Prior Authorization & Eligibility Verification
Prior Auth & Eligibility Verification Services
- Process optimization
- Coverage, eligibility and benefits verification
- Preparation and submission of all required paperwork
- Expert completion of appropriate criteria sheets and forms
- Follow up on pre-auth requestsÂ
- Patient account updates
According to a 2020 survey released by the American Medical Association, 94% of physicians report care delays due to an insurance company’s prior authorization requirements.Â
Benefits
Save time and reduce staffing costs with an expert-led, outsourced process
Prevent revenue loss from denied services due to missing or delayed prior authorizations
Gain transparency with 24/7 access to your submissions and statuses through a secure online portal
Avoid delivering unreimbursed services with real-time status and verification updates
Intuitive Dashboards and Real-time Analytics
Our system seamlessly integrates with any EHR or practice management (PM) system to extract calendar data and order requests. We handle submissions to payers electronically or via fax, depending on requirements. Through our user-friendly dashboards, you gain real-time visibility and actionable analytics—tracking every order from submission to approval with complete transparency.
Advantum Ai Platform Features
Full integration with all major EHR/PM systems
Bulk upload and download of orders and status results
24/7 secure portal with real-time dashboards
Centralized patient and order documentation
Multiple submission methods (EDI, fax, online)
Customizable user roles and permission settings
Calendar view with color-coded appointment and auth statuses

Why RCM Business Solution

Clear career development path and advancement opportunities

Competitive total rewards package including medical, dental and vision

401(k) with match

Rapidly growing company

Work with the best-of-the-best!

Culture of excellence, innovation and expertise
RCM Business Solution is an equal opportunity employer. We are committed to creating a workplace that is free from discrimination and harassment of any kind. Employment decisions are made without regard to race, color, religion, age, sex, national origin, disability, genetic information, veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by applicable federal, state, or local laws.
This policy applies to all aspects of employment, including recruitment, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
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We offer providers a clear financial advantage and scalability you can count on. Outperform the industry and competition with Advantum on your team.
Increased claims & revenue capture
Expedited processes & cash flow
Enhanced patient experiences
Reduced administrative burden