Seasoned Revenue Recovery & Claims Processing Specialist – Remote Customer Service Representative – Championing Patient‑Centric Billing Excellence in Healthcare Revenue Management at brighthush

Welcome to brighthush – Where Innovation Meets Patient Care

At brighthush, we’re redefining the way healthcare providers manage revenue and deliver care. As a forward‑thinking leader in durable medical equipment, medical billing, and revenue cycle management, we empower clinicians and hospitals to streamline operations, maximize reimbursement, and ultimately improve patient outcomes. Our culture is built on collaboration, continuous learning, and a relentless commitment to excellence. Every team member has the opportunity to thrive, grow, and make a tangible impact on the health of communities worldwide.

Why brighthush is the Place to Grow Your Career

We believe talent deserves more than just a paycheck. Our remote‑first, flexible work model balances professional ambition with personal well‑being. When you join brighthush, you’ll experience:

• Competitive Compensation: A base salary that reflects your experience, paired with performance‑based bonuses that reward tangible impact.
• Comprehensive Health Coverage: Health, dental, and vision plans designed to protect you and your loved ones.
• Generous Time Off: Paid vacation, sick leave, and holidays—plus flexible scheduling to honor your life outside work.
• Financial Security: 401(k) with company match and financial wellness resources.
• Unlimited Learning Budget: Courses, certifications, conferences—your growth is our priority.
• Community & Culture: Virtual coffee chats, team‑building events, and a vibrant community that feels like a second family.
• Cutting‑Edge Technology: A fully supported home‑office setup and the latest tools to help you perform at your best.

Position Overview

As a Revenue Recovery & Claims Processing Specialist – Remote Customer Service Representative at brighthush, you will be the guardian of our clients’ financial health. Your day‑to‑day responsibilities will revolve around collecting, reviewing, and validating documentation to release held revenue, communicating with payers and patients, and applying deep knowledge of payer medical policies to ensure accurate claim resolution. You’ll collaborate with cross‑functional teams to identify process gaps, recommend improvements, and maintain compliance with industry regulations.

Key Responsibilities

• Document Management: Collect, review, and validate all required documentation to support claim resolution and release held revenue.
• Stakeholder Communication: Proactively engage with patients, payers, and internal stakeholders to clarify requirements, resolve outstanding issues, and provide status updates.
• Policy Application: Apply in‑depth knowledge of payer medical policies, coverage criteria, and reimbursement guidelines to ensure accurate claim processing.
• Compliance & SOP Adherence: Follow established standard operating procedures to maintain compliance, consistency, and quality across all workflows.
• Account Monitoring: Track accounts for delays, missing documentation, or policy‑related barriers and take proactive steps to resolve them.
• Trend Analysis: Identify trends, gaps, or recurring issues that impact revenue flow; recommend and implement solutions in collaboration with leadership.
• Process Improvement: Collaborate with teammates to streamline processes, enhance operational efficiency, and improve overall performance metrics.
• Record Keeping: Maintain accurate, audit‑ready records, notes, and documentation within brighthush’s systems.
• Performance Excellence: Meet or exceed productivity, quality, and turnaround time expectations as defined by departmental standards.
• Continuous Learning: Participate in ongoing training, policy updates, and continuous improvement initiatives to stay current with payer requirements and internal processes.

Essential Qualifications

• High School Diploma or General Education Development (GED) – required.
• Minimum of 1 year of experience in held revenue, accounts receivable, medical billing, or a related healthcare reimbursement function.
• Familiarity with payer requirements, medical policies, and coverage guidelines.
• Proficiency in Microsoft Excel and Word, including data entry, documentation management, and basic reporting.
• Strong attention to detail and analytical skills to identify discrepancies and resolve complex issues.
• Excellent written and verbal communication skills for interacting with patients, payers, and internal teams.
• Ability to manage multiple tasks, prioritize workload, and meet productivity and quality expectations in a fast‑paced environment.
• Comfortable working independently in a remote, process‑driven setting with evolving payer requirements.

Preferred Qualifications

• Experience in the healthcare industry, durable medical equipment (DME), or insurance verification.
• Knowledge of HIPAA compliance and data security best practices.
• Experience with revenue cycle management software or electronic health record (EHR) systems.
• Previous exposure to remote work environments and self‑management of home‑office equipment.

Technical & Equipment Requirements

To ensure seamless communication and data security, you’ll need the following technical specifications:

• Internet Service: Cable or Broadband with a wired connection to an ISP modem.
• Latency to Florida or Tennessee data centers:
• Download Speed: Minimum 80 Mbps; Upload Speed: Minimum 10 Mbps.
• Monitor Setup: Minimum 20‑inch dual monitors.
• Processor: Minimum 1.5 GHz (preferred 2.0 GHz).
• RAM: Minimum 8 GB.
• Free Disk Space: Minimum 1 GB.
• Keyboard & Mouse: Wired (wireless not supported).
• Audio: USB headset (Bluetooth/AUX not supported).
• Network Connector: Wired Ethernet.
• Webcam: Required.
• Operating System: Windows 11 (other OS not supported).
• OS Update: Automatic.
• Antivirus: Automatic updates, always‑scan mode.
• Windows Firewall: Enabled.
• Supported Browsers: Chrome, Edge (preferred).
• HIPAA‑compliant workspace: Room with a door.
• Functional work surface (desk) and ergonomic chair.
• Distraction‑free environment.

Career Growth & Development

At brighthush, we’re committed to nurturing talent and providing clear pathways for advancement. As a Customer Service Representative, you’ll have the opportunity to:

• Progress to a Senior Revenue Analyst or Claims Specialist role.
• Transition into process improvement or project management positions.
• Lead training initiatives for new hires and cross‑functional teams.
• Earn industry certifications such as Certified Revenue Cycle Professional (CRCP) or Certified Professional in Healthcare Quality (CPHQ).
• Participate in leadership development programs and mentorship opportunities.

Work Environment & Culture

brighthush fosters a collaborative, inclusive, and high‑energy culture—even from a remote setting. Our team values transparency, accountability, and a shared commitment to delivering exceptional service. You’ll enjoy:

• Weekly virtual huddles to align on goals and celebrate wins.
• Monthly town‑hall meetings with senior leadership.
• Access to a digital knowledge base and peer‑to‑peer support forums.
• Regular feedback loops and performance reviews focused on growth.
• A culture that encourages work‑life balance and mental well‑being.

Compensation & Benefits

While specific figures may vary based on experience and location, brighthush offers a competitive base salary complemented by performance bonuses. In addition to the benefits listed above, you will receive:

• Health, dental, and vision insurance with a generous coverage plan.
• Paid time off, including vacation, sick leave, and holidays.
• 401(k) plan with company match.
• Professional development stipend and tuition reimbursement.
• Employee assistance program for mental health and wellness.
• Flexible work schedule to accommodate personal commitments.

How to Apply

Ready to take the next step in your career? Submit your application through our career portal or click the link below to explore this opportunity in detail. We look forward to learning how your skills and passion align with brighthush’s mission to transform healthcare revenue management.

Apply to this position at brighthush

Conclusion

As a Revenue Recovery & Claims Processing Specialist at brighthush, you will be at the forefront of revenue recovery, ensuring that healthcare providers receive the compensation they deserve while delivering exceptional service to patients and payers. If you thrive in a fast‑paced, data‑driven environment and are eager to grow your expertise in medical billing and claims processing, we invite you to join our remote team. Together, we’ll drive operational excellence, foster innovation, and make a lasting impact on the healthcare industry.