You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.

Job Summary

We are seeking an empathetic and results-driven Healthcare Benefits Navigator to join our client's growing team. In this high-touch, non-clinical member advocacy role, you will work one-on-one with actively employed professionals, commercial union members, and their dependents to help them successfully navigate the complexities of employer-sponsored health plans.

Key Responsibilities

• Utilize data-driven insight to initiate outbound campaigns targeting members who need support with preventive care, chronic condition management, or medication adherence.
• Serve as a trusted advisor to help working-class families and young adults resolve medical, pharmacy, and ancillary benefit hurdles.
• Assist members in locating in-network provider options, troubleshooting prior authorizations, handling referrals, and appealing claims denials or billing errors.
• Adapt to a diverse portfolio of self-insured employer health options, guiding members through specific deductibles, copayments, and network restrictions.
• Identify when members qualify for specialized client-sponsored resources such as behavioral health, diabetes management, or musculoskeletal programs and seamlessly route them to these benefits.
• Maintain meticulous, timely case documentation within our internal CRM system, strictly adhering to HIPAA regulations and organizational privacy standards.

Qualifications

• 2 or more years of experience in healthcare customer service, commercial insurance, health system navigation, hospital billing, or medical care coordination.
• A solid foundation in medical terminology and a strong understanding of employer-sponsored health plans, provider networks, and insurance processes.
• Outstanding active listening and verbal communication skills, with a proven ability to translate confusing medical jargon into plain, actionable advice.
• Proficiency in navigating CRM platforms, medical documentation software, and multi-screen workflows.

Experience

• 2 or more years of experience in healthcare customer service, commercial insurance, health system navigation, hospital billing, or medical care coordination.

Skills

• Technical skills: Proficiency in navigating CRM platforms, medical documentation software, and multi-screen workflows.
• Soft skills: Outstanding active listening and verbal communication skills.

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.

Required Employment / Compliance Language

All applicants must comply with the regulations and meet state-specific requirements as set by federal and state authorities for employment in Arizona.

^*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).

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.

^*As a job position within our Insurance division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing medical and confidential records, verifying financial information, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. 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