Prior Authorization Services
Faster Approvals • Fewer Delays • Better Patient Care
Reduce claim denials and patient waiting time with our comprehensive Prior Authorization Services — designed to simplify insurance approvals, improve efficiency, and help your practice get paid faster.
HIPAA-Compliant | 98 % Approval Success | Trusted Nationwide
Supporting Healthcare Providers Across the U.S.
Why Prior Authorization Matters
Insurance prior authorizations can consume hours of staff time and delay patient care. Every test, procedure, or prescription that requires payer approval can cause bottlenecks if not managed correctly — resulting in frustrated patients and delayed reimbursements.
At Expert Medical Billing Services, we handle the entire prior authorization process for you — from verifying medical necessity to coordinating with payers and tracking approvals.
Our expert team ensures compliance, accuracy, and speed, so you can focus on patient care while we handle the paperwork
How Our Prior Authorization Process Works
Verification of Requirements
Before services are rendered, we identify which procedures or treatments require authorization based on payer rules and patient plans.
Gathering of Clinical Information
Our team collects all supporting documents — including physician notes, lab results, imaging reports, and referral details — to meet payer requirements.
Submission to Insurance Payer
We complete and submit pre-authorization requests electronically or via fax/portal to insurance companies, following their specific formats.
Continuous Follow-Up
We track every submitted request, communicate directly with payers, and push for timely decisions to prevent patient delays.
Approval Confirmation & Documentation
Once approved, authorization numbers and validity dates are updated in your EHR or billing system for accurate claim submission and payment posting.
Common Authorization Challenges We Solve
Most healthcare practices struggle with authorization backlogs, unclear payer policies, and excessive denials.
Here’s how we fix them:
Unclear payer requirements: We maintain updated payer rules to ensure each request includes the right documentation.
Long approval times: Our follow-up team works daily with payer representatives to accelerate turnaround.
Missing clinical information: Automated checklists prevent incomplete submissions.
Denied authorizations: We identify root causes and re-submit appeals immediately.
Staff overload: We handle all administrative communication, freeing your team for patient care.
Inconsistent recordkeeping: Our system maintains an audit trail for every request, ensuring full visibility and compliance.
Specialties We Support
Specialties We Support
We support all major medical and dental EHR and billing platforms, including Athenahealth, Kareo/Tebra, eClinicalWorks, AdvancedMD, OfficeAlly, Epic, Cerner, OpenDental, Dentrix, Eaglesoft, CurveHero and more.
Cardiology
Endocranology
Neurology
Public Sector
Radiology
OB/GYN
Nephrology
Urology
What We Offer
We combine automation and human expertise for unmatched accuracy.
Our Authorization Tracking System integrates with your existing EHR or PMS to:
Flag procedures that require prior authorization automatically
Track pending requests in real time
Send alerts for expiring authorizations
Provide detailed payer-specific approval timelines
Maintain secure, HIPAA-compliant document storage
This intelligent workflow ensures no missed approvals, no expired authorizations, and no preventable denials.
Why Choose Expert Medical Billing Services
| Advantage | What It Means for You |
|---|---|
| 98 % Authorization Success Rate | Faster approvals, fewer delays |
| Full-Service Handling | Verification, submission, tracking, and follow-up |
| Trained Authorization Specialists | Experienced across all payer portals and EMR systems |
| Nationwide Coverage | serving all U.S. regions |
| HIPAA-Compliant Operations | Total patient data security |
| 24–48 Hour Turnaround | Faster responses for urgent cases |
Our prior authorization team becomes a direct extension of your practice, providing constant communication and transparency at every step.
Our Authorization Service Includes
- Eligibility and benefits verification
Determining authorization requirements per payer
Gathering and validating clinical documents
Submission of prior authorization requests
Payer communication and follow-up
Re-submission of denied authorizations
Documentation of approval numbers and dates
Updating EHR systems with authorization status
Authorization renewal tracking
Monthly reporting on approval trends and turnaround times
Get a Complimentary Financial Health Audit for Your Practice
Features You Can Rely On
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KPI Dashboard
- Visibility into performance indicator such as copays collected, AR per payors, denials, and cash flow in real time.
- View and evaluate your practice revenue to monitor your billing team’s performance.
- Overview of daily appointments and updated patient balances to improve collection at the time of service.
Check-In Validation
- Insurance and benefits eligibility is automatically validated in advance with real-time verification at check-in.
- The most up-to-date patient balance information is available on the scheduler. The system also prompts for copay collection to ensure collection at the time of service.
- Easily collect self-pay and copay via credit card, or other payment types, or quickly set up a payment plan if required—all to help your bottom line and improve financial results.
e-super Bill
Our e-super bill feature recommends the level of evaluation and management (E&M) code that will be appropriate against the provided information. It also outlines missing components, if any, for a particular level of E&M coding, greatly reducing the chances of up/down coding and eliminating the need to hire a separate coder to audit the level of documentation against each claim.
Advanced Reporting
With online reporting and analytics, you have complete financial visibility anytime, anywhere. Our medical billing software provides preformatted reports to measure your practice performance and highlight areas for improvement, as well as customized reports for insight into your unique pain points and performance initiatives.
Our Clients Are Making Healthcare Better
40 % Faster Authorization Turnaround
30 % Fewer Claim Denials
24–48 Hour Average Approval Window
Frequently Ask Questions
We manage prior authorizations for diagnostic imaging, lab tests, surgeries, medications, physical therapy, and specialist visits.
Most authorizations are completed within 24–48 hours, depending on payer response times and required documentation.
Yes, we integrate with all major systems like Athenahealth, Kareo, AdvancedMD, and eClinicalWorks for seamless updates.
Absolutely. Our dedicated team manages urgent cases with expedited payer communication and priority tracking.
No. While our offices are in Orlando, FL and Roanoke, VA, we serve healthcare providers nationwide through HIPAA-secure systems.
Contact Us
- (321) 594-2213
- info@expertmedicalbillingservices.com
- 915 N Hastings St, Orlando, FL 32808, USA
- 2239 Sherwood Ave SW. Roanoke, VA, 24015