Medical Claims Recovery Specialist (Subrogation) - Georgia
$43,500–$53,500 year
Hybrid · Tucker, Georgia, United States
Job Summary
Case Management Assistant (Onsite) at HMS/Gainwell focusing on enrollment support for Medicaid-eligible individuals, verification and coordination of coverage, and handling HIPP/Premium Assistance program information. Responsibilities include verifying documents, coordinating with employers, data entry, preparing periodic/ad-hoc reports, handling high-volume customer service calls, maintaining active cases during open enrollment and premium review periods, conducting document reviews and basic legal research, and communicating with attorneys, insurance adjusters, medical providers, court staff, and family members. Requirements emphasize HIPAA knowledge, 2+ years in insurance/healthcare/government programs, strong phone inquiry experience, and ability to work in a hybrid Tucker, GA office environment.
Required Qualifications
- Minimum 2 years of experience in the insurance industry, healthcare, or government-sponsored programs
- Experience performing math-related tasks or financial verification
- At least 2 years of experience handling inbound and outbound phone inquiries
- Working knowledge of HIPAA Privacy and Security rules
- Knowledge of healthcare terminology is a plus
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