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 experienced Insurance Reimbursement Specialist responsible for managing and organizing heavy portfolios of health plan recovery and insurance claims. The specialist will serve as the main contact for inquiries related to third-party liability claims, ensuring smooth progression of tasks toward resolution.

Key Responsibilities

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

Qualifications

• Associate degree or at least 4+ years of equivalent, direct industry experience.
• Minimum 2+ years of experience handling insurance claims, health plan operations, subrogation, or third-party liability.
• Experience working directly with insurance carriers, third-party administrators, or liability insurers.
• Prior experience managing high volumes of complex data sheets or claim files in a fast-paced environment.
• Exceptional verbal and written communication skills.

Skills

• Proficiency in file management and data organization.
• Strong communication skills.
• Familiarity with electronic medical records (EMR) or healthcare claims databases preferred.

Additional Requirements

• Monday - Friday, 8:00 AM – 5:00 PM (or 8:00 AM – 4:30 PM with a 30-minute lunch), including two 15-minute paid breaks.

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

Medix ensures compliance with all applicable laws and is an equal opportunity employer committed to building a diverse workforce.

^*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.

Any required state or Joint Commission training is compensated at the state or local minimum wage rate.

^*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