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

Job Summary

Our client is seeking an Insurance Reimbursement Specialist. The primary responsibilities include managing and organizing health plan recovery and insurance claims files, serving as the main contact for third-party liability claims, and communicating with external stakeholders. The role also involves sending formal notices, auditing file packages, and tracking reimbursement payments.

Key Responsibilities

• Manage and organize heavy portfolios of active health plan recovery and insurance claims files to ensure smooth resolution.
• Serve as the main contact for inbound calls and emails regarding third-party liability claims and coverage.
• Communicate professionally with plaintiff attorneys, insurance adjusters, and claim representatives.
• Send out formal notices and follow up diligently on missing paperwork and documentation requests.
• Audit and prep file packages, logging updates in tracking systems and flagging gaps to attorneys and senior paralegals.
• Track incoming reimbursement payments and escalate delays to management.

Qualifications

• Associate degree or at least 4+ years of equivalent industry experience required.
• Minimum 2+ years of professional experience in insurance claims, health plan operations, or similar fields.
• Proven experience working with insurance carriers, TPAs, or liability insurers.
• Experience managing and organizing complex data sheets or claim files in a fast-paced environment.
• Exceptional verbal and written communication skills.
• Preferred experience in healthcare reimbursement, payer, or subrogation-specific environments.
• Familiarity with major electronic medical records (EMR) or healthcare claims databases preferred.

Schedule

Monday - Friday, 8:00 AM – 5:00 PM (or 8:00 AM – 4:30 PM with a 30-minute lunch).

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 employment is contingent upon completing and passing background checks and drug tests. We are an equal opportunity employer. Unauthorized duplication or publication of any hiring information without express written permission is prohibited. We take your privacy seriously, and as such, your personal information will only be used in accordance with our privacy policy and never shared without your consent.

^*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