Medicaid Recovery Caseworker (Onsite- Irving, TX)

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

At HMS, we make the healthcare system work better for everyone. We fight fraud, waste, and abuse so that people have access to the care they need-now and in the future. We're seeking a Caseworker to join our team. This role begins onsite full-time during training and transitions to a hybrid schedule upon successful completion of training and performance review-allowing you to work part of the week from home.
This is a unique, specialized position offering comprehensive training-perfect for individuals with or without prior experience. If you have an interest or background in areas such as law (probate, elder law, Medicaid, subrogation), real estate valuation, investigations, or collections, this could be a great fit. In this role, you'll manage your own caseload from start to finish-researching and investigating assets, filing probate claims, working with attorneys and stakeholders, and following each case through to closure or payment. No two cases are alike, making each day varied and engaging.
We're a small, friendly local office backed by a national company, offering excellent opportunities for career growth.

Your role in our mission

• Professionally handle incoming and outgoing calls with attorneys, court staff, clients, recipients, and family members.
• Manage and maintain a variety of cases with accurate and up-to-date notes from creation to recovery.
• Research and verify third-party liability, probate, and beneficiary assets.
• Prepare and submit correspondence, liens, claims, and other legal documents.
• Negotiate and settle claim or lien amounts in accordance with contract guidelines.
• Resolve claim disputes and collaborate with attorneys and stakeholders to ensure timely progress.
• Conduct follow-ups on case status and payment updates.
• Analyze case information from multiple sources to draw informed conclusions.
• Prioritize critical events and ensure all internal and legal deadlines are met.

What we're looking for

• High School Diploma or GED required;
• Paralegal certificate/degree, or equivalent relevant work experience required.
• Minimum of three (3) years of experience in legal support, case management, healthcare claims, customer service, Medicaid support, or a related field required.
• Experience as a legal assistant, caseworker, paralegal, claims specialist, or administrative support professional preferred.
• Knowledge of Medicaid, Medicare, healthcare claims, legal documentation, or case processing preferred.
• Proficiency in Microsoft Outlook, Word, and Excel required, with strong organizational, communication, and customer service skills.

What you should expect in this role

• Employees are required to work onsite full-time.
• The role includes a mandatory two-month onsite training period.
• The work and training schedule is Monday through Friday, 8:00 AM to 5:00 PM.
• Video participation is required for all interviews and during the first week of orientation.

Employee Benefits & Perks:

Health benefits (medical, dental, and vision) begin on Day 1 of employment.
401(k) with company match and additional benefits become available within the first few months.
Employees can take advantage of the flexible vacation policy after 90 days of employment. Any exceptions require manager approval before the employee's start date at Gainwell.
Career growth and advancement opportunities are encouraged and supported.
A company-provided computer is supplied for work use.

This posting is intended for pipelining. We will accept applications on an ongoing basis.

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The pay range for this position is $30,500.00 - $43,500.00 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.