Senior Billing & Claims Customer Service Specialist II – Remote (New Jersey) – Champion Patient Experience, Optimize Revenue, and Accelerate Your Career at brighthush

About brighthush

brighthush stands at the forefront of healthcare support, blending cutting‑edge technology with compassionate service to empower a nationwide network of leading medical practices. Our core mission is simple yet transformative: streamline patient care and amplify operational efficiency so that providers can focus on what truly matters—exceptional patient outcomes. Whether you’re a seasoned professional or just beginning your journey in healthcare administration, brighthush offers a dynamic environment where your contributions shape real change and your growth is actively nurtured.

We operate at the intersection of technology and compassion, leveraging cloud platforms, AI‑driven analytics, and secure data pipelines to ensure that every billing interaction is accurate, timely, and patient‑centric. Our partners trust us to keep their revenue cycles healthy, their compliance records impeccable, and their patients satisfied. In return, we give our team members the freedom to work from anywhere, the resources to develop their expertise, and the recognition that comes from making a tangible difference in people’s lives.

Why Remote Work Thrives at brighthush

Remote work is more than a trend; it’s a strategic advantage that allows brighthush to attract the best talent across the country while maintaining a high level of service for our partners. By eliminating geographical constraints, we empower our team members to balance personal commitments with professional responsibilities, fostering a culture of trust, autonomy, and accountability. Our remote infrastructure is built on secure, cloud‑based tools that enable seamless collaboration, real‑time communication, and instant access to critical data.

Key elements of our remote ecosystem include:

• Secure VPN and multi‑factor authentication for all data access.
• Cloud‑native collaboration suites (brighthush Slack, brighthush Teams, brighthush Zoom) that keep teams connected.
• 24/7 IT support and a dedicated help desk to resolve technical issues quickly.
• Regular virtual town halls and informal “coffee break” channels to nurture community.

Role Overview: Billing & Claims Customer Service Specialist II

As a pivotal member of our billing team, you will be the trusted voice that guides patients through billing inquiries, payment arrangements, and insurance questions with empathy, clarity, and precision. Your work will directly influence patient satisfaction scores, reduce claim denials, and support the financial health of our partner practices. You will operate in a fast‑paced, high‑impact environment that rewards initiative, attention to detail, and a passion for service excellence.

Key Responsibilities

• Patient Interaction & Support: Serve as the first point of contact for inbound and outbound patient calls, addressing billing inquiries, payment plans, and insurance coverage questions. Use active listening and empathy to resolve concerns and ensure a positive patient experience.
• Claims Management: Review, edit, and submit medical claims to third‑party payers. Verify accuracy against payer guidelines, ensure compliance with regulatory requirements, and track claim status through the entire lifecycle.
• Account Reconciliation: Update patient accounts within the electronic health record (EHR) system, reconcile payments, and investigate discrepancies. Maintain a clean audit trail and ensure all financial data is accurate and up to date.
• Data Integrity & Documentation: Maintain meticulous records of all billing activities. Protect patient confidentiality in accordance with HIPAA and other privacy regulations, and ensure data integrity across all platforms.
• Process Improvement: Identify bottlenecks in billing workflows, propose actionable solutions, and collaborate with cross‑functional teams to implement enhancements that boost efficiency and patient satisfaction.
• Compliance & Quality Assurance: Stay current with industry best practices, payer policies, and regulatory changes. Participate in audits, quality improvement initiatives, and continuous education to maintain high standards of compliance.
• Team Collaboration: Work closely with billing analysts, medical staff, and IT support to resolve complex billing issues, share insights, and support the overall financial health of the practice.

Essential Qualifications

• High school diploma or GED; an associate’s or bachelor’s degree in health administration, business, or a related field is a plus.
• Minimum of 1 year of experience in physician billing, third‑party payer processing, or a similar healthcare billing environment.
• Strong understanding of insurance benefits, claim forms, and payer compliance requirements.
• Proficiency with brighthush or other electronic billing systems; experience with additional EHR platforms is advantageous.
• Excellent verbal and written communication skills in English.
• Demonstrated ability to manage multiple priorities, meet deadlines, and maintain high accuracy under pressure.

