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Remote Healthcare Customer Service Representative – Billing & Insurance Specialist – Texas – Join brighthush

Remote · South Africa Full-time
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About brighthush

brighthush is a forward‑thinking healthcare solutions provider that has been empowering patients, providers, and payers for over three decades. We believe that every interaction with a patient should be a moment of clarity, compassion, and confidence. Our mission is to streamline the billing and insurance experience so that patients can focus on what matters most—getting the care they need. As we expand our footprint across the United States, we’re looking for dedicated professionals who share our commitment to excellence and who thrive in a dynamic, remote‑first environment.

Why This Role Matters

As a Remote Healthcare Customer Service Representative, you will be the frontline advocate for patients navigating complex billing and insurance questions. Your expertise will help patients understand their financial responsibilities, explore payment options, and resolve outstanding balances. By doing so, you’ll directly contribute to brighthush’s reputation for outstanding patient service and to the financial health of our partner organizations.

Key Responsibilities

  • Handle inbound and outbound calls from patients, law offices, insurance carriers, and other external stakeholders to resolve billing and insurance inquiries.
  • Provide clear, accurate explanations of deductibles, co‑insurance, co‑pays, and other cost‑sharing arrangements.
  • Investigate and resolve complex denials, charge disputes, claim resubmissions, eligibility issues, and coding disputes.
  • Review financial statements and recommend payment plans or assistance programs in line with client guidelines.
  • Navigate and document interactions using brighthush’s internal systems and third‑party platforms such as Artiva, Cerner Soarian, and EPIC.
  • Maintain meticulous account notes, codes, and documentation with minimal errors.
  • Adhere to all privacy regulations, including HIPAA, and safeguard Protected Health Information (PHI).
  • Meet or exceed key performance indicators (KPIs) such as call volume, successful payment resolution rate, and call quality scores.
  • Collaborate with cross‑functional teams—billing, collections, and compliance—to ensure seamless patient experiences.
  • Participate in ongoing training and professional development to stay current on industry best practices and regulatory changes.

Essential Qualifications

  • High School Diploma or GED (required); associate’s degree or higher in health administration, business, or a related field is a plus.
  • Minimum of 1–2 years of experience in a call center or healthcare customer service environment.
  • Strong understanding of medical billing, coding, and insurance processes.
  • Proficiency with multiple computer applications and databases; comfortable navigating complex systems.
  • Excellent verbal and written communication skills, with a professional telephone etiquette.
  • Ability to perform basic math calculations (addition, subtraction, multiplication, division, percentages) quickly and accurately.
  • Self‑motivated, reliable, and capable of working independently in a remote setting.
  • Demonstrated ability to handle sensitive personal information with discretion and confidentiality.
  • Prior supervisory experience is a strong advantage for those interested in future leadership roles.

Preferred Skills & Competencies

  • Experience with Artiva, Cerner Soarian, or EPIC systems.
  • Knowledge of payer policies, billing guidelines, and reimbursement cycles.
  • Strong problem‑solving skills and the ability to think on your feet.
  • Empathy and patience when dealing with patients who may be frustrated or anxious.
  • Adaptability to changing priorities and the ability to manage multiple tasks simultaneously.
  • Commitment to continuous learning and professional growth.

Career Growth & Development

At brighthush, we view every role as a stepping stone to greater responsibility. Successful representatives may advance to:

  • Team Lead – Mentor new hires, manage daily operations, and drive team performance.
  • Billing Analyst – Dive deeper into data, analyze trends, and recommend process improvements.
  • Collections Specialist – Focus on advanced payment strategies and debt recovery.
  • Compliance Officer – Ensure adherence to regulatory standards across all patient interactions.

We provide access to industry certifications, tuition reimbursement, and a robust mentorship program to help you reach your career goals.

Work Environment & Culture

brighthush champions a flexible, inclusive culture that values work‑life balance and personal well‑being. As a remote employee, you’ll enjoy:

  • Fully equipped home office stipend.
  • Flexible scheduling options to accommodate personal commitments.
  • Regular virtual team huddles, training sessions, and social events.
  • Access to a digital knowledge base and real‑time support from colleagues.
  • A culture of transparency, recognition, and open communication.

Compensation & Benefits

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

  • Base salary plus performance‑based incentives.
  • Health, dental, and vision insurance.
  • 401(k) plan with company match.
  • Paid time off, holidays, and sick leave.
  • Professional development budget and tuition reimbursement.
  • Employee wellness program and mental health resources.
  • Annual performance reviews and clear career pathways.

How to Apply

Ready to make a difference in patients’ lives while advancing your career? Click the link below to submit your application and join the brighthush family.

Apply to brighthush Today

We’re Excited to Meet You!

At brighthush, we’re more than a company—we’re a community of passionate professionals dedicated to improving the healthcare experience for everyone. If you’re driven by empathy, detail, and a desire to help patients navigate the complexities of billing and insurance, we want to hear from you. Join us and help shape the future of patient‑centric care.

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