Payment Integrity Product Support Specialist

Job Summary

This administrative position is responsible for performing support functions for the Payment Integrity and Pharmacy Division such as imaging, file assignments and mail support.

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 with remote opportunity available after six months of employment based on performance.

Compensation: This is a non-exempt position at a very competitive 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

• Work Imaging queue to ensure incoming documents attach to the correct internal file.
• Small Volume Printing for Operations.
• Payment Integrity File reassignments.
• File reassignment for Pharmacy Recovery team.
• Eligibility lookups for Pharmacy team.
• Data entry / Data research.

Qualifications

• High Diploma
• Healthcare background a plus.
• Data entry experience preferred.
• Ability to quickly learn multiple systems.
• Attention to detail, ability to multi-task, adapt quickly to change and demonstrate flexibility. 
• Excellent communication skills.
• Basic computer and Microsoft Office knowledge.

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     

Our Company Culture

The Rawlings Group is looking for hard-working, talented people who share our commitment to excellence to join our company. The Rawlings Company has 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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