Preferred Qualifications

• Certification in medical billing or coding (e.g., Certified Professional Biller, Certified Professional Coder).
• Experience with Medicare, Medicaid, and private insurance reimbursement processes.
• Knowledge of revenue cycle management (RCM) software and analytics tools.
• Previous remote work experience with a proven track record of self‑management and accountability.
• Fluency in a second language (Spanish, French, etc.) to better serve diverse patient populations.

Skills & Competencies

• Customer‑Centric Mindset: Ability to listen actively, empathize, and resolve patient concerns with a positive attitude.
• Analytical Thinking: Strong problem‑solving skills to troubleshoot billing discrepancies and identify root causes.
• Attention to Detail: Meticulous approach to data entry, claim submission, and account reconciliation.
• Time Management: Efficiently prioritize tasks, manage high call volumes, and meet daily performance metrics.
• Technical Proficiency: Comfortable navigating EHR systems, spreadsheets, and billing software; quick learner of new technologies.
• Team Collaboration: Works effectively with cross‑functional teams, sharing insights and contributing to collective success.
• Adaptability: Thrives in a fast‑changing environment, embracing new processes and regulatory updates.

Career Growth & Learning Opportunities

At brighthush, every role is a stepping stone toward greater responsibility and impact. As a Billing & Claims Customer Service Specialist II, you’ll have the opportunity to:

• Progress to Senior Billing Specialist or Billing Team Lead positions, overseeing larger caseloads and mentoring junior staff.
• Transition into revenue cycle management, coding, or compliance roles, leveraging your billing expertise in new domains.
• Participate in continuous education programs, including webinars, workshops, and industry conferences, to stay ahead of evolving payer policies and technology trends.
• Earn professional certifications (e.g., CPC, CCP) through our tuition reimbursement and study‑support initiatives.
• Engage in cross‑departmental projects that influence practice operations, patient experience, and financial performance.

In addition to formal training, you’ll benefit from:

• Monthly “Lunch & Learn” sessions hosted by subject‑matter experts.
• Quarterly hackathons focused on process automation and data analytics.
• Mentorship programs pairing junior talent with seasoned leaders.
• Access to an internal knowledge base and best‑practice library.

Work Environment & Company Culture

brighthush champions a flexible, inclusive, and collaborative workplace. As a remote position based in New Jersey, you’ll enjoy:

• Flexible scheduling options to accommodate personal commitments while meeting business needs.
• A supportive virtual team environment with regular check‑ins, virtual coffee breaks, and open communication channels.
• Access to a robust digital toolkit, including secure VPN, cloud‑based collaboration platforms, and 24/7 IT support.
• A culture that celebrates diversity, equity, and inclusion, ensuring every voice is heard and valued.
• Recognition programs that reward outstanding performance, innovation, and teamwork.

Our remote culture is built on trust and accountability. We empower you to set your own work hours, provided you meet your performance metrics and maintain clear communication with your manager and teammates. We celebrate successes through virtual awards ceremonies, shout‑outs in our internal newsletter, and tangible rewards such as gift cards and wellness stipends.

Compensation & Benefits

We offer a competitive salary range of $51,500 – $68,993 per year, commensurate with experience and performance. In addition to base pay, you’ll receive:

• Performance‑based bonuses tied to key metrics such as claim accuracy, patient satisfaction, and workflow efficiency.
• Health, dental, and vision insurance plans with employer contributions.
• 401(k) retirement plan with company match.
• Generous paid time off (PTO) policy, including vacation, sick leave, and personal days.
• Flexible spending accounts (FSAs) and health savings accounts (HSAs) to manage out‑of‑pocket medical expenses.
• Employee wellness programs, including virtual fitness classes, mental health resources, and wellness stipends.
• Professional development stipend for courses, certifications, and conferences.

How to Apply

If you’re ready to bring your billing expertise, customer‑service skills, and passion for healthcare to a forward‑thinking organization, we’d love to hear from you. Click the link below to submit your application and join the brighthush team.

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Join brighthush Today

At brighthush, we’re more than a company—we’re a community dedicated to improving patient experiences and supporting the healthcare workforce. As a Billing & Claims Customer Service Specialist II, you’ll be at the forefront of this mission, ensuring that billing processes run smoothly and patients feel heard and valued. If you’re driven, detail‑oriented, and eager to grow in a supportive, remote environment, we invite you to apply and become part of our success story.

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