Remote Claims Analyst: Advocate for Accurate Billing

Alight Solutions; Massachusetts; Hybrid; USD 55,000 - 65,000; Full time

Benefits offered by this job

Benefits package starting day one

Health, dental, vision

401k with company match

Paid Time Off

Job summary

Alight Solutions is seeking a Claims Analyst to support members with billing questions, advocate with carriers and providers, and help resolve post-service coverage issues. The role starts with extensive healthcare training and requires clear communication and problem-solving skills.

You’ll work in a remote-friendly environment, collaborate with a national team, and engage in ongoing learning while supporting client satisfaction and accurate claim processing.

Qualifications

• Bachelor’s Degree, Associate’s Degree with 2 years billing/insurance experience, or 3 years’ experience in a healthcare billing/insurance related role
• Ability to work effectively in a remote team environment
• Strong problem solving, reasoning, and analytical skills
• Exceptional verbal and written communication skills – ability to articulate complex billing concepts for members that are not experts
• Strong ability and desire to learn continually in a changing environment
• Ability to efficiently organize work activities to meet deadlines
• Passion to provide the highest level of client satisfaction
• Ability to receive and immediately apply constructive feedback
• Ability to develop effective rapport with clients based on empathy and trust
• Expertise and current knowledge of Medicare, Health accounts (FSA, HRA, HSA), and claims adjudication process

Responsibilities

• When you start, you will receive extensive health care training to ensure you are equipped to consult members on billing related issues
• Your primary responsibility is to be an advocate for members by working on their behalf with carriers, providers, and plan related documentation to resolve post-service coverage questions and/or issues in an accurate and timely manner
• Coordinate with providers and carriers to solve billing discrepancies, coding errors, and denied claims; assist with claim resubmission, as necessary
• Draft, submit, and exhaust appeals processes, as necessary
• Partner directly with client to bring awareness to unique care/billing situations that may require special review
• Coordinate with providers to determine payment plan and discount options

Skills

Remote teamwork

Problem solving

Analytical skills

Verbal and written communication

Continuous learning

Time management

Client satisfaction

Feedback receptiveness

Empathy and trust

Education

Bachelor’s degree or higher / Associate’s degree + experience

Job description

Alight Solutions is seeking a Claims Analyst to support members with billing questions, advocate with carriers and providers, and help resolve post-service coverage issues. The role starts with extensive healthcare training and requires clear communication and problem-solving skills.

You’ll work in a remote-friendly environment, collaborate with a national team, and engage in ongoing learning while supporting client satisfaction and accurate claim processing.