Senior Payer Customer Analyst II – Advanced Collections & Medical Billing Specialist – Remote – Lead Revenue Cycle Excellence at brighthush

About brighthush

brighthush is a forward‑thinking healthcare organization that fuses state‑of‑the‑art technology with a heartfelt commitment to patient care. Our mission is to transform the payment journey into a transparent, efficient, and stress‑free experience for patients, providers, and payers alike. Operating across the United States, we partner with leading health systems, insurers, and community clinics to deliver high‑quality medical services while safeguarding the financial health of every stakeholder.

At brighthush, financial clarity is as essential as clinical excellence. That’s why our Finance & Accounting division sits at the core of our operations, ensuring every dollar is accounted for, every claim is processed accurately, and every patient feels confident in their billing journey.

Why brighthush?

Joining brighthush means becoming part of a culture that thrives on data‑driven decision making, continuous improvement, and unwavering ethical standards. We empower our employees with the tools, training, and autonomy needed to excel in a fast‑paced, evolving industry. Whether you’re a seasoned professional or an emerging talent, brighthush offers a dynamic environment where your contributions directly impact the financial health of our organization and the satisfaction of our patients.

Role Overview

The Payer Customer Analyst II is a pivotal mid‑level role within our Finance & Accounting division. This remote analyst will serve as the bridge between patients, providers, and payers, ensuring timely payments, accurate insurance verification, and flawless billing processes. You will collaborate with cross‑functional teams—including Revenue Cycle Management, Clinical Services, and IT—to deliver precise billing, efficient collections, and optimal reimbursement.

Key Responsibilities

• Payment Collection & Reconciliation: Monitor and manage patient accounts, ensuring accurate posting of payments, adjustments, and write‑offs. Reconcile daily cash receipts with bank statements and internal ledgers.
• Insurance Verification & Eligibility: Conduct thorough verification of patient insurance coverage, including pre‑authorization and benefit determination. Resolve discrepancies and coordinate with providers and payers to secure coverage.
• Claims Management: Prepare, submit, and track medical claims using CPT/ICD‑10 coding. Address denials, rejections, and appeals, working closely with billing teams to correct errors and resubmit claims.
• Customer & Payer Relations: Act as the primary point of contact for payer inquiries, patient billing questions, and dispute resolution. Provide clear, empathetic communication to maintain strong relationships.
• Data Analysis & Reporting: Generate regular reports on collections performance, aging, denial rates, and payer mix. Analyze trends to identify opportunities for process improvement.
• Process Improvement: Collaborate with process owners to refine billing workflows, implement automation, and reduce manual effort. Champion best practices across the finance team.
• Compliance & Quality Assurance: Ensure adherence to federal and state regulations (HIPAA, CMS, etc.) and internal policies. Participate in audits and quality reviews.
• Team Collaboration: Work closely with Clinical, IT, and Operations teams to resolve billing issues, update coding guidelines, and support new product launches.

Essential Qualifications

• High school diploma or equivalent; associate’s degree in Accounting, Finance, Health Information Management, or related field preferred.
• Minimum of 2 years of experience in collections, finance/accounting, medical billing, or patient registration.
• At least 1 year of experience as a Payer Customer Analyst I (or equivalent role) within a healthcare setting.
• Proficiency with computer applications, including Microsoft Office Suite (Excel, Word, Outlook) and billing/collections software (e.g., Epic, Meditech, Athenahealth).
• Strong analytical skills with the ability to interpret financial data and identify trends.
• Excellent written and verbal communication skills, with a customer‑centric approach.
• Detail‑oriented, organized, and able to manage multiple priorities in a fast‑paced environment.
• Self‑motivated, with a proven track record of working independently in a remote setting.

Preferred Qualifications

• Knowledge of medical terminology, CPT, ICD‑10, and HCPCS coding.
• Experience with payer contracts, reimbursement policies, and denial management.
• Familiarity with revenue cycle management (RCM) processes and tools.
• Previous exposure to the Medicaid, Medicare, or private insurance landscape.
• Certification in medical billing or coding (e.g., Certified Professional Coder, Certified Revenue Cycle Professional).
• Experience with data visualization tools (Power BI, Tableau) for reporting.

Skills & Competencies

• Technical Proficiency: Advanced Excel (pivot tables, VLOOKUP, macros), billing software, and database querying.
• Analytical Thinking: Ability to dissect complex financial data and translate findings into actionable insights.
• Problem‑Solving: Creative approach to resolving billing disputes and process bottlenecks.
• Communication: Clear, concise, and professional communication with payers, patients, and internal teams.
• Collaboration: Team player who thrives in cross‑functional projects and remote collaboration tools.
• Adaptability: Comfortable with change, learning new systems, and adjusting to evolving regulations.
• Ethical Judgment: Commitment to confidentiality, compliance, and ethical handling of sensitive information.

Career Growth & Learning Opportunities

At brighthush, we believe in nurturing talent and fostering career progression. As a Payer Customer Analyst II, you will have the opportunity to:

• Advance to senior analyst or manager roles within the Finance & Accounting division.
• Take on cross‑departmental projects, such as RCM optimization or payer contract negotiations.
• Participate in continuous learning programs, including coding certifications, revenue cycle workshops, and leadership development.
• Leverage mentorship from senior finance professionals and access to industry conferences.
• Contribute to strategic initiatives that shape the future of healthcare finance at brighthush.

Work Environment & Company Culture

brighthush offers a flexible, remote work model that supports work‑life balance. Our culture is defined by:

• Inclusivity: A diverse workforce that values every voice.
• Innovation: A commitment to leveraging technology to improve patient and payer experiences.
• Collaboration: Regular virtual town halls, team huddles, and cross‑functional initiatives.
• Recognition: Employee awards, spot bonuses, and public acknowledgment of achievements.
• Wellness: Access to mental health resources, virtual fitness classes, and wellness stipends.

Compensation & Benefits

While specific figures may vary based on experience and location, brighthush offers a competitive salary package that includes:

• Base salary commensurate with industry standards for mid‑level finance roles.
• Performance‑based bonuses tied to collections metrics and quality goals.
• Comprehensive health, dental, and vision insurance plans.
• Retirement savings plan with employer match.
• Paid time off, holidays, and flexible scheduling.
• Professional development stipend and tuition reimbursement.
• Employee assistance program and wellness initiatives.

How to Apply

Ready to make a tangible impact on patient financial outcomes and join a team that values innovation and integrity? Click the link below to submit your application and take the next step in your career with brighthush.

Apply to This Job

Closing

At brighthush, we’re not just a healthcare organization—we’re a community of dedicated professionals committed to improving the financial well‑being of patients and providers alike. If you’re a detail‑oriented, analytical thinker with a passion for healthcare finance, we invite you to bring your expertise to our remote team. Join us in shaping the future of revenue cycle management and delivering exceptional value to our stakeholders.

We look forward to reviewing your application and exploring how your skills and aspirations align with brighthush’s mission.