Medicaid Recovery Caseworker (Onsite- Irving, TX)

Summary

At HMS, we make the healthcare system work better for everyone. We fight fraud, waste, and abuse so that people have access to the care they need—now and in the future. We’re seeking a Caseworker to join our team. This role begins onsite full-time during training and transitions to a hybrid schedule upon successful completion of training and performance review—allowing you to work part of the week from home.
This is a unique, specialized position offering comprehensive training—perfect for individuals with or without prior experience. If you have an interest or background in areas such as law (probate, elder law, Medicaid, subrogation), real estate valuation, investigations, or collections, this could be a great fit. In this role, you’ll manage your own caseload from start to finish—researching and investigating assets, filing probate claims, working with attorneys and stakeholders, and following each case through to closure or payment. No two cases are alike, making each day varied and engaging.
We’re a small, friendly local office backed by a national company, offering excellent opportunities for career growth.

Your role in our mission

• Professionally handle incoming and outgoing calls with attorneys, court staff, clients, recipients, and family members.
• Manage and maintain a variety of cases with accurate and up-to-date notes from creation to recovery.
• Research and verify third-party liability, probate, and beneficiary assets.
• Prepare and submit correspondence, liens, claims, and other legal documents.
• Negotiate and settle claim or lien amounts in accordance with contract guidelines.
• Resolve claim disputes and collaborate with attorneys and stakeholders to ensure timely progress.
• Conduct follow-ups on case status and payment updates.
• Analyze case information from multiple sources to draw informed conclusions.
• Prioritize critical events and ensure all internal and legal deadlines are met.

What we're looking for

• High School Diploma or GED required; 
• Paralegal certificate/degree, or equivalent relevant work experience required.
• Minimum of three (3) years of experience in legal support, case management, healthcare claims, customer service, Medicaid support, or a related field required.
• Experience as a legal assistant, caseworker, paralegal, claims specialist, or administrative support professional preferred.
• Knowledge of Medicaid, Medicare, healthcare claims, legal documentation, or case processing preferred.
• Proficiency in Microsoft Outlook, Word, and Excel required, with strong organizational, communication, and customer service skills.

What you should expect in this role

• Employees are required to work onsite full-time.
• The role includes a mandatory two-month onsite training period. 
• The work and training schedule is Monday through Friday, 8:00 AM to 5:00 PM.
• Video participation is required for all interviews and during the first week of orientation.

Employee Benefits & Perks:

Health benefits (medical, dental, and vision) begin on Day 1 of employment.
401(k) with company match and additional benefits become available within the first few months.
Employees can take advantage of the flexible vacation policy after 90 days of employment. Any exceptions require manager approval before the employee's start date at Gainwell.
Career growth and advancement opportunities are encouraged and supported.
A company-provided computer is supplied for work use.

This posting is intended for pipelining. We will accept applications on an ongoing basis.

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