Insurance Verification Process
With a focus on accuracy, efficiency, and reducing denials, our comprehensive suite of real time insurance eligibility verification services can seamlessly integrate with your existing systems, streamlining workflows and allowing you to focus on what matters most: providing excellent patient care.
Our knowledgeable and experienced team is here to alleviate the burden of complex documentation, allowing you to focus on growing while significantly reducing claim denials by up to 30%.
Prior Authorization Services
Our experts track all pre-authorization requests to eliminate communication gaps between the parties. We ensure quick pre-authorization approval and seamless claim settlement.
Appointment Scheduling
Our team can assist patients and families with scheduling new appointments, make changes to appointments, direct patients to intake forms and provide general information about upcoming appointments.
Why is our approach different?
Our team is an extension of your staff. We work behind the scenes so your staff can be fully present and attentive to the live patient in front of them! Your office will have direct communication with your assigned account manager.
WE DON'T REPLACE YOUR TEAM:
We provide the added convenience of updating essential data in your practice management software.
WE USE YOUR SOFTWARE:
We share the verification and authorization results via your system and inform the client about their covering details and any out of pockets cost, at your request. completed insurance verification and authorization will be saved in typed PDF format and uploaded into the patient document area of your practice management software.
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WE ARE COST EFFECTIVE:
Outsource your Front Office process to us for significant cost savings. We guarantee reduced overhead costs, including salaries, benefits and training expenses. We offer month-to-month billing, with no lengthy contracts required.
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Our simplified Eligibility Verification Process Steps
STEP 1: INITIAL VERIFICATION
We review the healthcare client’s information and demographics and check their eligibility using an your current EHS or one of our online verification systems
STEP 2: ADDITIONAL INSURANCE VERIFICATION
We contact the insurance company by phone if needed, to obtain necessary information or clarify any discrepancies.
STEP 3: HEALTHCARE CUSTOMER COMMUNICATION
At your request we share the verification results with the healthcare client and inform them about their coverage details and out-of-pocket costs.
STEP 4: PERFORMANCE MONITORING AND REPORTING
We organize all verified information and prepare it for the billing team, ensuring accurate and compliant claims submission.
Why Outsource Prior Authorization Services to Rockie Skye Healthcare Solutions?
Our flexible outsourcing services cater to small and large operations, providing the needed flexibility during growth or changes in customer volume.
Affordable Pricing
We offer our services at extremely affordable rates. Our prices start at $650/month with No Caps on Verification and Authroizations.
HIPAA Compliant Services
We start every project only after signing the HIPAA agreement. This ensures that all the patient data is kept safe and not divulged to any third party.
Maximized Reimbursements
Our end-to-end process ensures smooth handling of Verification and pre-certs and helps in reducing write-offs and denials.
Fast Turnaround Time
Our structured approach ensures quick documentation and fast approvals.
Reduced operational costs
Our managed Medicare pre-authorization services help save up to 30-40% on operational costs, thus helping you lock in more profits.