Seasoned Remote Healthcare Billing & Insurance Specialist – Customer Service Representative – North Carolina – Empower Patients & Providers at brighthush

About brighthush

brighthush has been a trusted partner in the healthcare industry for over thirty years, consistently delivering exceptional value to patients, providers, and the communities we serve. Our mission is simple yet powerful: to create a workplace where every employee can thrive, grow, and make a real difference in the lives of others. We believe that the heart of our success lies in the people who drive it, which is why we invest heavily in professional development, mentorship programs, and a culture of collaboration and innovation.

Whether you’re working from the comfort of your home or from our state‑of‑the‑art office in Marshfield, WI, you’ll find a supportive environment that rewards initiative, creativity, and a passion for customer service excellence. At brighthush, we’re not just a company – we’re a community of dedicated professionals committed to improving patient experiences and streamlining healthcare operations.

Role Overview

We are seeking a highly motivated Remote Healthcare Billing & Insurance Specialist to join our billing and insurance support team in North Carolina. In this role, you will be the first point of contact for patients, law offices, insurance carriers, and other external stakeholders. Your primary responsibility will be to resolve complex billing and insurance inquiries, facilitate payment options, and ensure a seamless experience for all parties involved.

As a key member of our customer experience team, you will operate with minimal supervision, consistently meeting or exceeding performance metrics such as call volume, resolution rate, and quality scores. Your ability to navigate multiple systems, communicate clearly, and maintain a high level of empathy will be essential to your success.

Key Responsibilities

• Handle inbound and outbound calls from patients, law offices, insurance companies, and other external entities to resolve billing and insurance issues.
• Provide detailed explanations of deductibles, co‑insurance, co‑pays, denials, charge disputes, claim resubmissions, eligibility questions, and coding disputes.
• Review financial statements and recommend payment plans or assistance programs in line with client guidelines.
• Guide patients through available payment resources, including referrals to financial assistance programs when appropriate.
• Maintain accurate and up‑to‑date account documentation, including notes, codes, and resolution actions.
• Adhere to all company and client policies, procedures, and applicable regulations, including HIPAA and other privacy laws.
• Utilize multiple computer applications and databases simultaneously, ensuring efficient navigation and data entry.
• Meet or exceed key performance indicators such as calls handled per hour, successful payment resolution rate, and call quality scores.
• Participate in ongoing training sessions, including our monthly training class, to stay current on industry best practices and software updates.
• Collaborate with cross‑functional teams, including billing, collections, and compliance, to resolve escalated issues.

Essential Qualifications

• High school diploma or equivalent; associate’s or bachelor’s degree in a related field is a plus.
• Minimum of 2 years of experience in a call center or healthcare customer service environment.
• Strong verbal and written communication skills, with a focus on clear, concise, and empathetic language.
• Proficiency in navigating multiple computer systems and databases, with moderate to advanced keyboard typing skills.
• Experience using a computerized telephone system and screen‑monitoring or video‑conferencing tools.
• Demonstrated ability to manage self‑directed work in a remote or office setting, maintaining focus and delivering results.
• Knowledge of sensitive personal information (SPI) and consumer privacy regulations.

Preferred Qualifications

• Familiarity with brighthush electronic health record systems.
• Working knowledge of medical billing and coding principles.
• Experience in a medical office or general understanding of health insurance processes.
• Previous exposure to complex billing and insurance dispute resolution.
• Experience with payment assistance programs and financial counseling.
• Knowledge of state and federal regulations governing healthcare billing and collections.

Skills & Competencies

• Customer‑Centric Mindset: A genuine desire to help patients and stakeholders achieve positive outcomes.
• Problem‑Solving: Ability to analyze complex billing scenarios and devise effective solutions.
• Attention to Detail: Meticulous documentation and data entry to ensure accuracy.
• Time Management: Efficiently handle high call volumes while maintaining quality.
• Adaptability: Quickly learn new systems, policies, and procedures.
• Team Collaboration: Work seamlessly with cross‑functional teams to resolve escalated issues.
• Technical Proficiency: Comfortable with multiple software platforms and remote collaboration tools.

Career Growth & Learning Opportunities

At brighthush, we view every role as a stepping stone toward greater responsibility and impact. As a Remote Healthcare Billing & Insurance Specialist, you will have the opportunity to:

• Advance to a Senior Billing Specialist or Team Lead position.
• Transition into a compliance or quality assurance role, leveraging your deep understanding of billing processes.
• Participate in specialized training programs covering advanced coding, insurance regulations, and financial counseling.
• Earn certifications such as Certified Professional Biller (CPB) or Certified Coding Associate (CCA).
• Engage in mentorship programs that pair you with experienced leaders in the healthcare industry.

Work Environment & Company Culture

brighthush offers a flexible, inclusive, and collaborative environment that values work‑life balance. Whether you choose to work from home or from our Marshfield, WI office, you’ll benefit from:

• State‑of‑the‑art technology and a robust remote‑work infrastructure.
• Regular virtual team meetings, knowledge‑sharing sessions, and social events.
• A culture that celebrates diversity, equity, and inclusion.
• Clear communication channels and transparent leadership.
• Employee recognition programs that reward outstanding performance.

Compensation, Perks & Benefits

While specific salary ranges are tailored to experience and qualifications, brighthush offers a competitive compensation package that includes:

• Base salary with performance‑based bonuses.
• Health, dental, and vision insurance plans.
• Flexible paid time off and holiday schedule.
• 401(k) retirement plan with company match.
• Professional development stipend and tuition reimbursement.
• Wellness programs, including virtual fitness classes and mental health resources.
• Employee assistance program and confidential counseling services.

Why Join brighthush?

When you join brighthush, you become part of a forward‑thinking organization that prioritizes employee growth, customer satisfaction, and community impact. You’ll work alongside dedicated professionals who are passionate about improving patient experiences and streamlining healthcare operations. Your expertise will directly influence the financial well‑being of patients and the operational efficiency of our partners.

We’re looking for individuals who are not only skilled in billing and insurance but who also embody empathy, resilience, and a commitment to continuous improvement. If you’re ready to take your career to the next level while making a tangible difference in the lives of others, we want to hear from you.

How to Apply

Ready to bring your expertise to brighthush? Submit your application through our careers portal and join a team that values your contributions, supports your growth, and celebrates your successes.