Validation Specialist

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 guidelinesAppend necessary billing modifiers and narratives for items billed to insuranceComplete claim submission process once all documentation has been properly received according to payer guidelinesMonitor and work Validations errors and reportsComply will all federal and state payer regulatory policies regarding claim processingComplete necessary follow up protocol applicable for prior authorization, reauthorization and unreturned documentsAbide by the follow up protocol for forwarding documents to sales representatives in the field and tracking for its returnWork to insure patient information is kept up to date and complete Account Status changesPerform other tasks as assigned or necessary