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I will do medical billing, prior authorization and insurance verification
Medical Billing and Prior Authorization Specialist
Medical billing specialist for US practices since 2019, strongest on the front end of the revenue cycle: insurance verification, prior authorization, payer follow-up, appeals and denial management. I ...
About this Gig
Medical billing support for the front end of your revenue cycle: prior authorization, insurance verification and denial follow-up, done by someone who works these cases every day.
I have handled authorizations for US practices since 2019 and currently lead an authorization team for pain management, orthopedic and interventional radiology providers.
What each case includes
Benefits verification: active coverage, deductible, copay, coinsurance, authorization and referral requirements.
Prior authorization: submitted by portal, phone or fax with clinicals and correct codes, then followed up until a decision.
Approval check: units, dates and codes confirmed against the request before you bill.
Denials: reason reviewed, first and second level appeal, peer-to-peer preparation.
Tracker: every case logged with status, reference number and expiry date.
How I work
About 20 to 30 cases a day, most requests submitted within 24 to 36 hours, US Eastern hours. Portals include Availity, UHC, Aetna, Cigna and Humana.
One case is one patient and one request. Message me your specialty and payer mix before ordering so I can confirm fit.
Purpose:
Business
Work model:
Monthly retainer
•
Other
My Portfolio
FAQ
Q: How long does a typical prior authorization take?
A: VOB checks are usually same-day. Prior authorization timelines depend on the payer, but I track and follow up until a decision is received.
Q: What information do you need from me to get started?
A: Patient details, insurance ID, the service or procedure needing a Prior Auth, and specialty — the requirements section covers this before we begin
Q: What insurance portals and EHR/EMR systems have you worked with?
A: I'm experienced with payer portals directly, along with EHR/EMR systems like CureMD, CareCloud, RXNT, and Tronshealth, and I adapt quickly to new systems.
Q: What if my case is urgent and needs same-day attention?
A: Mention it in the requirements upfront. I work both live and pre-scheduled cases, and I'll flag it immediately if a payer's response time won't allow same-day turnaround.
