1 to 15 of 24
Sort by: Date | Relevance
The Technical Support Analyst handles desktop hardware and software installation and support, email administration, some network diagnostics and troubleshooting and other service issues. We use call tracking and incident reporting practices common to most IT departments. ESSENTIAL DUTIES & RESPONSIBILITIES Respond to customer requests for assistance with Outlook, desktop applications, perip
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 syst
Posted 3 days ago
The Pharmacy High Cost Drug Analyst is responsible for the investigation, invoicing and recovery of overpayments of high cost/specialty drug claims paid through medical and pharmacy systems. The analyst will also provide assistance in the development and testing of healthcare claim audits to assist clients in identifying payment errors on high cost drug claims. JOB DESCRIPTION ESSENTIAL DUTIES &a
Posted 3 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 3 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 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 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 required. Candidate must h
Posted 4 days ago
Are you someone who enjoys working in a fast paced office setting, using multiple information systems and communication methods to investigate and resolve health insurance claim related matters? If so, we have a job for you! We are looking for someone with a strong detail orientation, who enjoys researching insurance claim information to join our Medicare Validation and Compliance department. Trai
Posted 8 days ago
The Subrogation Analyst uses complex analytical skills to handle a large volume of subrogation files and ultimately negotiate settlements on behalf of The Rawlings Group's health insurance clients. ESSENTIAL DUTIES & RESPONSIBILITIES Meet the goal of taking 16 inbound calls and making 32 (640/month) outbound calls daily. Maintain 100% quality of 550 700 file count. Maintain tickets daily.
Posted 14 days ago
If you're looking for a career and not just a job..............
Posted 14 days ago
The Finance Department Intern will assist the recovery processing teams with ongoing work, review transactions for completeness and accuracy, assist with exception tracking, and processing and reporting. The intern will assist the department with all clerical duties. Skills & Abilities Strong attention to detail Good problem solving skills Professional written, communication and personal skill
Posted 15 days ago
The Validation Specialist is responsible for verifying insurance eligibility data with 100% quality, while utilizing various online platforms and outreach methods. The Specialist will be expected to meet daily minimum expectations provided by Audit management. ESSENTIAL DUTIES & RESPONSIBILITIES Verifying medical insurance eligibility data. Accurate data entry. Using multiple computer system
Posted 15 days ago
As part of Client Services, the Plan Language Associate processes all health plan documents requests for the Subrogation, Workers Compensation and Mass Tort Divisions. Insurance documents play a vital role in file handling, without which, analysts would be unable to work and pursue recoveries. The Summary Plan Descriptions (SPDs) and other contract documents obtained provide analysts with the info
Posted 15 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 15 days ago
JOB SUMMARY (All candidates must be available for onsite interview) Under the direction of the Manager of the Data Integrity Group, the ETL (Extract, Transform & Load) Developer will design, develop, test, and implement ETL and reporting programs for the Data Integrity Group to provide business solutions for The Rawlings Group. ESSENTIAL DUTIES & RESPONSIBILITIES Work with customers, manag
Posted 15 days ago
Under the direction of DMG Management this person will be part of a cross functional team building and delivering innovative products. This position will allow the team member to identify complex problems, review related information, research alternatives and develop solutions to unique problems. The ideal candidate is someone that is not afraid to ask questions and raise issues when they identify
Posted 15 days ago
Email this Job to Yourself or a Friend
Indicates required fields