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 The (Paralegal Program Specialist) is responsible for processing all HMS subrogation and recovery functions involving the Florida Medicaid Program. This includes intake legal document review, research, maintenance, case management, claims review and Medicaid Payback Claim valuation, settlement and other functions relating to casualty, estate or trust cases.
Your role in our mission Responsible for initial review of documents submitted for approval, and overall support of Subrogation and Recovery Services. Effectively work, maintain and manage cases in accordance with approved program workflows and with current and accurate notes. Maintain a daily system of providing timely and accurate information required to move cases through the approved workflow pipeline. Review and verify legal documents and supporting documentation, including related Subrogation and Estate Recovery case documentation. Perform basic and advanced levels of document review, legal research, and case management. Perform comprehensive review of legal documents to identify potential legal issues and determine whether all required legal criteria are met. Professional interaction with Medicaid agencies, including TPL and Eligibility staff and state legal and attorney general offices; attorneys; corporate, professional, pooled trust, and individual trustees; court staff; beneficiary/recipients; and family members. Process and recover paybacks per federal and state law and policy as well as contract guidelines. Set up and maintain cases, including preparation of required correspondence, claims and other related documents. Provide timely processing of events, various contractual deadlines, and critical compliance issues. Perform and process intake of documents from attorneys, trustees, state Medicaid TPL and Eligibility staff and legal offices. Review and research leads regarding potential settlement situations that lead to the establishment of Special Needs Trusts. Handle phone inquiries promptly and with courtesy. Meet internal and state client objective standards for Customer Service, Research, Document Review and Intake. Complete periodic reports for state clients and management as required. What we're looking for Paralegal certificate from an American Bar Association approved program desired Claims adjusting experience desired Three years' experience working in a professional office environment required Experience in a Legal office a plus. Basic knowledge of Microsoft Word and Excel. Basic knowledge of Microsoft Access preferred. Medicaid and/or Medicare knowledge preferred. What you should expect in this role Hybrid work environment
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The pay range for this position is $32,700.00 - $46,700.00 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 committed to a diverse, equitable, and inclusive workplace. We are proud to be 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), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We celebrate diversity and are dedicated to creating an inclusive environment for all employees.
