Senior Remote Billing Operations Specialist – Advanced Revenue Cycle Management & Leadership – Expert Customer Service Associate IV at brighthush

Welcome to brighthush – Where Innovation Meets Compassion

At brighthush, we are more than a health system; we are a movement dedicated to redefining patient care across the United States. Since 1997, our network of hospitals, outpatient centers, and community outreach programs has served over 10,000 professionals who share a single, powerful mission: to elevate health outcomes and enrich the well‑being of every community we touch. Our commitment to innovation, equity, and continuous improvement has earned us recognition as a top employer in the healthcare sector and a trusted partner for patients, providers, and payers alike.

Why Join brighthush?

When you become part of brighthush, you gain more than a job—you join a purpose‑driven family that values impact, growth, and well‑being. Here’s what sets us apart:

• Impactful Work – Your expertise will directly shape billing accuracy, patient satisfaction, and the financial vitality of our organization.
• Remote Flexibility – Work from anywhere in the United States with a fully supported home‑office setup.
• Career Growth – Structured pathways that open doors to leadership, project management, and cross‑functional roles.
• Competitive Compensation & Benefits – Comprehensive health plans, generous paid leave, and professional development opportunities.
• Inclusive Culture – A collaborative, respectful workplace that celebrates diversity, equity, and inclusion.

Role Overview

As a Senior Remote Billing Operations Specialist – Advanced Revenue Cycle Management & Leadership – Expert Customer Service Associate IV, you will be the go‑to authority for the most complex billing challenges within our revenue cycle. Your analytical acumen, leadership flair, and passion for process excellence will drive initiatives that streamline operations, reduce denials, and enhance patient experience. This role blends deep technical knowledge with mentorship, project leadership, and cross‑departmental collaboration—all while operating in a dynamic, data‑driven environment.

Key Responsibilities

In this role, you will:

• Serve as the fourth‑level escalation point for high‑impact billing inquiries, resolving issues with minimal supervision.
• Conduct comprehensive research and analysis of billing data, CPT, HCPCS, and ICD codes to uncover root causes and recommend corrective actions.
• Collaborate with Revenue Cycle, Finance, Compliance, and Clinical Services teams to design and implement solutions that improve accuracy and reduce denials.
• Lead special projects such as system upgrades, process redesigns, or data quality initiatives, ensuring timely delivery and measurable impact.
• Act as a Team Lead or Peer Trainer, providing coaching, feedback, and knowledge transfer to Customer Service Associates III and II.
• Communicate findings, status updates, and recommendations to the SBO Manager, Director, and other stakeholders.
• Maintain meticulous documentation of escalations, resolutions, and best‑practice guidelines in the organization’s knowledge base.
• Participate in continuous improvement activities, including root‑cause analysis, process mapping, and KPI monitoring.
• Champion a culture of data integrity by ensuring all billing records are accurate, complete, and compliant with payer and regulatory requirements.
• Serve as a liaison between the billing team and external partners such as insurance carriers, clearinghouses, and technology vendors to resolve complex payment and coding disputes.

Essential Qualifications

• High School Diploma or GED (required).
• Minimum of 3 years of experience in a healthcare billing or call‑center environment.
• HFMA Certified Revenue Cycle Representative (CRCR) or higher certification.
• Demonstrated competency in all essential functions of a Customer Service Associate III – SBO role.
• Strong analytical skills with the ability to interpret complex billing data and identify trends.
• Excellent verbal and written communication skills, capable of explaining technical concepts to non‑technical stakeholders.
• Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook) and experience with billing software such as Epic, Meditech, or similar platforms.
• Knowledge of medical billing terminology, CPT, HCPCS, ICD coding, and payer policies.
• Prior leadership or training experience, including coaching or mentoring junior staff.

Preferred Qualifications

• Advanced HFMA certifications (e.g., Certified Professional Biller, Certified Professional Collector).
• Experience with revenue cycle analytics tools (e.g., Tableau, Power BI).
• Familiarity with regulatory compliance standards such as HIPAA, HITECH, and the Affordable Care Act.
• Experience managing or participating in cross‑departmental improvement projects.
• Fluency in additional languages (Spanish, French, etc.) is a plus.

Core Competencies & Skills

• Problem‑Solving – Ability to dissect complex issues and develop actionable solutions.
• Leadership & Mentoring – Proven track record of guiding teams and fostering professional growth.
• Collaboration – Comfortable working with diverse stakeholders across the organization.
• Adaptability – Thrives in a dynamic environment with evolving priorities.
• Customer‑Centric Mindset – Dedicated to delivering exceptional service to patients, providers, and payers.
• Attention to Detail – Ensures accuracy in billing, documentation, and data analysis.
• Strategic Thinking – Able to align day‑to‑day tasks with long‑term organizational goals.
• Technology Proficiency – Comfortable navigating multiple software platforms and quickly learning new tools.

Career Growth & Learning Opportunities

At brighthush, we invest heavily in our people. As a Senior Remote Billing Operations Specialist, you will have access to a wealth of development resources:

• Structured mentorship programs that pair you with senior leaders.
• Annual tuition reimbursement and support for continuing education.
• Leadership development workshops and certifications.
• Opportunities to transition into specialized roles such as Revenue Cycle Analyst, Billing Systems Project Manager, or Compliance Officer.
• Participation in cross‑functional task forces that shape the future of healthcare delivery.
• Regular skill‑building sessions on emerging billing technologies and industry best practices.
• Access to a library of webinars, podcasts, and industry research to keep you ahead of the curve.

Work Environment & Culture

brighthush fosters a culture of collaboration, transparency, and innovation. Our remote teams are empowered by:

• Robust virtual collaboration tools (Microsoft Teams, Slack, Zoom).
• Regular virtual town halls and team‑building events.
• Inclusive policies that celebrate diversity and promote equity.
• A commitment to work‑life balance, with flexible scheduling and remote work options.
• Annual “Innovation Days” where employees can pitch new ideas to senior leadership.
• Peer recognition programs that celebrate outstanding contributions.

Compensation & Benefits

While specific salary ranges are determined by experience and qualifications, brighthush offers a competitive package that includes:

• Competitive base salary aligned with industry standards.
• Performance‑based bonuses and incentive programs.
• Comprehensive health, dental, and vision insurance plans.
• Paid parental leave and family‑friendly policies.
• Flexible work options and remote‑work stipend.
• Student loan repayment assistance.
• Well‑being resources such as mental health support, wellness programs, and fitness subsidies.
• Recognition programs that celebrate outstanding contributions.
• Shift differentials and other incentives where applicable.
• Professional development budget for conferences, certifications, and training.

How to Apply

If you are ready to elevate your billing expertise, lead impactful projects, and mentor the next generation of revenue cycle professionals, we encourage you to apply today. Join brighthush and help us shape the future of healthcare while advancing your career in a supportive, innovative environment.

Ready to make a difference? and become a vital part of brighthush’s mission to deliver exceptional care and operational excellence.