Senior Administrative Data Entry Specialist – Healthcare Utilization Review & Medical Claims Management Expert

About brighthush

brighthush is a pioneering force in the healthcare services sector, dedicated to delivering patient‑centric care that blends cutting‑edge technology with evidence‑based practices. With a national footprint that spans hospitals, outpatient centers, and community health programs, brighthush is committed to improving health outcomes through data integrity, compassionate service, and continuous innovation. Our culture is built on collaboration, inclusion, and a relentless pursuit of learning, empowering every team member to grow professionally and personally while making a tangible difference in the lives of our clients.

Why Join brighthush?

• Impactful Work: Your role will directly influence the accuracy and efficiency of critical healthcare data, ensuring that patients receive timely and appropriate care.
• Remote Flexibility: Work from the comfort of your home while staying connected to a vibrant, supportive team.
• Career Advancement: Structured career paths, mentorship programs, and access to industry‑leading training keep you moving forward.
• Competitive Compensation: Comprehensive benefits including medical, dental, vision, 401(k) matching, and generous paid time off.
• Inclusive Culture: Diversity, equity, and inclusion are at the heart of everything we do. Your ideas and perspectives are valued and encouraged.

Job Summary

As a Senior Administrative Data Entry Specialist, you will serve as the linchpin in our Utilization Review and Peer Review Department, managing Workers’ Compensation, Group Health, and Disability cases. Your meticulous attention to detail, strong organizational skills, and ability to navigate complex healthcare systems will ensure that our data remains accurate, secure, and compliant with all regulatory standards.

Key Responsibilities

• Data Management: Upload referral forms, enter new referral data, and maintain demographic information in our secure claims and clinical management systems.
• Verification & Coordination: Verify client requirements, coordinate with nurses, physicians, and clients to gather necessary documentation, and ensure all data is complete before proceeding.
• Case Assignment & Monitoring: Assign new referrals, triage cases for utilization review, and monitor ongoing cases to ensure timely completion of review procedures.
• Communication: Respond to inquiries from providers, claims adjusters, patients, and internal stakeholders; place outbound calls to schedule and facilitate review discussions.
• Documentation & Reporting: Distribute incoming and outgoing correspondence, faxes, and mail; upload review documents into the paperless system; generate and run reports as required.
• Quality Assurance: Participate in audits, accreditation processes, and other quality assurance functions to uphold the highest standards of data integrity.
• Collaboration: Support other units as needed, attend training sessions, and contribute to continuous improvement initiatives.
• Compliance: Perform all duties in accordance with company policies, procedures, and applicable laws and regulations.

Essential Qualifications

• High school diploma or equivalent (AA or BA preferred).
• Excellent customer service orientation with strong verbal and written communication skills.
• Proficiency in Microsoft Office Suite, especially Excel, and experience with online database systems.
• Strong keyboarding skills and the ability to work independently while managing multiple priorities.
• Demonstrated ability to analyze information, solve problems, and make sound decisions.
• High level of organization, time‑management, and attention to detail.
• Capability to handle sensitive and confidential information with utmost professionalism.
• Ability to work remotely, maintain a reliable internet connection, and adhere to scheduled hours (9 am – 6 pm PST).

Preferred Qualifications

• Previous experience in the medical field, healthcare, insurance claims, Workers’ Compensation, managed care, medical management, or utilization review.
• Knowledge of medical terminology and billing processes.
• Experience with electronic health record (EHR) systems and claims management platforms.
• Familiarity with regulatory requirements such as HIPAA, OSHA, and state‑specific workers’ compensation statutes.

Skills & Competencies

• Data Accuracy: Unwavering commitment to precision in data entry and documentation.
• Analytical Thinking: Ability to interpret complex information and identify trends or discrepancies.
• Communication: Clear, concise, and professional communication across all levels.
• Team Collaboration: Willingness to collaborate with multidisciplinary teams and share best practices.
• Adaptability: Comfortable working in a fast‑paced environment and adjusting to changing priorities.
• Technology Savvy: Quick learner of new software and systems.

Career Growth & Learning Opportunities

At brighthush, continuous learning fuels innovation. As a Senior Administrative Data Entry Specialist, you will have access to:

• Structured onboarding and mentorship programs that pair you with experienced leaders.
• Regular training workshops on healthcare regulations, data security, and emerging technologies.
• Cross‑functional projects that broaden your skill set and expose you to new areas of the organization.
• Clear promotion pathways to roles such as Utilization Review Analyst, Clinical Data Manager, or Project Coordinator.
• Annual tuition reimbursement for accredited courses related to healthcare administration, data analytics, or project management.

Work Environment & Culture

Our remote work model is designed to support work‑life balance while fostering a sense of community. You will:

• Participate in weekly virtual team huddles and monthly all‑hands meetings.
• Engage in virtual coffee chats and informal knowledge‑sharing sessions.
• Benefit from a flexible schedule that respects your personal commitments.
• Receive ongoing support from a dedicated HR and IT help desk.
• Access a digital collaboration hub that keeps you connected to colleagues and resources.

Compensation & Benefits

While specific salary ranges may vary based on experience, brighthush offers a competitive compensation package that includes:

• Base salary commensurate with industry standards.
• Health, dental, and vision insurance plans.
• 401(k) plan with company matching.
• Paid time off (vacation, sick leave, and personal days).
• Professional development stipend and tuition reimbursement.
• Employee wellness programs and mental health resources.
• Flexible work hours and remote work stipend.

How to Apply

If you are a motivated, detail‑oriented professional with a passion for delivering exceptional healthcare services, we encourage you to apply. Please submit your resume and a cover letter outlining your relevant experience to the link below.

Apply To This Job

Application Requirements

• Must be available to work the core hours of 9 am – 6 pm PST.
• Day Shift is preferred.
• Remote work location.

Join brighthush Today

Become part of a forward‑thinking organization that values precision, compassion, and innovation. Your expertise will help shape the future of healthcare data management and directly impact patient care. We look forward to welcoming you to the brighthush family!