I will do patient insurance and benefits verification
About this Gig
Hello! I have 5+ years enriched experience in Medical billing and one of my specialty is dealing with inevitable Rejections/ Insurance denials that arise from patient benefits and coverage information. I provide valuable practice insights and link between providers and payers at times enabling vital Patient Services mentioned below
Insurance Verification Services:
1. Name of insured as it isn't always the patient
2. Relationship of the insured to the patient
3. Effective date & End date of the policy
4. Whether coverage is currently active
5. Whether the insurance covers the procedure, diagnosis, or services to be provided
6. Whether your practice participates with the plan
7. Limitations of the policy, including exclusions or documentation requirements for bills
8. Whether a Referral, Pre-Authorization certificate of medical necessity is required under patients benefit plan or not.
Patient's Benefit Info Services:
· Patients Benefit Plan Name
· Individual Deductible
· Family Deductible
· Individual Out of Pocket Expense
· Family Out of Pocket Expense
· Cost-Sharing Percentage (%)
· Copay/ Co-insurance
Purpose:
Business
Work model:
Project-based
FAQ
What is your Response/ Turnaround time for an inquiry regarding Benefits/ Eligibility?
Response time for an inquiry to check Patients Eligibility & Cost-Sharing %age varies based on different payers. For Major payers like Aetna, Cigna, BCBS, Medicare it can be done approximately within a hour or even less than an hour. But on average it will take upto 1-2 hours for all payers.
Do or will you require web credentials to verify the patient Eligibility & benefits?
Many payers facilitates providers and patient to check their benefits and eligibility information over a web portal rather long time holding on call to speak with an agent for it. So yes! it will be convenient it provider has credentials for different payers.
How do you deal with sensitive or confidential information?
I have a very high level of professionalism and am often commended on my ability to keep sensitive information safe. I always follow protocol and am sure to treat sensitive information with the utmost care.
Are you comfortable to make calls to different payers to get any specific information with regards to Patient's Benefits?
Absolutely! I can call the payers to check in-depth or detailed insights about patient benefit plan or any specific covered services. Since such type of information is very handy to overcome the denials for any practice.
6 reviews for this Gig
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Rating Breakdown
- Seller communication level
- Recommend to a friend
- Service as described
Sort By
N nmchellon
Repeat Client

United States
Easy to work with and Hardworking.
A 
Seller's Response
Helpful?K 
ksantikul
Repeat Client

United States
Great to work with
Helpful?K 
ksantikul
Repeat Client

United States
Repeat user. Good job!
Helpful?K 
ksantikul
Repeat Client

United States
We continue to use his service. Great to work with.
Helpful?K 
ksantikul
Repeat Client

United States
Great to work with!
A 
Seller's Response
Helpful?
6 reviews for this Gig
| (6) | ||
| (0) | ||
| (0) | ||
| (0) | ||
| (0) |
Rating Breakdown
- Seller communication level
- Recommend to a friend
- Service as described
Sort By
N nmchellon
Repeat Client

United States
Easy to work with and Hardworking.
A 
Seller's Response
Helpful?K 
ksantikul
Repeat Client

United States
Great to work with
Helpful?K 
ksantikul
Repeat Client

United States
Repeat user. Good job!
Helpful?K 
ksantikul
Repeat Client

United States
We continue to use his service. Great to work with.
Helpful?K 
ksantikul
Repeat Client

United States
Great to work with!
A 
Seller's Response
Helpful?

