Pharmacy Post-term Recovery Analyst
The Rawlings Group - La Grange, KY

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The Rawlings Group was formed in 1977 to offer legal services to insurance providers. Recognizing the need for specialized recovery services, Rawlings launched what would ultimately become the first subrogation outsourcing program for the healthcare industry. We subsequently launched other outsourcing programs specifically dedicated to medical claims recovery, mass tort litigation, and pharmaceutical claims recovery.

As market demand for our recovery services continued to grow, our organizational focus became more defined.

Today, The Rawlings Group is focused exclusively on recovery services for our health insurance company clients. Due in part to this focus and in part to our tenacious commitment to servicing the needs of our clients, we are the largest and most successful company in this segment of the market.

The Recovery Analyst is responsible for the billing and recovery of prescription claim overpayments. The Analyst will pursue recoverable claims through daily contact with health plan members.
Major responsibilities will include:
-Initiate outbound calls, and receive inbound calls from termed healthcare members to gather new insurance coverage information required for recovery billing.

-Initiate letters and outbound calls to termed healthcare members to collect retro-term overpayments.
-Coordinate reimbursement working in conjunction with Pharmacy Division's billing staff.
Must maintain compliance with all state and federal collections requirements.

Behavioral Skills & Position Requirements:
-The Successful candidate will be a highly motivated self-starter.
-Demonstrated successful collections experience.
-Prior experience with medical/pharmacy billing a plus.
-Excellent telephone communication skills and the ability to influence members to reimburse clients.

Additional Information/Benefits
We offer an excellent benefit package and a very competitive compensation plan. This is your opportunity to be rewarded for your efforts!

An Equal Opportunity Employer

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