Note: The job is a remote job and is open to candidates in USA. Gainwell Technologies is a company that enhances the healthcare system through innovative technology and data analytics. They are seeking a Senior Subrogation Case Worker responsible for processing probate and estate functions involving Medicaid beneficiaries, including case maintenance, claims review, and settlement functions.
Responsibilities
- Interact professionally (i.e. on incoming and outgoing calls) with attorneys, court staff, recipients and family members and client
- Effectively maintain and manage a variety of cases with current and accurate notes from creation to recovery
- Maintain a daily system of providing timely and accurate information required to move cases through the case management workflow
- Daily telephone contact with counterparties, including attorneys and healthcare providers
- Confirm and validate third party liability and, probate and beneficiary asset research
- Prepare required correspondence, liens, claims and other related documents to progress the case to recovery
- Negotiate and compromise claim/lien settlement amounts per contract guidelines
- Process all claim/lien disputes and review claims with attorneys and other stakeholders
- Conduct outgoing follow up on case status and payment
- Perform basic and advanced levels of document review to identify current case status, legal research, and case management and ensure case progress through workflow
- Prioritize case events and critical case payment/recovery issues, while meeting, various internal and legal deadlines that are revenue impacting
- Compile, analyze and make conclusions about case information and status from multiple sources
Skills
- High school diploma or GED
- Experience working in a legal office, Medicaid office, or similar professional environment
- Experience as a paralegal, legal assistant, county caseworker, county technician, or in a comparable role
- Experience reviewing or interpreting real estate documents
- Proficiency in Microsoft Outlook, Word, and Excel
Benefits
- Generous, flexible vacation policy
- A 401(k) employer match
- Comprehensive health benefits
- Educational assistance
- A variety of leadership and technical development academies
Company Overview