Job(s) 1 to 15 of 22
 Job TitleJob LocationSalary
Pharmacy Payer to Payer Recovery AnalystLa Grange, KY$42,000 Base + Bonus Opport.
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 invoice in payer to payer rec ... 
Client Contact and Support AssociateLa Grange, KYNot Provided
Processes plan document requests for open files. Utilizes and builds established client contact relationships. Accesses client systems to obtain necessary information and/or language documents. Maintains existing language database. Each team member checks the Group Portal, SharePoint and Product Sup ... 
Human Resources SpecialistLa Grange, KY$15.00 - $16.25
Coordinates new employee orientation and electronic processing of paperwork. Responsible for assuring new hire onboarding is complete. Checks I 9 for accuracy and signatures, process paperwork for temporary employees, interns and new hires. Schedules pre screens and interviews with selected applican ... 
Pharmacy - Recovery AnalystLa Grange, KY$42,000 Base + Bonus Opport.
Investigates claims data to identify overpaid/incorrectly paid pharmacy claims and initiate the recovery of that money for our clients. The position requires extensive online research in clients' claims systems, internal research materials, internet resources and phone communications with member ... 
Post Term Recovery Analyst
Opportunity with high growth healthcare organization
La Grange, KY$42,000 Base + Bonus Opport.
Analyzes the receivables and effectively recovers outstanding balances to increase the recovery rate while reducing the days outstanding. Contacts dispensing pharmacies, members and insurance carriers and explains coordination of benefits on existing files in order to obtain refunds for our clients. ... 
Collections AnalystLa Grange, KYNot Provided
Communicates with Recovery Manager or assistant team manager regarding any training or job knowledge issues or any other concerns that may arise on the job Seeks to identify process improvements to increase the value of service provided to the client Performs other duties as assigned SKILLS & AB ... 
ETL Developer - Data Integrity GroupLa Grange, KYNot Provided
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 ... 
Subrogation AnalystLa Grange, KYNot Provided
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 (6 ... 
Quality Control AnalystLa Grange, KYNot Provided
All duties and responsibilities are to be performed in accordance with The Rawlings Company's policies, procedures, guidelines and contractual commitments and within governmental regulations. Perform analysis and verification of file openings from various sources and appropriate TRC systems' ... 
Bilingual (Spanish) Subrogation Recovery Analyst (Base Pay of $43,900)La Grange, KYNot Provided
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. YOU WILL DO THIS BY..... Determining if a subrogation opportunity exists and taking steps to initi ... 
Over payment Tracking CoordinatorLa Grange, KYNot Provided
Internal & Client correspondence dealing with the correction/update of overpaid claims Monitor file submission process to ensure all files process timely Make adjustments to claims in our system and client systems to resolve claims that have been rejected Generate reports needed as part of this ... 
Healthcare Claims Auditor ( August 2018)La Grange, KYNot Provided
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 extensiv ... 
Software Developer - .Net/C#/Angular JSLa Grange, KYNot Provided
Work with customers, manager and other Software Developers to understand requirements for simple to complex business systems required by group. Work with other IT staff to develop technical specifications based upon functions specs as created. Develop or participate in development of systems using . ... 
Operations Management AssociateLa Grange, KYNot Provided
At Rawlings, our most important competitive advantage is our people. If you have a Bachelor's degree and/or MBA with three to five years of professional work experience , then this is the opportunity you are looking for. As an Operations Management Associate , you'll be part of a dynamic tea ... 
Medicare Compliance SpecialistLa Grange, KYNot Provided
Possesses the ability to track files/requests/submissions through Centers for Medicare and Medicaid Services (CMS) processes; and creates documentation as required. Communicate and advise appropriate internal and external stakeholders on CMS matters including, but not limited to, lien negotiation ef ... 

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