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$
USD
I will do insurance verification, benefits verification, and prior authorization
Medical Billing RCM Specialist AR, Denials, Appeals
Are your medical claims getting denied repeatedly? Losing revenue due to slow payments or poor follow-ups? I help healthcare providers recover lost revenue and streamline billing. With proven experien...
Level 1
Has met certain performance criteria and shows strong potential in the marketplace.
About this Gig
Managed the full insurance verification process for a large outpatient clinic, ensuring accurate patient coverage information before claims submission. Verified patient eligibility, benefits, and co-pays for multiple insurance carriers, significantly reducing claim rejections due to coverage issues. Created a streamlined workflow that improved verification speed by 25% and decreased billing errors by 30%. Collaborated with the front office and billing teams to ensure timely and accurate verification, resulting in faster payments and improved patient satisfaction.
My Portfolio
FAQ
How do you ensure HIPAA compliance and data security?
Patient privacy is my top priority. I access all patient information securely using your practice's existing software, EHR/EMR systems, or secure clearinghouses. I strictly follow HIPAA guidelines and never store or share private patient data outside your workflow
What information do you need from me to verify benefits?
I will need the patient’s full name, date of birth, insurance provider name, Member ID/Policy number, and the specific provider/NPI details. Sharing the scheduled CPT or ICD-10 codes also ensures I check the exact coverage details you need.
How fast can you complete the verifications?
I typically deliver completed verification reports within 24 to 48 hours. If you have an urgent or same-day patient add-on, please message me directly before ordering so I can prioritize it for you.
Which software or web portals can you work with?
I am fully proficient in major insurance portals (like Availity, Optum, and Navinet) as well as popular EMR/EHR systems. If you use a specific software, just let me know, and I can easily adapt to your clinic's routine.
Do you check benefits online or do you call the insurance companies directly?
: I utilize both! I pull rapid data from online provider portals first. However, if details are unclear or if specific CPT limits are required, I call the insurance representatives directly to ensure 100% accuracy.
