Qualification Specialist at Norco, Inc.

Meridian, Idaho, United States -

Full Time

Start Date

Immediate

Expiry Date

11 Mar, 26

Salary

0.0

Posted On

11 Dec, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Medical Documentation, Insurance Verification, Prior Authorizations, Problem Solving, Verbal Communication, Written Communication, Data Entry, Mathematics Calculations, Manual Dexterity, Knowledge of Insurance Policies, Knowledge of Documentation Requirements, Follow Up Skills, Attention to Detail, Time Management, Adaptability, Team Collaboration

Industry

Retail

Description

Norco, Inc logo Qualification Specialist 1303 S Silverstone Way, Meridian, ID 83642 Job Description Norco is currently seeking an individual to fill our Qualification Specialist Position. The Qualification Specialist 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 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. 

Responsibilities

The Qualification Specialist ensures that medical documentation is accurate and gathered efficiently for all orders. Responsibilities include performing insurance verification, gathering required medical documentation, and submitting prior authorizations.