Validation Specialist

Job Description
Norco is currently seeking an individual to fill ourValidation Specialist position. TheValidation Specialist ensuresaccurate 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