Remote Medicaid Insurance Verification Specialist

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 Gainwell Technologies is seeking a COB Support Assistant to support our Third-Party Recovery (TPR) operations. In this role, you will assist Medicaid providers and members by verifying health insurance coverage, maintaining accurate records, and providing exceptional customer service. The position combines inbound call support and back-office processing activities to help ensure accurate coordination of benefits information while supporting cost containment and regulatory compliance initiatives. This role is ideal for individuals who are detail-oriented, customer-focused, and thrive in a fast-paced healthcare environment. Your role in our mission Respond to inbound calls from Medicaid providers and members regarding insurance verification and coordination of benefits inquiries. Verify, update, and document health insurance information using Medicaid and internal systems. Process emails, faxes, SharePoint requests, and other correspondence related to TPR operations. Perform data entry and administrative support activities while meeting productivity and quality standards. Navigate multiple databases, carrier systems, and software platforms to research and validate information. Provide professional, accurate, and timely customer service while handling sensitive healthcare information. Adhere to HIPAA requirements, company policies, and security guidelines. Identify opportunities to improve processes and support operational efficiency initiatives. Support Florida TPR operations and perform additional duties as assigned. What we're looking for High school diploma or GED required. 1+ years of call center or phone-based customer service experience. 1+ years of health insurance verification experience, including medical, dental, vision, or pharmacy coverage. 1+ years of data entry or administrative support experience with strong attention to detail. Working knowledge of HIPAA privacy and security regulations. Proficiency with Microsoft Excel and the ability to navigate multiple systems and software applications simultaneously. What you should expect in this role Remote position open to candidates located anywhere within the Dallas-Fort Worth, TX area. Monday-Friday work schedule, with shifts of 7:00 AM-3:30 PM or 7:30 AM-4:00 PM. Frequent interaction with Medicaid members, providers, insurance carriers, and internal business partners. Support the TPR Florida (FL) account. Training on Gainwell systems, processes, and healthcare programs. Opportunity to contribute to programs that help improve healthcare integrity, reduce costs, and support regulatory compliance. Occasional extended hours may be required based on business needs. As part of our interview process, all candidates must complete an Assessment. This assessment helps us evaluate key competencies relevant to the role, including communication skills, multitasking abilities, and problem-solving capabilities. Video cameras must be used during all interviews, as well as during the initial week of orientation. To work effectively as a teleworker or hybrid positions with Gainwell, employees must have a broadband internet connection with a minimum speed of 24 Mbps download and 8 Mbps upload. Higher speeds are recommended for optimal performance. To test your internet speed, go to Google and search for "Internet Speed Test." The deadline to submit applications for this posting is August 6, 2026 .

#LI-REMOTE #LI-JA1 #LI-CM1

The pay range for this position is $26,500.00 - $37,800.00 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. #J-18808-Ljbffr Gainwell Technologies