Medical Claims Recovery Specialist (Subrogation) - Hybrid Arizona
Perry County, Ohio, United States · Hybrid
$44k–$63k/yr
Mid level$1M raised
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 opport…
Skills: Subrogation, Claims Management, Case Management, Microsoft Word, Microsoft Excel
Medical Claims Recovery Specialist (Subrogation) - Hybrid Arizona
Perry County, Ohio, United States · Hybrid
$44k–$63k/yr
Mid level$1M raised
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 opport…
Skills: Insurance Subrogation, Healthcare Claims, Call Center Operations, Data Entry, Microsoft Excel
Provider Enrollment Specialist - Warwick, RI - Hybrid
Warwick, Rhode Island, United States · Hybrid
$35k–$50k/yr
Entry level$1M raised
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 opport…
Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll h…
Skills: Information system security, Security architecture, Risk assessment, Vulnerability management, Incident response
Muskingum County, Ohio, United States · Remote Solely
$60k–$80k/yr
Mid level$1M raised
Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll h…
Skills: Linux, C, SQL, Job scripts, Integrated Web Services
Call Center Quality Assurance Lead - West Sacramento, CA (Hybrid)
West Sacramento, California, United States · Hybrid
$55k–$79k/yr
Mid level$1M raised
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 opport…
Call Center Supervisor - West Sacramento, CA (Hybrid)
West Sacramento, California, United States · Hybrid
$52k–$74k/yr
Mid level$1M raised
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 opport…
Skills: Call center leadership, Performance management, Coaching, Mentoring, Customer service
Call Center Team Lead - West Sacramento, CA (Hybrid)
West Sacramento, California, United States · Hybrid
$60k–$72k/yr
Mid level$1M raised
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 opport…
Skills: Team leadership, Coaching, Customer service, Problem-solving, Communication
Call Center Manager - West Sacramento, CA (Hybrid)
West Sacramento, California, United States · Hybrid
$81k–$116k/yr
Senior$1M raised
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 opport…
Skills: Call center management, Leadership, Coaching, Performance management, Operational metrics
Summary As a PowerBuilder Developer, you will be responsible for designing, developing, testing, and supporting enterprise applications using PowerBuilder and related technologies. The role involves working across front-…
Skills: PowerBuilder, Software Design, Database Methodologies, Application Development, Web Development
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 opport…
Skills: Business analysis, Medicaid, Medicare, Claims processing, SDLC
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 opport…
Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll h…
Call Center Trainer - West Sacramento, CA (Hybrid)
West Sacramento, California, United States · Hybrid
$69k–$99k/yr
Mid level$1M raised
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 opport…
Skills: Training delivery, Instructional design, Public speaking, Communication, Organizational skills
Call Center Trainer - West Sacramento, CA (Hybrid)
West Sacramento, California, United States · Hybrid
$69k–$99k/yr
Mid level$1M raised
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 opport…
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 opport…
Skills: Business analysis, Medicaid, Requirements gathering, Test case execution, System documentation
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 opport…
Skills: Critical Thinking, Attention To Detail, Multitasking, Written Communication, Verbal Communication
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 opport…
Skills: Critical Thinking, Attention To Detail, Multitasking, Written Communication, Verbal Communication
Muskingum County, Ohio, United States · Remote Solely
$60k–$80k/yr
Mid level$1M raised
Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll h…
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 opport…
Skills: Critical Thinking, Attention To Detail, Multitasking, Written Communication, Verbal Communication
Medical Claims Recovery Specialist (Subrogation) - Hybrid Arizona
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$44k–$63k/yr
Full-time
high school
Health Insurance, Dental Insurance, Vision Insurance, 401k With Company Match, Flexible Vacation Policy, Educational Assistance
Posted 6d ago
~40 hrs/week
Responsibilities
Investigate and verify healthcare coverage and third-party liability for Medicaid recipients to support revenue recovery. Manage subrogation case files and communicate with insurance carriers and members to confirm coverage details.
Requirements
Requires a High School Diploma/GED and 3-5 years of professional experience in subrogation, claims, or case management. Proficiency in Microsoft Office is required, with a preference for experience in legal or insurance settings.
Full job description
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
HMS is hiring an Insurance Subrogation Case Specialist to join our growing team! In this role, you’ll help identify, verify, and coordinate healthcare coverage for Medicaid members, while managing subrogation and claims-related cases. If you have experience in insurance, healthcare claims, or call center operations—and you’re looking for a mostly remote position with career growth potential—this is a great opportunity to join a mission-driven organization that helps make healthcare more affordable and efficient.
Your role in our mission
Investigate and verify healthcare coverage and third-party liability information for Medicaid recipients. • Review and analyze insurance policies, claims, and case documentation. • Manage active subrogation case files and ensure all data is entered accurately and on time. • Communicate with insurance carriers, employers, and members to obtain and confirm coverage details. • Handle a high volume of inbound and outbound calls related to subrogation or claims. • Prepare and maintain reports on open cases, enrollment updates, and payment processing. • Support company goals for revenue recovery, accuracy, and program compliance.
What we're looking for
3–5 years of experience in insurance, healthcare, or government-sponsored programs. • Experience handling customer service or call center inquiries (both inbound and outbound). • Strong attention to detail and accuracy in data entry. • Proficient with Microsoft Excel, Word, and internet research. • Excellent communication, problem-solving, and organizational skills. • Ability to work independently in a remote/hybrid environment.
What you should expect in this role
Hybrid role – primarily remote with in-office presence 2 days per month in Dublin, Ohio. • Monday to Friday schedule (daytime business hours). • Video cameras must be used during all interviews, as well as during the initial week of orientation. • To work effectively as a teleworker or hybrid positions with Gainwell, employees must have a broadband internet connection with a minimum speed of 24 Mbps download and 8 Mbps upload. Higher speeds are recommended for optimal performance.
The pay range for this position is $43,800.00 - $62,500.00 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.
The people who build careers at Gainwell Technologies share one thing: they want their work to matter. Here, it does.
We're the essential ingredient that makes Medicaid work.
For more than 50 years, we've combined our sweeping scale and technology to turn complex policies into thriving programs. We act as the crucial connection bringing the U.S. healthcare ecosystem together, and we partner with state agencies to modernize public health.
Our solutions translate complex member data into meaningful action. We streamline administration, connect vital systems, and drive efficiency. This gives providers more time to focus on delivering quality care to the people who need it most.
When we bring Medicaid touchpoints to life, members thrive. From fighting fraud and recovering improper payments to speeding up verifications, every solution we deploy expands what's possible for the future of healthcare.
Less burden, more mission. Gainwell.
The people who build careers at Gainwell Technologies share one thing: they want their work to matter. Here, it does.
We're the essential ingredient that makes Medicaid work.
For more than 50 years, we've combined our sweeping scale and technology to turn complex policies into thriving programs. We act as the crucial connection bringing the U.S. healthcare ecosystem together, and we partner with state agencies to modernize public health.
Our solutions translate complex member data into meaningful action. We streamline administration, connect vital systems, and drive efficiency. This gives providers more time to focus on delivering quality care to the people who need it most.
When we bring Medicaid touchpoints to life, members thrive. From fighting fraud and recovering improper payments to speeding up verifications, every solution we deploy expands what's possible for the future of healthcare.
Less burden, more mission. Gainwell.