I will do prior authorization and insurance eligibility verification for your practice
Credentialing Specialist
About this Gig
Prior authorizations and insurance checks take hours away from patient care. I handle them for doctors, nurse practitioners, therapists and counselors so your private practice gets approvals faster and avoids preventable denials.
I am a medical billing and RCM specialist with 6 years of experience and 200+ practices served across all specialties.
What I do:
- Prior authorization requests for medications, procedures, imaging and services
- - Submission by payer portal, fax or phone
- - Follow-up until a decision is received
- - Help preparing appeals and peer-to-peer reviews for denied requests
- - Insurance eligibility and benefits verification before visits
- - Copay, deductible and coverage details documented in your EHR
- - A tracking log with reference numbers and status
I work with Medicare, Medicaid and commercial payers, and in AdvancedMD, eClinicalWorks, SimplePractice, CharmHealth, Elation, Jane, PracticeQ and CareCloud.
HIPAA-compliant workflow with a BAA available.
Please message me before ordering so I can review your specialty, volume and payers.
Purpose:
Business
Work model:
Project-based
•
Weekly assistance
•
Monthly retainer
My Portfolio
FAQ
Can you guarantee that a prior authorization is approved?
No one can, because the payer makes the decision. I submit complete, accurate requests with the right clinical documentation, follow up until a decision is made, and help with appeals if a request is denied.
