Senior Data Entry Specialist – Medical Insurance Billing & Claims Processing – Remote Full‑Time at brighthush

About brighthush

brighthush is a leading provider of integrated health‑plan solutions, delivering innovative technology and customer‑centric services to millions of members across the United States. With a commitment to quality, transparency, and continuous improvement, we empower our teams to make a real difference in people’s lives. Whether you’re a seasoned professional or just starting your career, brighthush offers a collaborative, inclusive environment where your contributions are recognized and rewarded.

Role Overview

As a Senior Data Entry Specialist, you will be the backbone of our medical insurance billing and claims processing operations. Working remotely from the comfort of your home, you will handle high‑volume data entry tasks, ensuring accuracy, completeness, and compliance with industry regulations. Your analytical mindset, attention to detail, and ability to navigate multiple systems will help keep our member experience seamless and our operations efficient.

Why This Role Matters

• Directly impact member satisfaction by ensuring accurate billing and timely updates.
• Support cross‑functional teams such as Enrollment, Customer Care, and Claims.
• Contribute to continuous process improvement initiatives that reduce errors and increase throughput.
• Grow your expertise in medical insurance benefits, coding, and data analytics.

Key Responsibilities

• Enter, verify, and update member information, including dependents, coverage changes, and premium calculations, using brighthush’s proprietary data platform.
• Process medical insurance billing and claims data with a focus on accuracy and compliance.
• Resolve data discrepancies such as name or date‑of‑birth mismatches, coverage gaps, and duplicate entries.
• Follow multi‑step instructions to handle tasks such as open enrollment, membership renewals, and newborn additions.
• Collaborate with the Operations Team Lead and other stakeholders to identify and resolve process bottlenecks.
• Maintain meticulous records and audit trails to support internal and external compliance reviews.
• Participate in ongoing training and skill‑development sessions to stay current with industry best practices.
• Accept constructive feedback and continuously improve your performance.

Essential Qualifications

• 3–5 years of experience in medical insurance billing, coding, or customer care.
• Proficient in Excel (formulas optional) and comfortable navigating Excel‑like systems.
• Typing speed of at least 40 words per minute with high accuracy.
• Strong analytical thinking and problem‑solving skills, with a deep‑dive approach to data quality.
• Excellent attention to detail and ability to work independently in a virtual environment.
• Solid understanding of medical insurance benefits, deductibles, copays, and coverage structures.
• Experience following multi‑step directions and managing multiple programs simultaneously.
• Comfortable with remote computer learning and WFH setups; prior remote work experience preferred.
• Ability to accept constructive criticism and adapt quickly to new processes.

Preferred Qualifications

• Prior data entry experience in a healthcare or insurance context.
• Familiarity with claims adjudication systems and electronic health record (EHR) platforms.
• Knowledge of HIPAA regulations and data privacy best practices.
• Experience with data validation tools and quality assurance procedures.
• Strong communication skills, both written and verbal, to collaborate with remote teams.

Skills & Competencies

• Technical Proficiency: Advanced Excel skills, data entry software, and basic database navigation.
• Analytical Mindset: Ability to interpret complex data sets and identify trends or anomalies.
• Process Orientation: Familiarity with workflow automation and continuous improvement methodologies.
• Communication: Clear, concise written communication for documentation and reporting.
• Time Management: Prioritization of tasks in a fast‑paced, high‑volume environment.
• Adaptability: Quick learning of new tools, systems, and procedures.
• Team Collaboration: Ability to work effectively with cross‑functional teams in a remote setting.

Career Growth & Learning Opportunities

At brighthush, we believe in nurturing talent and providing clear career pathways. As a Senior Data Entry Specialist, you will:

• Advance to a Lead or Manager role within Operations, overseeing a team of data specialists.
• Transition into specialized areas such as Claims Analysis, Quality Assurance, or Process Improvement.
• Participate in leadership development programs and mentorship initiatives.
• Earn certifications in medical billing, coding, or data analytics through our partnered training partners.
• Attend industry conferences and webinars to stay ahead of emerging trends.

Work Environment & Company Culture

brighthush fosters a culture of trust, innovation, and inclusivity. Our remote work model empowers you to balance professional growth with personal commitments. You will enjoy:

• Flexible scheduling to accommodate different time zones and personal responsibilities.
• A supportive virtual community with regular team huddles, virtual coffee breaks, and open‑door leadership communication.
• Access to cutting‑edge collaboration tools (Slack, Teams, Zoom) that keep you connected and productive.
• Recognition programs that celebrate milestones, achievements, and peer support.

Compensation & Benefits

We offer a competitive compensation package that rewards performance and dedication:

• Base pay of $16 per hour, with the opportunity to earn additional matrix pay based on the volume and accuracy of data processed.
• Comprehensive benefits package including:
• 401(k) with company match
• Health, dental, and vision insurance plans
• Life and disability insurance
• Flexible spending accounts (FSA) for medical and dependent care
• Paid time off (PTO), holidays, and sick leave
• Employee assistance program (EAP) for mental health support
• Employee discount program across partner brands
• Professional development stipend for courses, certifications, and conferences.
• Regular performance reviews with clear metrics for advancement.

How to Apply

If you are passionate about data accuracy, thrive in a remote setting, and want to make a tangible impact on member experiences, we encourage you to apply today. Submit your resume and a brief cover letter outlining your relevant experience and why you’re excited about this role at brighthush.