What are the responsibilities and job description for the Qualification Specialist Insurance Verification Team position at Norco, Inc?
Norco is currently seeking an individual to fill our Qualification Specialist Position on our Insurance Verification Team. 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 companys 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 :
Additional Information :
Norco offers a competitive compensation / benefit package including :
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 DrugFree workplace.
Remote Work : Employment Type :
Fulltime
Key Skills
Sales Experience,Time Management,Marketing,Customer Service,Communication skills,Retail Sales,Business Management,Outside Sales,Telemarketing,Insurance Sales,Medicare,Phone Etiquette
Experience : years
Vacancy : 1
