GAPS SCA Specialist
- business M&D Capital Premier Billing Advisors
- directions_car 11418 Richmond Hill
- workFull-time
- money 22.00 - 25.00 $ / Hour
Job Description: This role negotiates assigned contracts and letters of agreement with insurance plans for out of network providers.
A contracting specialist is accountable for coordinating, preparing and executing letter of agreements with healthcare plans. They work to ensure that the providers are properly reimbursed.
Responsibilities:
Initiates, negotiates and tracks provider letters of agreement.
Communicates proactively with the Gap department for smooth transition from Gap approval to letter of agreement.
Communicates with patients to assist with insurance companies to facilitate letter of agreements.
Maintain thorough records of interactions, agreements, and outcomes..
Collaborate closely with doctors' offices.
Participates in other contracting related projects as directed.
Requirements:
Knowledge of GAP insurance policies and healthcare systems.
A degree in healthcare management, business, finance, or a related field.
Strong analytical, communication, and interpersonal skills.
Ability to understand and interpret complex medical bills and insurance documents.
Proficiency in relevant software for claims processing.
Empathy and a patient-centric approach.
Familiarity with healthcare regulations and compliance.
Problem-solving skills to resolve coverage issues.
Job Type: Full-time
Pay: $22.00 - $25.00 per hour
Expected hours: 40 per week
Benefits:
401(k)
401(k) matching
Dental insurance
Health insurance
Life insurance
Paid time off
Compensation Package:
Hourly pay
Schedule:
8 hour shift
Day shift
Monday to Friday
Ability to Relocate:
Richmond Hill, NY 11418: Relocate before starting work (Required)
Work Location: In person
Place of work
115-06 Myrtle Avenue
11418 Richmond Hill
United States of America
Employer profile
M&D Capital, a highly successful and fast growing medical billing company based in Queens, New York. We are a specialty healthcare advisory firm that assists healthcare providers to grow their businesses. Our principals have deep experience in managing the complicated financial affairs of medical practices. We believe that every viable medical practice has the potential for growth. We specialize in helping practices with financial challenges realize significant gains in revenue
M&D Capital maintains an exciting and energetic culture with opportunity for personal and professional growth and advancement. We work closely with all our staff in order to enhance their skills and grow the scope of their responsibilities, through training and support from every member of our company up to and including those at the executive level. If you meet the qualifications below, we invite you to join our team.
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Job ID: 8775606 / Ref: 85348e24c315ea08a96bd174a8c24a18