Why Practices Stay With Pro Claim Expert
Accuracy, security, and accountability aren't add-ons here; they're the foundation. Our virtual team specializes in eligibility and benefits verification, offering the expertise you expect. We ensure client-specific protocols are followed through structured supervision and real-time quality assurance, adapting our workflow to meet your clinic's specific needs.
Eliminate eligibility-related claim denials
Accurate patient collections upfront
Real-time communication and daily reports
A dedicated team that scales with your needs
Your Go-To Team For Eligibility and Benefits Check
Our insurance benefits verification staff checks each appointment's insurance in advance and provides detailed benefits information to support accurate patient collections. The result: higher collections and fewer denials.
Insurance eligibility verification for every patient
CPT-specific benefits confirmation
Copay, deductible, and out-of-pocket cost estimation
Prior authorization requirement identification
Coordination with your billing and intake teams
HIPAA-compliant processes and secure access protocols
How Our Virtual Benefits Administrator Helps You
Our insurance eligibility verification staff adapts to your existing systems and processes. We work within your schedule, protocols, and EHR, just like an in-house staff member would, but from a fully remote setting.
We log in to your EHR; no setup required. Our team of trained professionals follows your practice's protocols and standard operating procedures with utmost dedication.
Every insurance eligibility verification coordinator is supported by three or more layers of supervision to ensure clinical accuracy and alignment with your facility's workflows.
A proprietary CPT-specific benefit report is generated and uploaded directly to your EHR, for clear visibility of coverage, limitations, requirements
You receive daily productivity reports along with real-time alerts at every stage of the process, helping you stay informed, in control, and ready to act quickly.
All data is secured through HIPAA-compliant systems, with strict access controls and audit trails in place to protect patient privacy and ensure regulatory compliance.
Specialized Solutions For 60+ Specialties And EHRs
Delivering expert medical billing services and healthcare staffing solutions across 60+ specialties.
- Your expertise, extended.
- Your SOPs and protocols.
- Your cost-effective staffing solution.
Pro Claim Expert: The Only One That Does It All, Flawlessly.
We give your business the edge with unmatched features working seamlessly together, delivering precision and efficiency like no one else.
Written protocols
Liability Insurance
3+ Levels of Supervision
5 point IT protection
HIPAA BAA included
Comprehensive reports & KPIs
3rd party HIPAA compliance certification
Have questions?
We've got answers.
A virtual benefits administrator is a remote specialist who verifies a patient's insurance eligibility and benefits before their appointment. They confirm coverage, copays, deductibles, and prior authorization needs using your practice's systems, just like an in-house staff member, but virtually.
Our remote specialists plug directly into your workflow. They access your EHR or practice management software securely, verify insurance details, and send updates back to your front desk or billing team, without changing how your staff operates.
Our virtual eligibility coordinator services include insurance eligibility verification, benefits breakdown for scheduled services, prior authorization checks, and secure documentation of copays, deductibles, and coverage limits. Everything is handled before the patient arrives.
Yes. Pro Claim Expert uses HIPAA-compliant infrastructure, encrypted systems, and strict access protocols. Our virtual benefits administrators and remote eligibility specialists are fully trained in handling PHI and adhering to data security best practices.
Yes, our virtual eligibility specialists are experienced in working with a wide range of specialties and insurance payers.
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