I resolve the insurance problems that stall PT and rehab clinics—denied claims, blocked authorizations, and benefit verification errors that cost practices revenue every week they go unfixed.
For nearly 3 years I've worked as a Benefit Verification Lead, handling Tricare, Aetna, BCBS, Cigna, UHC, Kaiser, and HMO plans daily. I don't just check "is this patient covered" - I catch the errors that get claims denied before they're ever submitted: mismatched copay fields, missing authorization overrides, and PT chart sign-offs blocked by incomplete Verification Benefit/Patient Payment Agreement Form entries. I know Tricare's authorization rules well enough to use the RADS Tool independently, which most VAs never learn.
Beyond verification, I've built the SOPs, trackers, and training systems my clinic now runs on—including the process documentation new hires learn from. If your practice needs someone who can walk in, understand your EHR and payer workflows, and start preventing denials instead of just processing paperwork, that's the gap I fill.
I work inside Raintree, Availity, and standard EHR/portal environments, and I'm comfortable being the point person other staff come to when a claim gets stuck.
If you're losing hours each week to insurance back-and-forth, message me—I'll tell you honestly whether I can fix it before we start.
