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Reporting to the Vice President of Information Technology, the Director of Infrastructure will lead and manage a staff of up to 20 to perform the following functions within our organization ESSENTIAL DUTIES & RESPONSIBILITIES Management of our corporate network, including administration of existing facilities, planning for growth and expansion, and operation of equipment supporting communi
Posted 3 days ago
ACTIVELY RECRUITING.... ACTIVELY HIRING. During this time The Rawlings Group is recruiting for positions within our Information Technology Group. The Rawlings Group provides payment integrity services and claims data analysis for health insurance carriers and their members. We work behind the scenes to make sure that members are receiving the full value of their coverage and that providers recover
Posted 3 days ago
ACTIVELY RECRUITING.... ACTIVELY HIRING. During this time The Rawlings Group is recruiting for positions within our Information Technology Group. The Rawlings Group provides payment integrity services and claims data analysis for health insurance carriers and their members. We work behind the scenes to make sure that members are receiving the full value of their coverage and that providers recover
Posted 3 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 4 days ago
The Auditor is responsible for closing the required number of audits per day based upon the audit type with a 100% quality score. The Auditor investigates claims data to identify overpaid/incorrectly paid claims and initiates the recovery of that money for our clients. The position requires extensive online research in clients’ claims systems, internal research materials, internet resources
Posted 4 days ago
Job Title Audit Director Organization The Rawlings Foundation, Inc. Reports to Chief Financial Auditor and Board of Directors The Rawlings Foundation was created in 2001 as a continuation of the family’s long history of philanthropy. The primary mission of the Foundation is to oversee and fund evangelistic youth camps in underdeveloped countries around the world. The Foundation has nine int
Posted 4 days ago
Handle all incoming and outbound communications to respond to inquiries and to further the investigative process Analyze and understand healthcare contracts and associated member benefits Analyze facts and legal issues related to health care plans Use verbal communication skills to investigate and gather facts to support recoveries Use organizational, analytical and time management skills to organ
Posted 5 days ago
Be a key member of the SCRUM team responsible for development and continuous refinement of the project’s quality strategy while being a bridge between the client’s business needs and the technical capabilities Create the business requirements definition/documentation needed by the team, build test cases and feature validation to ensure the final product satisfies business objectives a
Posted 5 days ago
Full Stack development including design, coding, unit testing, integration testing, debugging, configuring, and documenting of software solutions Development of systems using primary technologies of C# .Net with Visual Studio, SQL Server, and Angular. Comfortable in an agile team, sizing stories, planning and retrospectives Collaborate with fellow team members, project management and business stak
Posted 5 days ago
The Rawlings Group, founded in 1977, is the premier leader in payment integrity services to the health insurance industry. Located in La Grange, KY, The Rawlings Group employs over 1,500 people and is growing. If you are looking for a great opportunity to make a positive impact on the future of healthcare, The Rawlings Group needs to be your career choice. As an Associate General Counsel, you will
Posted 5 days ago
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. OTHER DUTIES & RESPONSIBILITIES Performs other duties as assigned. SKILLS & ABILITIES Strong attention to detail with a bias for accuracy. Pr
Posted 5 days ago
If you're looking for a career and not just a job.....
Posted 11 days ago
Prepare quarterly, monthly, or semi monthly client reporting packages, including review for completeness and accuracy. Process client fee payments, and prepare required reconciliation while handling all exception based transactions. Track, research, and resolve exception based transactions. Prepare monthly client trust account reconciliations. Address client requests, including ad hoc reportin
Posted 13 days ago
Process incoming calls and resolve issues Analyze and understand healthcare contracts Analyze facts and legal issues related to health care plans Use verbal communication skills to investigate and gather facts to support recoveries Use organizational, analytical and time management skills to organize daily workflow to maximize client recoveries Identify process improvements to increase the value o
Posted 16 days ago
The Auditor is responsible for closing the required number of audits per day based upon the audit type with a 100% quality score. The Auditor investigates claims data to identify overpaid/incorrectly paid claims and initiates the recovery of that money for our clients. The position requires extensive online research in clients’ claims systems, internal research materials, internet resources
Posted 17 days ago
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