Third Party Liability (TPL) Specialist - Des Moines, IA - Hybrid

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 As an Medicaid Third Party Liability (TPL) Specialist - Des Moines, IA at Gainwell, you will support healthcare operations by verifying, documenting, and coordinating insurance-related information to drive accurate third‑party liability (TPL) recovery efforts. This role focuses on researching and validating insurance coverage, managing correspondence with key stakeholders, and supporting workflows tied to the Iowa Medicaid contract. You will operate in a fast‑paced, production‑ and quality‑driven environment while ensuring compliance with established processes and service level agreements. Your role in our mission Research, verify, and document TPL insurance coverage using multiple systems and data sources Initiate and manage correspondence between Revenue Collections, insurance carriers, and the Iowa Department of Health and Human Services Conduct outbound calls to insurance carriers to validate coverage and obtain claim‑related information Process and manage incoming faxes and emails related to TPL insurance verification requests Maintain accurate and timely documentation within systems such as MMIS and OnBase Identify opportunities to improve workflows and support increased recovery outcomes Support project initiatives by compiling, analyzing, and reporting data as needed Ensure compliance with departmental standards and contractual Service Level Agreements (SLAs) Prepare and deliver periodic reports and updates to leadership Perform additional duties as assigned What We’re Looking For High School Diploma or GED required 2+ years of experience with HMS or 3+ years of experience in a professional office environment Strong working knowledge of Microsoft Office (Excel, Word, Outlook) Strong attention to detail with the ability to manage multiple priorities Ability to analyze information and resolve issues using sound judgment Effective communication and interpersonal skills What You Should Expect In This Role Hybrid role based in Iowa (within ~2.5 hours of Des Moines) Required onsite training in Des Moines upon hire Ongoing onsite presence 1–3 days per week to support deposit activities Primarily sedentary work in a professional office environment Frequent interaction with internal teams and external stakeholders Use of multiple systems, including MMIS and OnBase May require extended hours based on business needs Up to 10 lbs. occasional lifting Video camera must be used during interviews and the first week of orientation Minimum internet speed of 24 Mbps download / 8 Mbps upload for hybrid work The deadline to submit applications for this posting is April 8, 2026. The pay range for this position is $24,800.00 - $35,400.00 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