Duties and Responsibilities
Determines eligibility for authorizations for members that are not in the system; information request forms are received from UM and marked either routine or urgent. Also, handles calls from provider offices and/or facilities regarding eligibility.
Determines eligibility for claims for members that are not in the system; information request forms are received from the claims department.
Enters newly assigned members into EZ-Cap system once verified through one of the above processes.
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Reconciles monthly roster with EZ-Cap including member adds or terms (information received on paper file monthly).
Perform other duties as assigned.
Knowledge, Skills and Abilities Required
- Must have EZ-CAP® knowledge.
Salary Range
- $19 - $26 per hour
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