What are the responsibilities and job description for the TPL Caseworker - Little Rock, AR (On-site) position at Gainwell Technologies LLC?
Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development.
We are seeking a talented individual for a Caseworker role responsible for analyzing claim histories for Third Party Liability eligibility.
- Review Medicaid Third Party Liability cases that are assigned daily requests from attorneys, insurance companies and other entities.
- Investigate all potential sources for the recovery of medical assistance funds and inform the appropriate parties about the organizations interest.
- Access multiple systems and create a paper and electronic file for cases created.
- Review and analyze claim histories, computer files, and other records to determine claim amount.
- Handle and process all incoming phone calls from attorneys, insurance companies and Medicaid clients in a timely manner to ensure colections.
- Send completed cases to a supervisor for review. This includes the letters, profiles, narrative, case file and any system used to achieve completion of a case to be worked or re-worked.
- Obtain additional or clarifying information and documents or medical records
- Add and update Medicaid client’s insurance through the Medicaid systems
- Pulling and filing case files
- Perform related responsibilities and special projects as required or assigned
- Work quickly but accurately to a standard of accuracy of 90%
- Ability to be careful and thorough about detail
- Ability to work proficiently with Microsoft Office
- Experience in the medical or insurance field preferred
- Experience with analysis and case management of medical/legal cases preferred
- This position requires working in the DHS in downtown Little Rock, Arkansas
- We provide all needed equipment and systems training
- Most benefits start on the first day of employment
- Monday through Friday 8:00am-4:30pm work schedule
- Must be able to start within 2 weeks of receiving an offer of employment
#LI-REMOTE #LI-SA1
The pay range for this position is $32,700.00 - $46,700.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.
We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.
Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines “wages” and “wage rates” to include “all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.
Salary : $32,700 - $46,700