Senior Remote Ophthalmology Billing Specialist – Expert Claims Management, Revenue Cycle Optimization, and Virtual Assistant Leadership for brighthush

About brighthush

brighthush is a trailblazing, technology‑driven healthcare partner that redefines how medical practices across the United States access top‑tier talent. By connecting highly skilled professionals from around the globe with U.S. healthcare providers, we close the talent gap and elevate revenue cycle performance to new heights. Our mission is simple yet powerful: empower practices to deliver exceptional patient care while maintaining flawless billing, compliance, and financial health.

With a focus on quality, integrity, and continuous improvement, brighthush has become the go‑to partner for practices seeking to streamline their billing operations, reduce denials, and maximize reimbursement. We do this by leveraging cutting‑edge tools, data analytics, and a culture that values innovation, collaboration, and personal growth.

Why Join brighthush?

When you become part of the brighthush family, you gain access to a vibrant community of experts, state‑of‑the‑art technology, and a culture that celebrates innovation and teamwork. We believe every team member is a catalyst for change, and we provide the mentorship, resources, and career pathways to help you thrive in a dynamic, fully remote environment.

Key reasons to join:

• Work from anywhere with a fully supported home office setup.
• Collaborate with a global network of healthcare professionals.
• Continuous learning through sponsored certifications and industry conferences.
• Transparent career progression and recognition for high performance.
• Competitive compensation and a comprehensive benefits package.

Position Overview

We are seeking an experienced, detail‑oriented Senior Remote Ophthalmology Billing Specialist to support a high‑volume ophthalmology practice located in the United States. This full‑time, 100% remote role demands a deep understanding of ophthalmology‑specific billing codes, revenue cycle management, and U.S. insurance regulations. You will partner closely with the practice’s billing team, physicians, and administrative staff to ensure accurate claim submission, timely reimbursement, and optimal financial performance.

As a senior member of our billing team, you will also mentor junior colleagues, drive process improvements, and serve as a key liaison between the practice and our technology platform.

Key Responsibilities

• Ophthalmology Billing & Coding: Prepare, code, and submit claims using CPT, HCPCS, and ICD‑10 codes specific to ophthalmology procedures, surgeries, and consultations. Ensure coding accuracy to minimize denials.
• Claims Management & Follow‑Up: Monitor claim status, investigate denials or rejections, and file appeals or corrections to secure timely payment. Track key metrics such as days in denial and denial reasons.
• Accounts Receivable Management: Review aging reports, reconcile patient accounts, and coordinate payment collections with patients and insurers. Maintain accurate payment posting and follow up on outstanding balances.
• Verification & Documentation: Verify insurance eligibility, benefits, and authorization requirements. Ensure all documentation meets U.S. clinical standards and is properly attached to claims.
• Practice Coordination: Collaborate with office managers and clinical staff to streamline billing workflows, resolve discrepancies, and improve overall revenue cycle efficiency.
• Compliance & Privacy: Maintain strict adherence to HIPAA regulations, ensuring patient data confidentiality and secure handling of sensitive information.
• Reporting & Analytics: Generate monthly billing reports, track key performance indicators (KPIs), and provide actionable insights to practice leadership. Use dashboards to visualize trends and identify improvement opportunities.
• Continuous Improvement: Identify process bottlenecks, recommend technology or workflow enhancements, and participate in ongoing training to stay current with industry best practices.
• Mentorship & Leadership: Coach junior billing specialists, share best practices, and lead small project teams on process optimization initiatives.

Essential Qualifications

• Minimum of 3 years’ experience in ophthalmology medical billing and coding.
• Proficient in using leading practice management software and billing platforms.
• Strong knowledge of CPT, HCPCS, ICD‑10 coding for ophthalmology, and U.S. insurance reimbursement policies.
• Excellent written and spoken English communication skills; Spanish proficiency is not required.
• High level of accuracy, strong organizational skills, and the ability to work independently in a remote setting.
• Experience with claim denial management, appeals, and payment posting.
• Familiarity with HIPAA privacy rules and secure data handling practices.
• Reliable home office setup with high‑speed internet and a dedicated workspace.
• Proactive problem‑solving mindset and a passion for continuous improvement.

Preferred Qualifications

• Certification in medical billing and coding (e.g., CPC, CCS, or equivalent).
• Experience working with large ophthalmology practices or multi‑specialty groups.
• Knowledge of Medicare/Medicaid billing nuances and managed care contracts.
• Proficiency in office productivity suite and data analysis tools.
• Previous remote billing experience with a proven track record of meeting or exceeding performance metrics.
• Experience with practice‑specific software integrations (e.g., EHR to billing platform).

Key Skills & Competencies

• Advanced coding accuracy and meticulous attention to detail.
• Strong analytical and problem‑solving abilities.
• Excellent time‑management and prioritization skills.
• Effective communication with physicians, insurers, and patients.
• Adaptability to evolving billing regulations and technology updates.
• Commitment to continuous learning and professional development.
• Team‑player mindset with leadership potential.

Career Growth & Learning Opportunities

At brighthush, your career trajectory is designed to evolve with your ambitions. As you master ophthalmology billing, you can:

• Progress to a Senior Billing Analyst or Billing Manager role within the organization.
• Specialize in revenue cycle consulting, providing strategic guidance to multiple practices.
• Earn industry certifications (e.g., CPC, CCS) through our sponsored training programs.
• Lead cross‑functional projects that expose you to clinical operations, compliance, and technology integration.
• Attend virtual conferences, webinars, and workshops to stay ahead of industry trends.
• Take on mentorship roles, shaping the next generation of billing specialists.

Work Environment & Company Culture

brighthush thrives on a culture of transparency, collaboration, and empowerment. Even though you’ll be working remotely, you’ll feel part of a close‑knit community through:

• Weekly virtual team huddles and monthly all‑hands meetings.
• Dedicated communication channels for real‑time support and knowledge sharing.
• Access to a digital resource hub containing best‑practice guides, policy updates, and training modules.
• Annual virtual retreats and quarterly virtual coffee chats to build camaraderie.
• Open‑door leadership policy that encourages feedback and continuous improvement.
• Recognition programs that celebrate milestones and outstanding contributions.

Compensation, Perks & Benefits

While specific figures are tailored to experience and role scope, brighthush offers:

• Competitive salary in U.S. dollars, benchmarked against industry standards.
• Weekly or bi‑weekly payment options for flexibility.
• Paid vacation days and flexible holiday scheduling.
• Health and wellness reimbursement program (gym memberships, mental health apps).
• Professional development stipend for courses, certifications, and conferences.
• Comprehensive remote work support, including equipment allowance and high‑speed internet reimbursement.
• Access to a robust network of U.S. healthcare clients and industry partners.
• Performance‑based bonuses tied to key metrics such as denial reduction and revenue growth.
• Employee assistance program for personal and professional support.

How to Apply

Ready to elevate your billing career with a leading remote partner? Submit your resume and a brief cover letter highlighting your ophthalmology billing experience and why you’re excited about this role. We look forward to exploring how your expertise can help us drive excellence in revenue cycle management for our U.S. clients.

Join brighthush Today

At brighthush, we believe that every professional deserves the opportunity to grow, innovate, and make a tangible impact. If you’re passionate about precision, patient care, and financial stewardship, we invite you to become part of a team that values your skills and supports your career aspirations. Apply now and take the next step in your remote billing journey with brighthush.