Medical Claims Recovery Specialist (Subrogation) - Little Rock, AR (Onsite)

About the role

We are seeking a detail-oriented and driven Subrogation Specialist to manage casualty and estate-related functions for Medicaid beneficiaries, including those who are deceased. This role involves comprehensive case management—from intake and claims review to settlement and recovery—across multiple jurisdictions and stakeholders.

Responsibilities

• Ensure all processes comply with HIPAA and government security standards regarding the handling and storage of Protected Health Information (PHI).
• Manage a high-volume caseload (700–1,000 cases), applying advanced analytical skills to track, notate, and negotiate settlements.
• Communicate professionally via inbound and outbound calls with attorneys, insurance adjusters, medical providers, court personnel, recipients, family members, and clients.
• Prepare and process correspondence, liens, claims, and other documentation to support case recovery.
• Maintain performance metrics related to file handling and call volume.
• Conduct legal research and document reviews to assess case status and ensure workflow progression.
• Verify beneficiary eligibility and update case documentation as needed.
• Research and validate third-party liability, probate matters, and beneficiary assets.
• Analyze case data from multiple sources to determine status and next steps.
• Handle claim/lien disputes and collaborate with attorneys and stakeholders for resolution.
• Perform periodic follow-ups on case status and payments.
• Negotiate and settle claims/liens in accordance with contractual guidelines.
• Prepare, sign, and file notarized documents with county offices as applicable.
• Prioritize critical case events and payment/recovery issues while meeting internal and legal deadlines.
• Exceptional attention to detail, including cite-checking and proofreading.
• Ability to manage multiple tasks and prioritize effectively in a fast-paced environment.
• Strong analytical and problem-solving skills.
• Team-oriented mindset with a commitment to achieving shared business goals.
• High level of integrity and ability to maintain confidentiality.
• Capacity to perform under pressure and manage multiple deadline-driven initiatives.

Requirements

• Minimum of two (2) years of relevant professional experience.
• Proficiency in Microsoft Word and Excel is required; familiarity with PowerPoint and basic knowledge of Microsoft Access is preferred.
• Experience in a legal office setting (e.g., paralegal or legal assistant) is preferred.
• Background in the insurance industry—particularly in casualty or health insurance—is highly desirable.
• Working knowledge of Medicaid and/or Medicare is preferred.
• Strong interpersonal skills with the ability to interact professionally across all organizational levels and with external stakeholders.

Qualifications

• Exceptional attention to detail, including cite-checking and proofreading.
• Ability to manage multiple tasks and prioritize effectively in a fast-paced environment.
• Strong analytical and problem-solving skills.
• Team-oriented mindset with a commitment to achieving shared business goals.
• High level of integrity and ability to maintain confidentiality.
• Capacity to perform under pressure and manage multiple deadline-driven initiatives.

Skills

• Exceptional attention to detail, including cite-checking and proofreading.
• Ability to manage multiple tasks and prioritize effectively in a fast-paced environment.
• Strong analytical and problem-solving skills.
• Team-oriented mindset with a commitment to achieving shared business goals.
• High level of integrity and ability to maintain confidentiality.
• Capacity to perform under pressure and manage multiple deadline-driven initiatives.

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.
• Employees can take advantage of the flexible vacation policy after 90 days of employment.
• A company-provided computer is supplied for work use.

Pay

The pay range for this position is $32,700.00 - $46,700.00 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

This is an onsite position located in Little Rock, Arkansas. Work schedule is Monday - Friday, from 8:00 AM - 5:00 PM.