[Hiring] Health Insurance Specialist @Entrepreneur Cooperative

Role Description

We are seeking detail-oriented and highly organized Health Insurance Specialists to support personal injury cases by managing health insurance claims, liens, documentation, and related follow-ups. This role is ideal for someone with strong administrative skills, experience working with insurance providers, and the ability to review medical bills, records, claims, and lien information with accuracy. The selected candidates will collaborate closely with case management and attorney teams to ensure all health insurance-related matters are handled efficiently, accurately, and on time.

Key Responsibilities

• Claims & Insurance Follow-Up
  • Open claims with Medi-Cal, Medicare, VA, medical groups, and commercial insurance providers for personal injury cases.
  • Monitor and resolve claim-related issues to ensure timely collection of documentation.
  • Maintain ongoing follow-up with all applicable insurance providers until every lien is fully resolved at the time of case settlement or closure.
  • Communicate with insurance carriers to verify treatment details, payments, and claim status.
• Lien Review & Dispute Support
  • Thoroughly review medical bills and verify health insurance liens against treatment records and payments.
  • Identify discrepancies, invalid charges, or missing information.
  • File disputes to add or remove charges as needed.
  • Review medical records and bills in the file to support dispute submissions.
• Case Coordination & Internal Support
  • Coordinate with the case management team to obtain missing reports, invoices, or documentation.
  • Collaborate with attorney teams to ensure tasks are handled accurately and on time.
  • Serve as the primary point of contact for health insurance-related inquiries across the firm.
  • Provide guidance to team members on complex lien-related issues.
• Client & Administrative Support
  • Engage clients to gather required details or documents when necessary.
  • Maintain accurate records, documentation, and case updates.
  • Perform other related duties as assigned.

Qualifications

• Previous experience in health insurance, medical liens, claims, billing, or personal injury case support preferred.
• Familiarity with Medi-Cal, Medicare, VA, medical groups, or commercial insurance providers is a strong plus.
• Strong attention to detail and ability to review medical bills, treatment records, and payment information accurately.
• Excellent organizational and follow-up skills.
• Strong written and verbal communication skills in English.
• Ability to work independently in a remote environment.
• Comfortable handling confidential and sensitive case information.
• Ability to collaborate with case managers, attorneys, insurance providers, and clients.

Ideal Candidate Profile

• Highly detail-oriented and reliable.
• Comfortable managing multiple cases and deadlines at the same time.
• Proactive in following up and resolving pending items.
• Strong problem-solving skills, especially when reviewing discrepancies or disputed charges.
• Professional, organized, and comfortable communicating with insurance providers and internal legal teams.