Case Management, Assistant

🕒 July 14

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

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Gainwell Technologies

WebsiteLinkedInAll Job Openings

10,000+ employees

💼 Consulting

📦 Logistics

⚕️ Healthcare Insurance

💰 Grant on 2023-06

Consulting • Logistics • Healthcare Insurance

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

• Manage all casualty and estate functions involving state Medicaid beneficiaries or deceased Medicaid beneficiaries • Manage intake, maintenance, claims review, case management, settlement, and related activities within the assigned caseload • Ensure processes meet HIPAA and government security requirements for sharing and storing PHI • Oversee 700–1,000 subrogation cases simultaneously • Communicate with attorneys, insurance adjusters, medical providers, court staff, recipients, family members, and clients via inbound and outbound calls • Prepare and manage correspondence, liens, claims, and related documentation • Perform document and legal reviews to determine case status and support workflow progression • Verify beneficiary eligibility and maintain accurate documentation • Validate third-party liability, probate, and asset research findings • Analyze information from multiple sources to determine case status and recovery potential • Resolve claim or lien disputes and collaborate with attorneys and stakeholders • Follow up on case status, payments, and settlements • Negotiate and finalize claim or lien settlement amounts according to contract guidelines • Execute and file notarized documents with applicable county offices • Prioritize case events, payment issues, and revenue-impacting deadlines • Maintain accuracy, timeliness, productivity, file-management, and phone metrics standards

🎯 Requirements

• 2+ years of relevant professional experience in subrogation, claims, or case management • Proficiency in Microsoft Word and Excel • Basic knowledge of Microsoft Access 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 preferred • Broadband internet connection with minimum speeds of 24 Mbps download and 8 Mbps upload • Video camera required during all interviews and the initial week of orientation

🏖️ Benefits

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