Medicaid Recovery Caseworker (Hybrid - Irving, TX)

Gainwell Technologies LLC•Irving, TX

38d•Hybrid

About The Position

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.

Requirements

High School Diploma or GED required; Associate’s degree preferred.
Minimum of five (5) years of experience in a related field.
Proficiency in Microsoft Outlook, Word, and Excel.

Nice To Haves

Experience in a legal office, Medicaid office, or related environment a plus.
Background as a paralegal, legal assistant, caseworker, or experience with real estate documentation is preferred.
Knowledge of Medicaid and/or Medicare preferred.
Bilingual (Spanish/English) a plus.

Responsibilities

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.