Claims Specialist - 257228
Medix™ · New York metropolitan area, PA
CONTRACT
Posted Sep 9, 2026
Job Description
Claims Specialist – Medical Dispute Resolution
Pay: $22.00–$25.00/hour
Location: Fully Remote – U.S. Based
Schedule: Monday–Friday, daytime hours
Contract: Long-Term, Indefinite W-2 Contract through Medix
Start Date: Approximately 2–3 weeks from offer
Equipment: Provided
About the Opportunity
Medix is hiring Claims Specialists to support a nationally recognized healthcare quality and clinical review organization.
This role supports medical claims appeals and dispute resolution programs, including cases related to the Federal No Surprises Act. The Claims Specialist helps manage cases from intake through completion by reviewing documentation, tracking case activity, communicating with providers and health plans, and coordinating with internal clinical review teams.
This is a strong opportunity for someone with experience in medical claims, appeals, healthcare administration, revenue cycle, or case coordination who enjoys investigative work and managing detailed workflows.
Key Responsibilities
- Review incoming medical claims dispute and appeal cases for completeness and eligibility
- Track cases through internal systems and external payer/provider portals
- Communicate with healthcare providers, health plans, and internal teams to obtain required documentation
- Coordinate case materials for review by nurses, physicians, coders, and other clinical professionals
- Maintain accurate documentation and case status updates
- Monitor turnaround times and ensure cases remain within required deadlines
- Identify missing information, workflow delays, or case issues and escalate as needed
- Support billing and administrative requirements following case completion
- Participate in team meetings and provide updates on case progress
Required Qualifications
- Associate’s or Bachelor’s degree required
- 2+ years of experience in healthcare claims, appeals, medical billing, revenue cycle, healthcare administration, or related operations
- Strong written and verbal communication skills
- Strong attention to detail and organizational skills
- Ability to manage multiple cases and deadlines simultaneously
- Comfortable communicating with healthcare providers, insurance payers, and internal teams
- Proficiency with Microsoft Office and electronic healthcare or case-management systems
Training & Equipment
Structured training and onboarding are provided, including systems navigation, case workflows, and dispute-resolution processes.
Company-issued equipment is provided for the assignment. A temporary equipment deposit policy applies: $50 per week is deducted for 10 weeks, totaling $500, and is fully refunded in accordance with the equipment policy. This is not an upfront payment.
Additional Information
- Long-term, indefinite contract opportunity
- W-2 employment through Medix
- Weekly payroll
- Full benefits available through Medix after 30 days
- Fully remote U.S.-based position
- Expected start approximately 2–3 weeks following offer
- Onboarding includes required pre-employment screening
Pay: $22.00–$25.00/hour
Location: Fully Remote – U.S. Based
Schedule: Monday–Friday, daytime hours
Contract: Long-Term, Indefinite W-2 Contract through Medix
Start Date: Approximately 2–3 weeks from offer
Equipment: Provided
About the Opportunity
Medix is hiring Claims Specialists to support a nationally recognized healthcare quality and clinical review organization.
This role supports medical claims appeals and dispute resolution programs, including cases related to the Federal No Surprises Act. The Claims Specialist helps manage cases from intake through completion by reviewing documentation, tracking case activity, communicating with providers and health plans, and coordinating with internal clinical review teams.
This is a strong opportunity for someone with experience in medical claims, appeals, healthcare administration, revenue cycle, or case coordination who enjoys investigative work and managing detailed workflows.
Key Responsibilities
- Review incoming medical claims dispute and appeal cases for completeness and eligibility
- Track cases through internal systems and external payer/provider portals
- Communicate with healthcare providers, health plans, and internal teams to obtain required documentation
- Coordinate case materials for review by nurses, physicians, coders, and other clinical professionals
- Maintain accurate documentation and case status updates
- Monitor turnaround times and ensure cases remain within required deadlines
- Identify missing information, workflow delays, or case issues and escalate as needed
- Support billing and administrative requirements following case completion
- Participate in team meetings and provide updates on case progress
Required Qualifications
- Associate’s or Bachelor’s degree required
- 2+ years of experience in healthcare claims, appeals, medical billing, revenue cycle, healthcare administration, or related operations
- Strong written and verbal communication skills
- Strong attention to detail and organizational skills
- Ability to manage multiple cases and deadlines simultaneously
- Comfortable communicating with healthcare providers, insurance payers, and internal teams
- Proficiency with Microsoft Office and electronic healthcare or case-management systems
Training & Equipment
Structured training and onboarding are provided, including systems navigation, case workflows, and dispute-resolution processes.
Company-issued equipment is provided for the assignment. A temporary equipment deposit policy applies: $50 per week is deducted for 10 weeks, totaling $500, and is fully refunded in accordance with the equipment policy. This is not an upfront payment.
Additional Information
- Long-term, indefinite contract opportunity
- W-2 employment through Medix
- Weekly payroll
- Full benefits available through Medix after 30 days
- Fully remote U.S.-based position
- Expected start approximately 2–3 weeks following offer
- Onboarding includes required pre-employment screening
Additional Details
- City
- New York metropolitan area
- State
- Pennsylvania
- Country
- US
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