Medical Claims Case Analyst - Little Rock, AR

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.

Summary

We are seeking a talented individual for a Caseworker role responsible for analyzing claim histories for Third Party Liability eligibility.

Your role in our mission

• Submit completed case files to a supervisor for review, including all related documentation such as letters, profiles, narratives, and system-generated records.
• Gather and verify additional documentation, including clarifying information and medical records, as needed.
• Enter and update client insurance information within Medicaid systems accurately.
• Retrieve, organize, and maintain case files.
• Assist with related responsibilities and support special projects as assigned.
• Demonstrate the ability to work efficiently while maintaining a minimum accuracy standard of 90%.
• Strong attention to detail with a commitment to thoroughness and accuracy.
• Proficient in Microsoft Office applications (Word, Excel, Outlook, etc.).
• Previous experience in the medical or insurance field is preferred.
• Prior experience in analyzing and managing medical or legal case files is a plus.
  
  

What we're looking for

• 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 collections.
  
  

What you should expect in this role

• This role is fully onsite; no remote or hybrid options are available.
• This position is based at the DHS office located in downtown Little Rock, Arkansas.
• All necessary equipment and systems training will be provided.
• Most benefits are effective starting on the first day of employment.
• The work schedule is Monday through Friday, from 8:00 AM to 4:30 PM.
• Candidates must be able to begin work within two weeks of receiving an employment offer.
• Video cameras are required for all interviews and during the first week of orientation.
  
  

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.