Assistant, Case Management

🔥 0 minutes ago

🤠 Texas – Remote

🤠 Texas – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

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Gainwell Technologies

WebsiteLinkedInAll Job Openings

10,000+ employees

⚕️ Healthcare Insurance

💰 Grant on 2023-06

Healthcare Insurance • Human Services • Healthcare

Gainwell Technologies is the nation’s leading provider of digital and cloud-enabled solutions across the human services and public health ecosystem. With a mission-driven approach, Gainwell serves clients in all 50 U. S. states, focusing on improving health outcomes and delivering intuitive, human-centered experiences. Their comprehensive suite of solutions includes Medicaid Enterprise modernization, data analytics, provider services, and pharmacy solutions, all designed to advance the future of healthcare and enhance community well-being.

📋 Description

• Ensure all processes meet HIPAA and government security requirements regarding the sharing and storage of Personal Health Information (PHI) • Utilize strong analytical and case management skills to oversee 700–1,000 subrogation cases simultaneously • Communicate professionally—primarily via inbound and outbound calls—with attorneys, insurance adjusters, medical providers, court staff, recipients, family members, and clients • Prepare and manage required correspondence, liens, claims, and related documentation throughout the recovery process • Meet departmental goals for customer service, settlements, and case handling standards • Perform both basic and advanced document and legal reviews to determine case status, ensure accuracy, and support workflow progression • Verify beneficiary eligibility and maintain accurate documentation • Confirm and validate third-party liability, probate, and asset research findings • Compile and analyze information from multiple sources to determine case status and recovery potential • Process and resolve claim or lien disputes; collaborate with attorneys and relevant stakeholders as needed • Conduct periodic follow-ups on case status, payments, and settlement updates • Negotiate and finalize claim or lien settlement amounts according to established contract guidelines • Execute and file notarized documents with applicable county offices • Prioritize case events, payment issues, and revenue-impacting deadlines to ensure timely resolution • Maintain accuracy, timeliness, and productivity standards for file management and phone metrics

🎯 Requirements

• 2+ 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 (paralegal, legal assistant, casualty, or health insurance experience preferred) • Familiarity with Medicaid and/or Medicare programs is preferred

🏖️ Benefits

• Career growth and advancement opportunities are encouraged and supported • A company-provided computer is supplied for work use