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The Drug Claim Payment Integrity Support Specialist is responsible for validating member eligibility and various other tasks which support the Drug Claim Payment Integrity Division.
Hours: Day shift, 40-hour work weeks. During training, 8am - 5pm. Flexible schedule options available between 7am - 7pm after six months of employment.
Setting: : Professional office environment (remote opportunity available after six months of employment based on performance).
Compensation: This is a non-exempt position at a very competitive hourly rate. Our comprehensive benefit package includes health and dental benefits, short-term disability plans, 401k with company matching, paid time off policy and more. We also offer an onsite gym, cafe, and coffee shop.
Training: The Rawlings Company takes great pride in providing exemplary training and development program, including policies and procedures, state-of-the-art proprietary systems, and many other tools to place new employees on the path to success.
Responsibilities
- Accesses multiple systems to validate eligibility information
- Process checks for the Drug Claim Payment Integrity Division
- Processes incoming mail
- Performs administrative tasks as assigned
Qualifications
- High School diploma, GED, or equivalent combination of education
- Ability to navigate multiple electronic healthcare systems is required
- Ability to work well independently in fast-paced or in a team environment
- Very strong attention to detail and organizational skills
- Word and Excel proficiency required
Physical Requirements
- Frequently remains in sitting position for long periods of time to perform duties.
- Frequently concentrates for long periods of time, paying close attention to detail.
- Frequently uses and views the computer using fingers, hands, and vision.
- Frequently works in a well-lit, tempered environment.
- Occasionally moves through office to communicate with other employees
The Rawlings Group is looking for hard-working, talented people who share our commitment to excellence to join our company. The Rawlings Grouphas successfully provided cost containment services to the largest health insurers in the country for more than 40 years and continues to grow as an industry leader.
Our Culture is focused on:
- The guiding principle of doing the right thing
- Caring for our employees and taking pride in the work they do
- Providing recognition and financially rewarding employees for their success
Our Values are:
- Integrity and Trust
- Customer Service Excellence
- Innovation
- Diversity and Inclusion
- Honoring our Veterans and Their Service
*Equal Employment Opportunity. It is our policy to recruit, hire, train, and promote people without regard to race, color, religion, sex, national origin, age, sexual orientation, gender identity or expression, disability, or veteran status, except where age, sex, or physical status is a bona fide occupational qualification.
*The Rawlings Group is an employment at will employer.
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