Front Desk Support

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Front Desk RCM Support

Our front desk support services are designed to streamline the administrative spine of your practice. Our payer communications management prevents bottlenecks at the point of patient intake, reduces claim denial and accelerates reimbursement before the service itself is even performed. With decades of RCM experience behind us, we plug directly into your scheduling and EHR systems to eliminate front-end denials for every patient visit from the very first day.

This kind of pro-active approach helps in avoiding the revenue leakages at the front end. While you and your clinical team are working hard to provide care, we spend our time verifying coverage, obtaining authorizations and documenting final medical necessity.

Prior Authorization Services

Manage the entire prior authorization process by getting approval before patient arrival and also reducing denial claims along with last-minute cancellations.

Eligibility and Benefits Verification

Immediate validations of coverage, deductible and limits. Reduce Billing Surprises By Confirming Patient Financial Responsibility At The Front-End.

Contact Insurance / PCP Coordination

Single point of contact for payers and the PCP. Collect referrals, verify authorizations and address eligibility gaps prior to service.

Final Determination of Services Rendered

Check authorization vs actual service code. Final determination delivery to payers with first-claim adjudication protection.

Our front desk support team at AdvancedMD Medical Billing is trained for medical billing complexities.

Certified coders and authorization specialists

99% prior approval success rate

Ongoing Work with Payer Follow Up — Document audits

Immediate verification of eligibility for walk-in or add-on visits

Integration with Athenahealth, Epic/Cerner/Kareo

Q1. In Practice, How Long Does a Prior-Authorization Take?

Typical for commercial insurers 3–7 business days. Medicare, and a few plans can take up to 14 days. We start immediately after scheduling.

Q2. Across all types of insurance, do you check for eligibility?

Yes. We verify eligibility with Medicare, Medicaid, commercial plans and Marketplace along with Tricare, workers' comp — all PCP referral requirements.

Q3. What happens if insurance changes between the time a patient is verified and when they come for visit?

We reverify eligibility 48 hours before each scheduled visit. If we find any change then in the next moment we re-run benefits and of course in this case we have to update the authorization.

Q4. How do you proceed with the final determination of services performed?

We compare billed procedure codes against what was authorized, identify discrepancies and make a payment determination for payer submission before claims are submitted.

Q5. Are you able to get retro-authorizations for urgent or walk through occurrences?

Yes. For urgent/same-day services, we send an expedited retro-authorization request along with the clinical documentation within 72 hours.

Q6. What do you need from our practice in order to get started?

Practice NPI, Tax ID, payer contracts, access to scheduling and EHR login. We have a Business Associate Agreement in place and can start intake within 48 hours.

"Since partnering with AdvancedMD RCM, our practice's denial rate has dropped by over 40%. Their coding team is meticulous, and the patient help desk has cut our front desk call volume in half. Truly a game‑changer."

— Dr. Sarah Mitchell, Family Medicine

"Credentialing used to take us months. AdvancedMD RCM handled everything from enrollment to out‑of‑network billing, and we started seeing clean claims within weeks. I finally have time to see patients again."

— Dr. James Carter, Orthopedic Surgery

"Their virtual medical assistant and A/R services saved us from a six‑figure backlog. The team is responsive, transparent, and actually understands revenue cycle management from start to finish."