Remote Case Management Associate - Healthcare Subrogation

Gainwell Technologies; New York (NY); Hybrid; USD 35,000 - 50,000; Full time

Job summary

Gainwell Technologies in New York seeks a Case Management Associate to support healthcare recovery work and serve a community of clients with complex cases. You will manage a high-volume caseload, verify case details, and coordinate with attorneys, insurers, providers, and clients to move cases toward resolution.

The role offers remote, hybrid, or onsite work depending on business needs, with competitive pay and benefits that support flexible development and learning opportunities.

Qualifications

• HS Diploma/GED required.
• Minimum of 2 years of relevant experience.
• Proficiency in Word, Excel, and PowerPoint required.
• Experience in a legal office and/or in the insurance industry preferred.
• Knowledge of Medicaid and/or Medicare preferred.
• Basic knowledge of Microsoft Access preferred.

Responsibilities

• Manage a high-volume caseload (700-1,000 subrogation cases), analyzing data, documenting activity, and driving recovery outcomes through negotiation and resolution.
• Ensure compliance with HIPAA and government regulations related to the handling, storage, and sharing of PHI.
• Communicate professionally with attorneys, insurance adjusters, providers, court personnel, clients, and beneficiaries to advance case resolution.
• Prepare, review, and process case documentation (e.g., claims, liens, correspondence), including legal research and validation of case details.
• Investigate and verify third-party liability, eligibility, probate, and financial information using multiple data sources.
• Prioritize deadlines, resolve disputes, conduct follow-ups, and consistently meet productivity, quality, and customer service performance metrics.

Skills

Microsoft Office

Education

HS Diploma/GED

Tools

Microsoft Access

Job description

Gainwell Technologies in New York seeks a Case Management Associate to support healthcare recovery work and serve a community of clients with complex cases. You will manage a high-volume caseload, verify case details, and coordinate with attorneys, insurers, providers, and clients to move cases toward resolution.

The role offers remote, hybrid, or onsite work depending on business needs, with competitive pay and benefits that support flexible development and learning opportunities.