Medicaid TPL Caseworker - Onsite Growth & Benefits

Gainwell Technologies LLC; Little Rock (AR); On-site; USD 33,000 - 47,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

401(k)

Paid time off

Educational assistance

Career development programs

Job summary

Gainwell Technologies is hiring a TPL Caseworker in Little Rock, AR for an onsite role. You will review Medicaid Third Party Liability cases, research claims, and communicate with attorneys, insurers, and Medicaid clients to move cases toward resolution.

Join a production-focused environment with training, competitive benefits including medical, dental, vision, 401(k), paid time off, and educational assistance.

Qualifications

• Experience in healthcare, medical insurance, Medicaid, claims, case management, collections/recovery, subrogation, legal-medical work, or related field.
• Experience reviewing, researching, or managing medical, insurance, legal, or claims-related cases is preferred.
• Strong analytical and investigative skills with ability to research multiple sources and identify relevant information.
• Strong written and verbal communication skills, attention to detail, organization, follow-up, and problem-solving ability.
• Proficiency with Microsoft Office and multiple computer systems; ability to learn new applications quickly.

Responsibilities

• Review assigned Medicaid Third Party Liability (TPL) cases and investigate potential sources for recovery of medical assistance funds.
• Research claim histories, insurance information, medical records, computer files, and supporting documentation to determine claim amounts and appropriate next steps.
• Communicate with attorneys, insurance companies, Medicaid clients, providers, and other parties to obtain information and help move cases toward resolution.
• Create, update, and maintain accurate electronic and paper case files, including correspondence, narratives, insurance information, and supporting documentation.
• Complete assigned cases accurately and efficiently while meeting established expectations for quality, productivity, timeliness, and case completion.

Skills

Healthcare experience

Analytical skills

Investigative skills

Communication skills

MS Office

Job description

Gainwell Technologies is hiring a TPL Caseworker in Little Rock, AR for an onsite role. You will review Medicaid Third Party Liability cases, research claims, and communicate with attorneys, insurers, and Medicaid clients to move cases toward resolution.

Join a production-focused environment with training, competitive benefits including medical, dental, vision, 401(k), paid time off, and educational assistance.