Note: The job is a remote job and is open to candidates in USA. Gainwell Technologies helps healthcare organizations improve operations through technology, data analytics, and services that support government and commercial payers. The Medicaid Caseworker role processes probate and estate cases involving Medicaid beneficiaries, including case intake, asset investigation, claims review, court filings, settlement negotiations, and recovery management.
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
- This is a remote position in USA
- Work schedule is Monday – Friday, from 8-5 PM
Benefits
- All salaried, full-time candidates are eligible for our generous, flexible vacation policy
- A 401(k) employer match
- Comprehensive health benefits
- Educational assistance
- A variety of leadership and technical development academies to help build your skills and capabilities
- Remote position in USA
Company Overview