What are the responsibilities and job description for the Ezcap claim examiner position at mavinsys?
MAVINSYS IS HIRING! 🚨
Role : Ezcap Claim Examiner
Location : Remote
Do you have 5-6 years of experience with EZ-CAP and Medi-Cal (California Medicaid) ? We want YOU to join our team!
Skills :
EZ-CAP 5-6 years and Medi-Cal (California Medicaid) experience
Role and Responsibilities :
Review, process, and adjudicate high-complexity healthcare claims in compliance with company policies, contractual provisions, and regulatory requirements.
Ensure accurate application of CPT, ICD-10, HCPCS, and other relevant codes.
Validate and cross-check information on claim forms, ensuring completeness and accuracy.
Assess medical necessity, coverage eligibility, and appropriateness of services provided.
Investigate and resolve complex claim discrepancies and issues.
Keep a pulse on the job market with advanced job matching technology.
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