Insurance Verification & Medical Documentation Specialist

Socket.dev; Meridian (ID); On-site; USD 36,000 - 56,000; Full time

Benefits offered by this job

ESOP

Health, Vision and Dental Insurance

Health Savings Account (HSA)

Medical and Dependent Care FSA

Life Insurance provided at no cost to

Supplemental Accident, Disease, and

Employee Tuition Reimbursement

401(k) with Employer Matching

Employee Discount on products

Job summary

Norco, Inc in Meridian, ID is seeking a Qualification Specialist to ensure medical documentation meets payer requirements and Norco protocols for all orders.

Responsibilities include insurance verification, gathering required records, submitting and obtaining prior authorizations, and reviewing documentation to ensure coverage.

Strong data entry, basic math, problem solving, and written/verbal communication are essential, plus follow-up with therapists and physicians as needed.

Qualifications

• High school graduate or equivalent.
• Accurately enter data into computer and acquire a working knowledge or any software applications applicable to the position.
• Complete understanding of medical software used by Norco (on the job training).
• Perform basic mathematics calculations.
• Perform tasks requiring manual dexterity (i.e processing paperwork, filing, stapling, sorting, etc.).
• Excellent problem solving skills.
• Excellent verbal and written communication skills.

Responsibilities

• Perform Insurance Verification.
• Gather medical documentation required to meet specific insurance company's guidelines.
• Submit and obtain insurance prior authorizations via fax, online portal entry, mail, etc for equipment prior to delivery whenever possible.
• Review documentation to assure pay coverage criteria is met when a prior authorization cannot be obtained from the insurance company.
• Follow up with therapists and physicians when DWOs, DPDs, chart notes, and LMNs are not received per Norco protocol.
• Stay abreast of industry updates and Medicare changes.
• Perform other tasks as assigned or necessary.

Skills

Data entry

Problem solving

Verbal communication

Written communication

Basic math

Manual dexterity

Attention to detail

Education

High school diploma or equivalent

Tools

Medical software

Job description

Norco, Inc in Meridian, ID is seeking a Qualification Specialist to ensure medical documentation meets payer requirements and Norco protocols for all orders.

Responsibilities include insurance verification, gathering required records, submitting and obtaining prior authorizations, and reviewing documentation to ensure coverage.

Strong data entry, basic math, problem solving, and written/verbal communication are essential, plus follow-up with therapists and physicians as needed.