You will get streamline billing, boost revenue & free your team for patient care.
Project details
At Karepoint, we don’t just provide medical billing services — we deliver comprehensive Revenue Cycle Management solutions designed to streamline your healthcare operations and maximize revenue. What sets us apart is our combination of industry expertise, technology-driven accuracy, and dedicated virtual assistance.
Our team handles everything from insurance eligibility verification and claim submission to denial management, financial audits, and patient communication. By reducing claim denials and speeding reimbursements, we free your staff to focus on delivering quality patient care.
We pride ourselves on proactive communication, quick turnaround times, and flexibility—including after-hours support—to fit your unique workflow. With Karepoint, you gain more than a vendor—you get a reliable partner invested in your practice’s financial health and operational success.
Let us take the administrative burden off your plate so you can focus on what matters most — your patients.
Our team handles everything from insurance eligibility verification and claim submission to denial management, financial audits, and patient communication. By reducing claim denials and speeding reimbursements, we free your staff to focus on delivering quality patient care.
We pride ourselves on proactive communication, quick turnaround times, and flexibility—including after-hours support—to fit your unique workflow. With Karepoint, you gain more than a vendor—you get a reliable partner invested in your practice’s financial health and operational success.
Let us take the administrative burden off your plate so you can focus on what matters most — your patients.
Purpose
BusinessIndustry
Business Services & Consulting, Data Analytics, Financial Services, Medical & PharmaceuticalLanguage
EnglishWhat's included $1,200
These options are included with the project scope.
$1,200
- Delivery Time 60 days
Frequently asked questions
About Suvraneel
DME & Pharmacy VOB/PA Specialist | 7+ Yrs US Healthcare
Kolkata, India - 12:50 am local time
With over 7 years of focused experience in US healthcare, my expertise spans two high-demand specialties: Durable Medical Equipment and Pharmacy benefits. I don't dabble in everything. My work begins and ends with VOB and PA. That's it. No coding, no payment posting, no AR follow-up. Just fast, accurate, denial-proof authorization support that keeps your orders and prescriptions moving.
What Makes Me Different?
I'm completely software-agnostic. Whether you use Brightree, Kareo, AdvancedMD, Waystar, CoverMyMeds, RxBenefit Clarity, or a proprietary platform — I adapt. Give me a login and a short walkthrough, and I'll be fully productive within days, not weeks.
What I Deliver:
For DME Providers:
- Detailed benefits breakdowns (deductibles, co-insurance, out-of-pocket max)
- Prior authorizations aligned with Medicare LCDs/NCDs and commercial payer policies
- CMN, DIF, and 7-element order verification to eliminate front-end denials
For Pharmacy Providers:
- Formulary checks and drug-specific benefit breakdowns, including tier status
- Prior authorization submissions for brand, specialty, and compounded medications
- Step therapy and PBM guideline navigation (Express Scripts, OptumRx, CVS Caremark)
Results I've Delivered:
- 98% first-pass authorization rate across DME, Pharmacy, and Behavioral Health
- Reduced average PA turnaround time to under 24 hours for commercial payers
- Cut authorization-related denials by 35% through proactive documentation protocols
- Recovered $88K+ in denied authorizations through targeted appeals
What I Don't Do:
I don't code. I don't post payments. I don't manage full AR. My tight focus means you get a specialist who masters one thing, getting your authorizations approved.
Availability & Setup:
- HIPAA-compliant home office with high-speed internet and backup power
- US time zone availability (EST, CST, MST, PST)
- Ready to start immediately
- Hourly, per-case, or retainer, flexible to your needs
Message me. Let's talk about your authorization backlog and how I can clear it.
Steps for completing your project
After purchasing the project, send requirements so Suvraneel can start the project.
Delivery time starts when Suvraneel receives requirements from you.
Suvraneel works on your project following the steps below.
Revisions may occur after the delivery date.
Appreciation
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