EZ-CAP Configurations Specialist

2 weeks ago


Orange, California, United States Astiva Health, Inc Full time
About the Role

Astiva Health, Inc. is seeking a skilled Configurations Specialist to join our team in Orange, CA. As a key member of our healthcare team, you will be responsible for configuring and maintaining provider contracts, fee schedules, and code sets in the EZ-CAP claims adjudication system.

Key Responsibilities
  • Configure and maintain provider contracts, fee schedules, and code sets in EZ-CAP
  • Provide technical and administrative support to operational areas to ensure system configuration and data is precise and ready to support business needs
  • Test and audit claims payment accuracy against contract information loaded into EZ-CAP
  • Consult with Manager of Information System to determine appropriate interpretation and configuration of contract terms
  • Maintain detailed knowledge and understanding of EZ-CAP rules relative to claims payments and authorizations
Requirements
  • Bachelor's degree in Healthcare Administration, Information Technology, or a related field
  • 2+ years EZ-CAP knowledge required
  • 2+ years Health Plan Medicare Line of Business experience
  • Medicare Reimbursement / Denial experience
What We Offer
  • 401(k) plan
  • Dental Insurance
  • Health Insurance
  • Life Insurance
  • Vision Insurance
  • Paid Time Off


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