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 to manage and organize active health plan recovery and insurance claims files. This role involves serving as the main contact for inquiries, communicating professionally with external stakeholders, and ensuring timely resolution of claims.

Key Responsibilities

• Manage and organize heavy portfolios of active health plan recovery and insurance claims files to keep them moving smoothly toward resolution.
• Serve as the main contact for inbound calls and emails, answering questions about 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, documentation requests, or pending file materials.
• Audit and prep file packages, logging real-time updates in tracking systems and flagging any coverage or liability gaps to attorneys and senior paralegals before negotiations.
• Track incoming reimbursement payments to support team responsiveness standards and escalate any processing delays to management.

Qualifications

• Driven & Proactive Mindset: High level of personal drive, outspoken enough to ask questions during training when confused, and eager to take ownership of case touches and revenue generation.
• Fast-Paced Capability: Proven ability to thrive in high-volume, goal-driven corporate settings (e.g., managing high daily case touches/calls without sacrificing accuracy or quality).
• Professional Stakeholder Interfacing: Exceptional, articulate verbal and written communication skills with the professional demeanor needed to confidently phone-screen and converse with plaintiff attorneys, legal assistants, and insurance adjusters.

Skills

• Prior experience in healthcare reimbursement, subrogation, TPL, or payer-specific environments is preferred.
• Hands-on familiarity with electronic medical records (EMR) or electronic claims processing databases is preferred.

Additional Requirements

Monday - Friday, 8:00 AM – 5:00 PM (or 8:00 AM – 4:30 PM with a 30-minute lunch). 2 x 15 minute paid breaks given during the day.

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.

^*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