Validation Specialist

Norco, Inc

Validation Specialist

Twin Falls, ID
Full Time
Paid
  • Responsibilities

    Job Description

    Norco is currently seeking an individual to fill our Validation Specialist position. The Validation Specialist ensures accurate and timely submission of new claims and claims delayed due to errors. Other responsibilities include, but are not limited to:

    • Understand documentation requirements of insurance companies based on insurance contracts and guidelines
    • Append necessary billing modifiers and narratives for items billed to insurance
    • Complete claim submission process once all documentation has been properly received according to payer guidelines
    • Monitor and work Validations errors and reports
    • Comply will all federal and state payer regulatory policies regarding claim processing
    • Complete necessary follow up protocol applicable for prior authorization, reauthorization and unreturned documents
    • Abide by the follow up protocol for forwarding documents to sales representatives in the field and tracking for its return
    • Work to insure patient information is kept up to date and complete Account Status changes
    • Perform other tasks as assigned or necessary
  • Qualifications

    Qualifications

    • High school graduate or equivalent
    • Prior medical billing experience preferred
    • Understand and remember various accounting codes and how to appropriately use them
    • Perform basic mathematics calculations
    • Sit for extended periods of time
    • Ability to perform task requiring manual dexterity (i.e. processing paperwork, filing, stapling, sorting, etc.)
    • Excellent problem solving skills and public relations skills
    • Excellent verbal and written communication skills
    • Ability to perform multiple tasks

    Additional Information

    Norco offers a competitive compensation/benefit package, including:

    • Employee Stock Ownership Plan (ESOP)
    • Health, Vision and Dental Insurance
    • Health Savings Account (HSA)
    • Medical and Dependent Care Flex Accounts (FSA)
    • Life Insurance provided at no cost to employee by Norco
    • Supplemental Accident, Disease, and Life Insurance options
    • Employee Tuition Reimbursement
    • 401(k) with Employer Matching
    • Wellness Program
    • Employee Discount on products sold by Norco

    Norco, Inc is an Equal Opportunity/Affirmative Action Employer
    Norco provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

    This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

    Norco, Inc is a Drug-Free workplace.