Ezcap claim examiner

Remote

Contracted

Experienced

Duration: 3-6 Months contract

Interview: 2 internal

Must have Skills:

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.

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