Validation Specialist
About The Position
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 Work to insure patient information is kept up to date and complete Account Status changes Perform other tasks as assigned or necessary
Requirements
- Prior medical billing experience preferred
- Understand and remember various accounting codes and how to appropriately use them
- Perform basic mathematics calculations
- Read reports, computer screens, etc.
- Excellent problem solving skills and public relations skills
- Excellent verbal and written communication skills
- Ability to perform multiple tasks
- Sit for extended periods of time
- Ability to perform task requiring manual dexterity (i.e. processing paperwork, filing, stapling, sorting, etc.)
Responsibilities
- 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
- Work to insure patient information is kept up to date and complete Account Status changes
- Perform other tasks as assigned or necessary
Benefits
- 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
- Employee Discount on products sold by Norco
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
No Education Listed
