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Qualification Specialist

1 month ago

Meridian, United States Norco, Inc. Full time

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:
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
  • Wellness Program
  • Employee Discount on products sold by Norco

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.