You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.
About the Role
We are hiring two Claims Specialists to support a high-performing, collaborative team specializing in air ambulance claims, member appeals, and insurance reimbursement. This is a unique, detail-oriented role focused on out-of-network claims, member advocacy, and relationship-building with employers, patients, and insurance providers.
While prior healthcare or air ambulance experience is a plus, we will provide thorough, on-the-job training—so long as you bring a strong foundation in medical A/R, collections, and RCM.
You’ll need to be proactive, inquisitive, and resourceful, with a proven ability to dig deep into complex claims and ensure accurate resolution. This is not a rote production role—each case requires thoughtful problem-solving, communication, and documentation.
Key Responsibilities
- Manage 25–30 insurance claims per day, prioritizing accuracy, compliance, and timeliness
- Navigate out-of-network claims and reimbursement workflows
- Conduct eligibility and benefits verifications, including air ambulance-specific criteria
- Investigate and process member appeals (not provider appeals)
- Gather and submit prior authorizations, medical records, and required documentation
- Collaborate with patients, families, employers, and insurance providers via phone, email, and online chat
- Maintain detailed records in accordance with HIPAA and internal documentation standards
- Track personal productivity and quality metrics to qualify for monthly incentive bonuses
Training & Schedule
- Initial Training Duration: ~90 days (flexible depending on performance)
- Training Hours: Monday-Friday 6:30 AM - 3 PM AZ time start (8-hour shift with 30-minute lunch). More schedule flexibility available after the first 90 days.
- Training Format: Fully virtual via Microsoft Teams (screen sharing + interactive support)
- Post-Training Schedule: Monday-Friday - Flexible start time between 6:00–8:00 AM AZ time; must remain consistent once chosen
Work Location
- Hybrid model preferred: Must be able to commute to North Scottsdale, AZ office 1–2x/month for team collaboration or company events
- Fully remote considered for the right candidate with proven experience and self-motivation
- Equipment Provided: Laptop, monitor, keyboard, mouse, and headset
Compensation & Incentives
Benefits
- Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
- Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
- 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
- Short Term Disability Insurance.
- Term Life Insurance Plan.
Medix Overview:
With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we’re dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.
We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).
This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.
