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MAVINSYS IS HIRING!
Role: Ezcap Claim Examiner
Location: Remote
Do you have 56 years of experience with EZCAP and MediCal (California Medicaid) We want YOU to join our team!
Skills:
EZCAP 56 years and MediCal (California Medicaid) experience
Role and Responsibilities:
Review process and adjudicate highcomplexity healthcare claims in compliance with company policies contractual provisions and regulatory requirements.
Ensure accurate application of CPT ICD10 HCPCS and other relevant codes.
Validate and crosscheck 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.
EZCAP
Full Time