TPL Caseworker - Little Rock, AR (On-site)

Gainwell Technologies LLC•Little Rock, AR

17d•$32,700 - $46,700•Onsite

About The Position

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. SummaryWe are seeking a talented individual for a Caseworker role responsible for analyzing claim histories for Third Party Liability eligibility. Your role in our mission 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 colections. Send completed cases to a supervisor for review. This includes the letters, profiles, narrative, case file and any system used to achieve completion of a case to be worked or re-worked. Obtain additional or clarifying information and documents or medical records Add and update Medicaid client’s insurance through the Medicaid systems Pulling and filing case files Perform related responsibilities and special projects as required or assigned Work quickly but accurately to a standard of accuracy of 90%

Requirements

Ability to be careful and thorough about detail
Ability to work proficiently with Microsoft Office
Must be able to start within 2 weeks of receiving an offer of employment

Nice To Haves

Experience in the medical or insurance field preferred
Experience with analysis and case management of medical/legal cases preferred

Responsibilities

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 colections.
Send completed cases to a supervisor for review. This includes the letters, profiles, narrative, case file and any system used to achieve completion of a case to be worked or re-worked.
Obtain additional or clarifying information and documents or medical records
Add and update Medicaid client’s insurance through the Medicaid systems
Pulling and filing case files
Perform related responsibilities and special projects as required or assigned
Work quickly but accurately to a standard of accuracy of 90%