M&D Capital Premier Billing, LLC · 3 weeks ago
Insurance Authorization & Advocacy Specialist
United States
Full-time
Remote
New Grad, Entry Level
$45K/yr - $65K/yrM&D Capital Premier Billing, LLC is seeking an Insurance Authorization & Advocacy Specialist to manage Out of Network authorizations for clients. The role involves ensuring timely submission, accurate documentation, and proactive communication with providers, patients, and insurance companies throughout the authorization process.
Hospital & Health Care
Hiring Manager
Nechama Goldman
Responsibilities
Monitor new cases and assess GAP eligibility based on insurance coverage
Manage GAP cases through all processing stages until final determination
Review insurance policies to identify coverage gaps and strategize for approvals and overturning denials
Prepare and finalize GAP letters with accurate coding, complete documentation, and strong justification
Communicate with patients, providers, and insurers to gather information and secure GAP authorization
Maintain workflow efficiency and delegate tasks to remote team members as needed
Provide timely updates and weekly case status reports to supervisors and practices
Qualification
Required
Problem Solving: Resourceful, able to identify issues and troubleshoot effectively
Management & Organization: Strong organizational skills; able to prioritize, handle multiple tasks and maintain smooth workflows
Communication: Professional and respectful communication with internal teams and external contacts
Critical Thinking: Quick thinker with sound judgment and common sense
Self-Motivated & Driven: Works independently, takes initiative, and demonstrates a desire to learn
Benefits
Health
Dental
Vision
Employee assistance plan
Paid family leave
Short-term disability
Life insurance
401(k) plan with employer match
Flexible spending accounts
Employee discount program
Employee referral program
Company
M&D Capital Premier Billing, LLC
At M&D Capital Premier Billing, we go beyond traditional billing—delivering specialty-specific, hands-on support that helps medical groups and surgical centers operate more efficiently and profitably.
Founded in 2008
501-1000 employees
Funding
Current Stage
Late StageCompany data provided by crunchbase