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Job 25849

San Diego, CA

Job Title:
Eligibility Technician II(Clairemont Mesa)

Long Term Temp (> 30 Days)


A large healthcare organization in San Diego seeks an Eligibility Technician. Under the general supervision of the Eligibility and Benefits Supervisor this position exists to maintain eligibility and benefits information in the EZ-Cap System. The incumbent will determine payor responsibility based on eligibility of the member and forward claims to the appropriate payor, internal claims department or individual billing provider. Ensures claims are forwarded to the appropriate payor in accordance with AB1455 guidelines. The EZ-Cap System supports all of the activities of the Managed Care Department. Examples include Utilization Management, Claims, Capitation, Data and Eligibility. The incumbent will work professionally and courteously with patients, doctors, insurance companies and various departments in order to obtain information.

Basic Qualifications:

  • 1 year of experience in Managed Care.
  • Area of Study in a Field Related to the Position  
  • Working experience/knowledge of EZ-Cap System ·
  • Ability to work in a fast paced environment 
  • Familiar with Eligibility Verification 
  • H.S. Diploma,GED,or Equivalent 

Preferred Qualifications:

  • Computer savvy 
  • Team player 
  • Organizational skills; able to prioritize well 

On Call Staffing Solutions, Inc. is an Equal Opportunity Employer – Minority/Female/Disability/Veterans

Minimum Years of Experience:

Pay Rate:

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