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Perform all functions described above as well as manage the teams responsible for those functions. Work with senior management to ensure that efforts are prioritized and resources are allocate accordingly. Develop ongoing analyses and reporting to support continuous improvement in the quality and timeliness of the investigation generation processes for DMG. The ability to work at our Facility and
Posted Today
ACTIVELY RECRUITING.... ACTIVELY HIRING. During this time The Rawlings Group is recruiting for positions within our Information Technology Group. The Rawlings Group, founded in 1977, is a trusted business partner of Health Plans Located in La Grange, KY, The Rawlings Group employs 1500 people and is growing. If you are looking for a great opportunity to make a positive impact on the future of heal
Posted Today
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 Today
ACTIVELY RECRUITING.... ACTIVELY HIRING. During this time The Rawlings Group is recruiting for positions within our Data Mining Group. The Rawlings Group, founded in 1977, is a trusted business partner of Health Plans Located in La Grange, KY, The Rawlings Group employs over 1500 people and is growing. If you are looking for a great opportunity to make a positive impact on the future of healthcare
Posted 2 days ago
ACTIVELY RECRUITING.... ACTIVELY HIRING. During this time The Rawlings Group is recruiting for positions within our Information Technology Group. The Rawlings Group, founded in 1977, is a trusted business partner of Health Plans Located in La Grange, KY, The Rawlings Group employs 1500 people and is growing. If you are looking for a great opportunity to make a positive impact on the future of heal
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 20 days ago
The Overpayment Tracking Coordinator is responsible for the successful submission of overpaid claims that Rawlings is pursuing through monitoring of file submissions and response files to and from our clients, and resolving all issues from the submission process. ESSENTIAL DUTIES & RESPONSIBILITIES Internal & Client correspondence dealing with the correction/update of overpaid claims Mon
Posted 23 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 1 month 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 1 month ago
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