Configurations Specialist Lead
1 month ago
Astiva Health, Inc. is a leading healthcare provider in Orange, CA, specializing in Medicare and HMO services.
Job OverviewWe are seeking an experienced EZ-CAP Configurations Specialist to join our team. As a key member, you will configure and maintain provider contracts, fee schedules, and code sets in the EZ-CAP claims adjudication system.
Responsibilities:- Perform configuration activities, including provider contracts, fee schedules, and DOFR.
- Develop, document, and execute test plans for configuration testing and validate accuracy of data loaded.
- Consult with Manager of Information Systems to determine appropriate interpretation and configuration of contract terms.
In addition to competitive compensation, we offer:
- 401(k) plan
- Dental Insurance
- Health Insurance
- Life Insurance
- Vision Insurance
- Paid Time Off
To apply for this role, please submit your application with:
- Bachelor's degree in Healthcare Administration, Information Technology, or a related field.
- At least 2 years of experience with EZ-CAP, preferably in health plan Medicare line of business.
- Medicare Reimbursement/Denial experience
- Working knowledge of healthcare standard code sets, benefits, DOFR, RBRVS, and fee schedules.
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