Validation Specialist

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

Validation Specialist

1539 Fillmore St, Twin Falls, ID 83301, USA

Full-time

Job Description

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

Qualifications

• 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.)

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 in Boise, Idaho and has more than 70 branches in Idaho, Montana, Oregon, Nevada, Washington, Utah and Wyoming. As a family and employee owned company we operate 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 share a common mission: "Serving You Better." Treating customers, suppliers and each other with respect and dignity is our top priority. We work hard every day to serve others and create rich lives for our employees, 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.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

Norco, Inc is a Drug-Free workplace.