1 to 13 of 13
Sort by: Date | Relevance
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 Senior Level Software Developers who are passionate about j
Posted 3 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 1500 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. We are a fast paced, innovative, technology dri
Posted 3 days ago
Under the supervision of the Data Integrity Group, the Production Support Analyst is responsible for the timely and accurate resolution of all data loading failures. Additionally, this position will assist on special projects with a focus on continual process and system improvement. ESSENTIAL DUTIES & RESPONSIBILITIES Develop and Troubleshoot SQL logic, SSIS packages and ETL processes for
Posted 3 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 1500 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. We provide excellent paid classroom training in
Posted 3 days ago
This position is responsible for creating and managing mining processes, analyzing results from those systems, and generating regular reporting to an executive audience. An analyst will be expected to work collaboratively or independently depending on need, on original initiatives as well as legacy systems. ESSENTIAL DUTIES & RESPONSIBILITIES Develop and maintain SQL queries that drive mini
Posted 3 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
The Pharmacy Support Specialist is responsible for performing various client on line look ups and validation procedures that support the production and distribution of client audits in the Pharmacy Division. The role involves organizing, storing and processing both digital and paper information. The person selected must be comfortable using digital hardware and software, so they can total figures
Posted 11 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 11 days ago
If you're looking for a career and not just a job.....
Posted 11 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 12 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. If you are a motivated professional with
Posted 13 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 13 days ago
The main purpose of this position is to expedite the recovery from commercial insurance to Medicare Part D when a COB audit has determined that Medicare should not have been the payer. ESSENTIAL DUTIES & RESPONSIBILITIES Meets, or exceeds, recovery goals. Generate invoices in payer to payer recoveries. Create and set up process with other payers. Ability to understand and explain COB rules. P
Posted 13 days ago
Email this Job to Yourself or a Friend
Indicates required fields