Medical Claims Recovery Specialist (Subrogation) - Hybrid Arizona

About the role

HMS is hiring an Insurance Subrogation Case Specialist to join our growing team! In this role, you’ll help identify, verify, and coordinate healthcare coverage for Medicaid members, while managing subrogation and claims-related cases.

Responsibilities

• Investigate and verify healthcare coverage and third-party liability information for Medicaid recipients.
• Review and analyze insurance policies, claims, and case documentation.
• Manage active subrogation case files and ensure all data is entered accurately and on time.
• Communicate with insurance carriers, employers, and members to obtain and confirm coverage details.
• Handle a high volume of inbound and outbound calls related to subrogation or claims.
• Prepare and maintain reports on open cases, enrollment updates, and payment processing.
• Support company goals for revenue recovery, accuracy, and program compliance.

Requirements

• A High School Diploma/GED required.
• 3-5 years of relevant professional experience in subrogation, claims, or case management.
• Proficiency in Microsoft Word and Excel; basic knowledge of Microsoft Access is preferred.
• Experience in a legal or insurance office setting is preferred, such as paralegal, legal assistant, casualty, or health insurance experience.
• Familiarity with Medicaid and/or Medicare programs is preferred.

Qualifications

• High School Diploma/GED required.
• 3-5 years of relevant professional experience in subrogation, claims, or case management.
• Proficiency in Microsoft Word and Excel; basic knowledge of Microsoft Access is preferred.
• Experience in a legal or insurance office setting is preferred, such as paralegal, legal assistant, casualty, or health insurance experience.
• Familiarity with Medicaid and/or Medicare programs is preferred.

Skills

• Strong communication and interpersonal skills.
• Attention to detail and ability to manage multiple tasks simultaneously.
• Ability to work independently and as part of a team.
• Basic understanding of healthcare and insurance systems.

Benefits

• Health benefits (medical, dental, and vision) begin on Day 1 of employment.
• 401(k) with company match and additional benefits become available within the first few months.
• Flexible vacation policy after 90 days of employment.
• Company-provided computer for work use.

Pay

The pay range for this position is $43,800.00 - $62,500.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.

Schedule

Hybrid role – primarily remote with in-office presence certain days a week. Monday to Friday schedule from 8:00 AM - 5:00 PM.