Senior Remote Billing Operations Specialist – Advanced Revenue Cycle Management & Leadership – Expert Customer Service Associate IV – Championing Patient Financial Excellence and Operational Innovation at brighthush

Introduction: brighthush – Pioneering Compassionate Care Through Innovation

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, ICD‑10, and payer policies to identify root causes of denials and revenue leakage.
• Develop and implement advanced billing workflows that improve accuracy, reduce cycle time, and increase collections.
• Lead cross‑functional projects that integrate clinical, financial, and IT teams to align revenue cycle objectives with organizational strategy.
• Mentor and coach junior billing staff, fostering a culture of continuous learning and high performance.
• Collaborate with payer representatives to negotiate contracts, resolve disputes, and secure favorable reimbursement terms.
• Prepare detailed reports and dashboards for executive leadership, highlighting key performance indicators, trends, and improvement opportunities.
• Stay current with industry regulations, payer guidelines, and emerging technologies that impact billing and revenue cycle management.
• Champion patient advocacy by ensuring transparent, accurate, and timely billing communications that enhance patient trust and satisfaction.
• Participate in strategic planning sessions to shape the future of brighthush’s revenue cycle initiatives.

Essential Qualifications

• Minimum of 7 years of progressive experience in medical billing, revenue cycle management, or related financial operations within a large healthcare organization.
• Advanced knowledge of CPT, HCPCS, ICD‑10 coding, payer contracts, and Medicare/Medicaid reimbursement rules.
• Proven track record of leading complex billing projects, driving process improvements, and achieving measurable financial outcomes.
• Strong analytical skills with proficiency in data analysis tools (e.g., Excel, Power BI, Tableau) and billing software (e.g., Epic, Meditech, Athenahealth).
• Excellent communication and interpersonal skills, capable of influencing stakeholders at all levels.
• Demonstrated ability to mentor and develop high‑performing teams in a remote or hybrid environment.
• Certified Professional Biller (CPB) or Certified Revenue Cycle Professional (CRCP) preferred.
• Experience with change management, process reengineering, and quality improvement methodologies (Lean, Six Sigma).

Preferred Qualifications

• Master’s degree in Health Administration, Business Administration, or a related field.
• Experience with AI‑driven billing solutions or predictive analytics platforms.
• Knowledge of international billing standards and cross‑border reimbursement processes.
• Proficiency in multiple languages to support diverse patient populations.
• Prior experience in a leadership role within a remote workforce setting.

Skills & Competencies

• Strategic Thinking – Ability to align billing operations with long‑term organizational goals.
• Problem‑Solving – Innovative approach to diagnosing and resolving complex billing issues.
• Project Management – Expertise in planning, executing, and closing projects on time and within budget.
• Data‑Driven Decision Making – Proficiency in interpreting metrics and translating insights into action.
• Customer‑Centric Mindset – Commitment to delivering exceptional patient financial experiences.
• Adaptability – Comfortable navigating rapid changes in regulations, technology, and market dynamics.
• Collaboration – Skilled at building partnerships across clinical, financial, and IT domains.
• Leadership – Proven ability to inspire, coach, and develop remote teams.

Career Growth & Learning Opportunities

At brighthush, your career trajectory is designed to evolve with your ambitions. As a Senior Remote Billing Operations Specialist, you will have the chance to:

• Progress into senior leadership roles such as Director of Revenue Cycle or Chief Revenue Officer.
• Lead enterprise‑wide initiatives that shape the future of patient financial services.
• Participate in executive‑level strategy sessions and influence company‑wide policy decisions.
• Access to continuous learning programs, including tuition reimbursement, industry certifications, and leadership development workshops.
• Engage in cross‑functional rotations that broaden your skill set and expand your professional network.

Work Environment & Company Culture

brighthush fosters a culture of innovation, empathy, and collaboration. Our remote workforce enjoys:

• Fully equipped home‑office stipends and ergonomic support.
• Flexible scheduling that respects work‑life balance.
• Regular virtual town halls, team‑building events, and wellness programs.
• A commitment to diversity, equity, and inclusion, reflected in our hiring practices, employee resource groups, and community outreach.
• Transparent communication channels that keep every team member informed and engaged.

Compensation, Perks, and Benefits

While specific figures are tailored to experience and location, brighthush offers a competitive compensation package that includes:

• Base salary commensurate with industry standards and your expertise.
• Performance‑based bonuses tied to revenue cycle metrics and patient satisfaction scores.
• Comprehensive health, dental, and vision insurance plans.
• 401(k) plan with company match and financial planning resources.
• Generous paid time off, including vacation, sick leave, and parental leave.
• Professional development stipend and access to industry conferences.
• Employee assistance programs, mental health resources, and wellness initiatives.

How to Apply

Ready to take the next step in your career and make a tangible impact on patient financial health? Submit your resume and a cover letter outlining your experience with complex billing operations, leadership achievements, and why you’re excited to join brighthush. We look forward to exploring how your expertise can help us continue to set new standards in revenue cycle excellence.

Join brighthush Today – Where Your Expertise Meets Purpose

At brighthush, we believe that every patient deserves clear, compassionate, and accurate financial care. As a Senior Remote Billing Operations Specialist, you will be at the forefront of this mission, driving innovation, leading teams, and ensuring that our revenue cycle supports the highest standards of patient service. If you are passionate about financial stewardship, eager to mentor others, and ready to thrive in a remote, collaborative environment, we invite you to apply and become part of a transformative journey.