Claims Validation Specialist - Medical Billing (ESOP & 401(k))

norcoexternal; Idaho; On-site; USD 42,000 - 64,000; Full time

Benefits offered by this job

ESOP

Health Insurance

Health Savings Account (HSA)

Medical and Dependent Care FSA

Life Insurance

Job summary

Norco is seeking a Validation Specialist to ensure accurate and timely submission of new claims and to address claims delayed due to errors. The role includes understanding insurance documentation requirements and applying appropriate billing modifiers and narratives.

Responsibilities also include monitoring validation errors, complying with federal and state payer policies, and handling follow-ups for prior authorizations and document tracking while maintaining patient information and account

Qualifications

• Prior medical billing experience preferred.
• Understand and remember various accounting codes used in billing.
• 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 tasks requiring manual dexterity.

Responsibilities

• Submit new claims accurately and timely according to payer guidelines.
• Append necessary billing modifiers and narratives for insurance items.
• Monitor validation errors and related reports.
• Comply with federal and state payer regulations governing claim processing.
• Follow up on prior authorizations, reauthorizations and unreturned documents.
• Maintain up-to-date patient account statuses and changes.

Skills

Medical billing

Accounting codes

Mathematics

Reading reports

Problem solving

Verbal communication

Written communication

Multitasking

Attention to detail

Dexterity

Job description

Norco is seeking a Validation Specialist to ensure accurate and timely submission of new claims and to address claims delayed due to errors. The role includes understanding insurance documentation requirements and applying appropriate billing modifiers and narratives.

Responsibilities also include monitoring validation errors, complying with federal and state payer policies, and handling follow-ups for prior authorizations and document tracking while maintaining patient information and account