Medical Claims Recovery Specialist (Subrogation) - Hybrid Arizona

Gainwell Technologies LLC • Phoenix, AZ

9d • $43,800 - $62,500 • Hybrid

About The Position

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. If you have experience in insurance, healthcare claims, or call center operations—and you’re looking for a mostly remote position with career growth potential—this is a great opportunity to join a mission-driven organization that helps make healthcare more affordable and efficient.

Requirements

• 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.

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.

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.
• Career growth and advancement opportunities.
• Company-provided computer.
• Educational assistance.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED