Qualification 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

Qualification Specialist

1303 S Silverstone Way, Meridian, ID 83642

Job Description

Norco is currently seeking an individual to fill our QualificationSpecialist Position. The QualificationSpecialist ensures that medical documentation is accurate and gathered in an efficient and timely manner for all orders. Other responsibilities include, but are not limited to:

• Have knowledge of the documentation requirements for the payers and product categories for which Norco provides services
• Have knowledge of insurance company policy manuals, fee schedules, and contracts
• 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

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

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
• Employee Discount on products sold by Norco

Company Description

Founded in 1948, Norco is headquartered inBoise, Idahoand has more than70branches in Idaho, Montana, Oregon, Nevada, Washington, Utah and Wyoming. As a family andemployee owned company weoperate the nation's largest independent gas manufacturer/distributor of welding, safety, medical equipment and supplies.Norco is proud to be among the thousands of privately-owned businesses nationwide that offer their employees a meaningful stake in the business through employee stock ownership(ESOP).

At Norco we sharea common mission:"Serving You Better." Treating customers, suppliers and each other with respect and dignity is our top priority. Wework hard every day to serve others and create rich lives for ouremployees, their families, and the communities where we work and live.

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.

Norco, Inc is a drug-free workplace.