Validation Specialist

Norco, Inc.•Twin Falls, ID

1d•Onsite

About The Position

Norco is seeking a Validation Specialist to ensure accurate and timely submission of new claims and claims delayed due to errors. The role includes reviewing payer documentation requirements, preparing claims according to payer guidelines, monitoring validation errors, and following up on authorizations and missing documents. The specialist also maintains accurate patient information and account statuses and performs other assigned or necessary tasks.

Requirements

Understand and remember various accounting codes and how to use them appropriately.
Perform basic mathematical calculations.
Read reports and computer screens.
Demonstrate problem-solving and public relations skills.
Demonstrate verbal and written communication skills.
Ability to perform multiple tasks.
Ability to sit for extended periods.
Ability to perform tasks requiring manual dexterity, such as processing paperwork, filing, stapling, and sorting.

Nice To Haves

Prior medical billing experience preferred.

Responsibilities

Understand insurance-company documentation requirements based on insurance contracts and guidelines.
Append necessary billing modifiers and narratives for items billed to insurance.
Complete claim submissions after all required documentation has been received according to payer guidelines.
Monitor and work validation errors and reports.
Comply with federal and state payer regulatory policies regarding claim processing.
Complete follow-up protocols for prior authorization, reauthorization, and unreturned documents.
Keep patient information up to date and complete account status changes.
Perform other tasks as assigned or necessary.