Configurations Specialist Lead

1 month ago


Orange, California, United States Astiva Health, Inc Full time
About Our Team

Astiva Health, Inc. is a leading healthcare provider in Orange, CA, specializing in Medicare and HMO services.

Job Overview

We 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.
What We Offer

In addition to competitive compensation, we offer:

  • 401(k) plan
  • Dental Insurance
  • Health Insurance
  • Life Insurance
  • Vision Insurance
  • Paid Time Off
Requirements

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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