Seasoned Remote Healthcare Customer Service Specialist – Billing & Claims Support Expert – High‑Impact, Fast‑Paced Role at brighthush

About brighthush

brighthush is a trailblazing, remote‑first healthcare operations company that empowers patients, providers, and payers to navigate the complex world of medical billing, claims, and benefits with confidence and clarity. Our mission is simple yet powerful: to make healthcare communication seamless, transparent, and human‑centered. By blending cutting‑edge technology, data‑driven insights, and a culture of continuous improvement, we help our partners reduce administrative burden, improve cash flow, and ultimately enhance patient outcomes.

Why brighthush is the Future of Healthcare Operations

In an era where healthcare costs are skyrocketing and patients demand more transparency, brighthush stands at the intersection of technology and empathy. We are not just a support center; we are a strategic partner that transforms how billing information is communicated, how claims are processed, and how financial uncertainty is turned into peace of mind. Our remote‑first model gives our team the flexibility to thrive while delivering world‑class service to a global client base.

What Makes This Role Stand Out

As a Remote Healthcare Customer Service Specialist, you will be the frontline advocate for patients and clients, handling high‑volume inbound and outbound calls related to billing, payments, medical claims, benefits, and coverage. Your expertise ensures compliance, accuracy, and customer satisfaction across every interaction. This is not a routine call‑center job; it is a mission‑driven role that directly influences patient experience and partner profitability.

Key Responsibilities

• High‑Volume Call Management: Handle 60+ inbound and outbound calls per day, addressing billing, payment, and coverage inquiries with precision and empathy.
• Scripted Excellence: Utilize standardized scripts and procedures to resolve customer concerns efficiently while maintaining a high level of professionalism.
• Data‑Driven Problem Solving: Gather necessary information, research account details, and provide accurate, timely solutions to complex billing and claims questions.
• Clear Communication: Explain billing information, insurance benefits, and available services clearly to patients and clients, ensuring they understand their options.
• Needs Assessment: Assess patient needs and recommend appropriate solutions or escalation pathways when necessary.
• Coverage Scheduling: Schedule and manage call coverage to maintain optimal productivity and meet daily performance metrics.
• Collaboration & Coaching: Collaborate with leadership and peers using screen‑sharing tools for real‑time problem‑solving and performance improvement.
• Continuous Improvement: Support department initiatives, contribute to continuous improvement efforts, and recommend process enhancements.
• Compliance & Security: Maintain strict adherence to HIPAA regulations, confidentiality policies, and data privacy standards.
• Professional Development: Assist with departmental goals, provide feedback, and participate in training sessions to stay current with industry changes.
• Additional Duties: Perform additional duties as assigned to support team and organizational success.

Essential Qualifications

• Education: High School Diploma or GED required; additional education (e.g., associate’s degree) is a plus.
• Experience: 1–2 years of customer service experience, preferably in a call center or healthcare environment.
• Billing Knowledge: Experience with healthcare billing, insurance, or medical collections is highly desirable.
• Claims Familiarity: Familiarity with Medicaid, Medicare, Workers’ Compensation, and liability claims.
• Medical Terminology: Basic understanding of medical terminology and the healthcare revenue cycle.
• Technical Proficiency: Proven ability to work with multiple systems and databases in a fast‑paced setting.
• Communication Skills: Strong verbal, written, and interpersonal communication skills.
• Problem‑Solving: Excellent problem‑solving abilities with a calm, empathetic approach.
• Attention to Detail: High attention to detail and accuracy.
• Team Player: Ability to work independently and collaboratively to meet and exceed performance goals.
• Technology Comfort: Comfort using Microsoft Office Suite and adapting to new technologies.
• Reliability: Strong attendance and reliability record.

Preferred Qualifications

• Bilingual: Spanish proficiency – not required but highly valued.
• HIPAA Expertise: Experience with HIPAA compliance and confidentiality protocols.
• Metrics Knowledge: Knowledge of call‑center metrics (e.g., AHT, CSAT, FCR) and quality assurance processes.
• Remote Collaboration: Experience with screen‑sharing and remote collaboration tools.
• Coaching Experience: Prior exposure to performance coaching or mentoring roles.

Skills & Competencies

• Customer‑Centric Mindset: Passion for problem‑solving and delivering exceptional service.
• Analytical Thinking: Strong analytical skills to interpret billing data and claim status.
• Adaptability: Ability to adapt to evolving policies, procedures, and technology platforms.
• Time Management: Skillful time‑management to balance high call volume with quality service.
• Team Spirit: Team‑player attitude with a willingness to support peers and leadership.
• Proactive Initiative: Self‑starter mentality – proactive initiative even when working independently.
• Resilience: Resilience under pressure – maintaining composure during challenging interactions.

Career Growth & Learning Opportunities

At brighthush, we believe that your professional development is as important as the service you provide. We offer:

• Structured Onboarding: Comprehensive onboarding and continuous training modules covering billing systems, medical terminology, and compliance.
• Mentorship Programs: Pairing new hires with experienced specialists to accelerate skill acquisition.
• Clear Career Pathways: From Specialist to Senior Specialist, Quality Analyst, Operations Lead, and beyond.
• Certification Support: Access to industry certifications (e.g., Certified Medical Billing Specialist, HIPAA Compliance Officer) through sponsored tuition assistance.
• Performance Reviews: Regular performance reviews with actionable feedback and goal‑setting sessions.
• Process Improvement Leadership: Opportunities to lead process improvement projects, contributing directly to operational excellence.

Work Environment & Company Culture

brighthush fosters a culture of transparency, collaboration, and innovation. Even though we operate remotely, we maintain a strong sense of community through:

• Weekly Virtual Town Halls: Leadership shares updates and celebrates achievements.
• Monthly Virtual Coffee Chats: Informal networking across departments.
• Digital Collaboration Platforms: Slack, Teams, and other tools that support real‑time communication and knowledge sharing.
• Annual Virtual Retreats: Team building, wellness activities, and strategic planning.
• Recognition Programs: Rewarding exceptional customer service, teamwork, and process innovation.

Compensation, Perks & Benefits

While the base hourly rate is $17.00 (based on experience), we also offer:

• Quarterly Bonus Eligibility: Tied to individual and team performance metrics.
• Health Coverage: Comprehensive medical, dental, and vision plans effective from the first day of the month following 90 days of full‑time employment.
• Insurance Options: Life and disability insurance (basic life/AD&D, short‑term, long‑term) with optional voluntary coverage.
• 401(k) Retirement Plan: Company match available after three months of continuous service.
• Paid Time Off (PTO): Accrual starting on your first day of employment.
• Flexible Scheduling: Within defined shift windows (8:00 am–4:30 pm, 9:00 am–5:30 pm, 10:00 am–6:30 pm CST).
• Home‑Office Stipend: Covers equipment and internet speed test requirements.
• Wellness Resources: Virtual fitness classes and mental health support.
• Professional Development Budget: For conferences, courses, and certifications.

How to Apply

If you are a motivated, detail‑oriented professional who thrives in a fast‑paced, remote environment and is passionate about making a difference in healthcare, we encourage you to apply today. Join brighthush and become part of a team that values your expertise, supports your growth, and celebrates your contributions.

Ready to take the next step? Submit your application through our career portal or contact our recruiting team at [email protected].