| Hiring Alert - Ezcap claim examiner || Javelina Test Analyst || Remote at Phoenix, Arizona, USA |
| Email: [email protected] |
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From: Ashwini Sitar, Propelsys [email protected] Reply to: [email protected] Hi Hope you are well We have urgent requirements with our client for the below requirement Role: Ezcap claim examiner Remote 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 Role : Javelina Test Analyst Location: Phoenix AZ Remote with 25% travel not regularly but some travel 12-plus months contract Javelina Implementation experience. Keywords: Arizona Hiring Alert - Ezcap claim examiner || Javelina Test Analyst || Remote [email protected] |
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| 10:15 PM 07-Feb-25 |