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Medical Claims Recovery Specialist

Gainwell
hybridZAR 30,500 - 43,500 / year
Any city, AZ, US, 99999

About this role

About the Role We are seeking a Medical Claims Recovery Specialist to manage all casualty and estate functions involving state Medicaid beneficiaries or deceased Medicaid beneficiaries. This role covers intake, maintenance, claims review, case management, settlement, and related activities within the assigned caseload. You will ensure HIPAA compliance and leverage analytical and case management skills to oversee a large volume of subrogation cases. What You'll Do

  • Manage intake, maintenance, claims review, case management, settlement, and related activities for Medicaid-related subrogation cases (casualty and estate).
  • Ensure HIPAA and government security requirements for PHI.
  • Use analytical and case management skills to oversee 700–1,000 subrogation cases concurrently.

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