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As part of Client Services, the successful Contract Coordinator Health Plans (Plan Language Associate) obtains, reviews, and provides contract documents to recovery analysts. This position supports our Subrogation, Workers Compensation, and Mass Tort Divisions. ESSENTIAL DUTIES & RESPONSIBILITIES Processes plan document requests for open files. Utilizes and builds established client contact re
Posted 2 days ago
Identify, qualify, and open files for the Workers Comp and Subrogation departments by, researching correspondence with insufficient information using multiple systems and making outbound calls as necessary to get the correct information. Review insurance claim data from client systems and validate the accuracy of the liens we are building. ESSENTIAL DUTIES & RESPONSIBILITIES Access client sy
Posted 2 days ago
Do you have a knack for building applications that directly impact an organization? Are you a wizard with C#, .Net and Angular JS then The Rawlings Group is looking for you!!! All applications are proprietary and are used in house only. Candidates should be uniquely skilled and have the ability to think outside the box. We are looking for Software Developers who are passionate about joining a comp
Posted 3 days ago
The Rawlings group, founded in 1977, and the premiere leader in payment integrity services to the health insurance industry is recruiting senior data science candidates to build up the Data Mining Group. This is a Division that is growing daily and we need individuals with Python and R in their technical background as well as SQL knowledge. As a member of the Data Science Team, you will have year
Posted 3 days ago
Under the supervision of the Manager of Data Mining, the Data Analyst learns the needs of the business community and is responsible for the analysis and reporting of production data mining results. ESSENTIAL DUTIES & RESPONSIBILITIES Develops and maintains SQL queries to solve critical business problems. Creates Tableau dashboards to effectively communicate findings. Responsible for proper
Posted 3 days ago
All candidates must be able to interview on site. We do not offer webcast or Facetime interviews. POSITION SUMMARY Support business units by performing all quality control testing on software development to ensure no adverse impact on customers, financials, operations or systems. This position may include quality assurance testing for business application and support for other Business Units as re
Posted 3 days ago
If you're looking for a career and not just a job.....
Posted 3 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 17 days ago
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