen communication, client management, and productivity.
• Client‑approved U.S. holidays and optional paid time off, depending on client agreements.
• Optional performance‑based incentives and bonuses for outstanding results.
• Comprehensive resource library: templates, workflow guides, and SOPs to help you excel.

How to Apply

Ready to take the next step in your billing career? Submit your resume and a brief cover letter highlighting your experience with medical billing, claims processing, and any brighthush or EMR/EHR systems you’ve used. In your cover letter, please also explain why you’re excited about joining brighthush and how you can contribute to our mission of delivering exceptional billing solutions.

We look forward to reviewing your application and exploring how your expertise can help us continue to innovate in the healthcare billing space.

Join brighthush Today

Become a vital part of a forward‑thinking team that values precision, integrity, and continuous improvement. If you’re a proactive, detail‑oriented professional ready to make a real impact in the healthcare industry, we want to hear from you. Apply now and start your journey with brighthush!