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Contacts healthcare providers and insurance carriers and explains coordination of benefits on existing files in order to obtain refunds for our clients Uses discretion and judgment in dealing with billing office staff and in determining when to escalate recovery issues to a higher level. Makes notes in SMART regarding all activities on existing files. Maintains files according to The Rawlings Way.
Posted Today
Assist with the daily processing of recovery checks, including opening mail, copying, sorting, and distribution Summarize daily check totals File recovery checks and daily reconciliations Assist in other recovery processing tasks, as needed Qualifications Strong attention to detail with a bias for accuracy Problem solving skills Effective written communication, primarily through email, and ver
Posted 4 days ago
Possesses the ability to track files/requests/submissions through Centers for Medicare and Medicaid Services (CMS) processes; and creates documentation as required. Communicate and advise appropriate internal and external stakeholders on CMS matters including, but not limited to, lien negotiation efforts and/or general information. Analyze and process complex claims by investigating and gathering
Posted 4 days ago
Identify and implement solutions focused on increasing the volume and quality of audits, including the use of internal and external enrichment sources Monitor and report mining results with a focus on prioritizing high value opportunities Participate in decisions that affect data or policies which ultimately change the output of data mining and audit results. Monitor and report on the effects of t
Posted 6 days ago
Process payable and other disbursement transactions using checks, EFT and credit cards, including review for completeness, required approvals and accuracy Prepare bank deposits and related journal entries Assist in other Finance department projects, as needed Provide support to the General Accounting team with document copying and scanning Ordering office supplies and administrative stationary
Posted 11 days ago
Audits bulk liens at both the individual lien and claim level Reviews liens based on relatedness of medical claims details Requests and organizes incoming language for No Subro state LRP requests Handles non LRP lists of plaintiffs submitted by administrators/law firms Performs reviews of claims to determine if any claim lines are duplicated Consistently meets or exceeds customer service guideline
Posted 14 days ago
Data entry and document editing utilizing Adobe InDesign software Create and revise complex legal documents adhering to firm styles and guidelines Creates and edits forms Completes all assigned duties in a timely manner Other duties and/or projects as assigned Qualifications Proficient in InDesign Proficient knowledge of various printers, copiers and scanners Ability to work through complex doc
Posted 19 days ago
Develops and maintains relationships with current clients by providing the highest level of customer service. Works with Client Specialists and Operation contacts to ensure that day to day client needs and concerns are being addressed and responded to within 24 hours. Same day response to client questions, concerns, and requests. Identifies patterns and trends noted in clients’ requests to p
Posted 19 days ago
Meet regularly with all levels of the organization to understand core business concepts or challenges, form requirements, provide updates and deliver results Operate with reduced levels of supervision while meeting deadlines Work independently or collaboratively as required by the project Mentor and educate data analysts in support of a positive team culture Use strong written and verbal skills to
Posted 21 days ago
Meet regularly with Data Mining Group leadership for new project assignments and updates on outstanding projects. Work independently with low to moderate levels of supervision and deliver results within defined time requirements. Capable of understanding stakeholder’s requirements and providing guidance to ensure project aligns with needs. Responsible for the proper communication and repor
Posted 21 days ago
Prepare thorough and well documented supporting information for client business reviews for the Audit, Legal, Pharmacy, Subrogation and Workers’ Compensation Divisions. The analyses include financial and operational metrics for each division. Produce financial and operational reports for internal leadership and management teams using repeatable processes to capture and organize data. Provid
Posted 29 days ago
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