Accelerate Prior Authorizations.
Eliminate Care Delays & Denials.
Stop letting clinical staff burn 25+ hours every week on hold with insurance companies, cross-referencing CPT/ICD-10 criteria, and chasing stalled approvals. Sagedoer provides vetted, HIPAA-compliant Prior Authorization VAs overseen by a Free Dedicated Healthcare Project Manager.
Active RCM Support Engine
Eligibility, Benefits & Criteria Verification
Real-time verification of deductible, co-insurance, and payer-specific clinical policy bulletins before services are rendered.
Dossier Assembly & Portal Submission
Extracting chart notes, labs, and imaging; generating clean submissions via CoverMyMeds, Availity, NaviNet, and Optum.
Status Tracking, Peer-to-Peer & Expedited Appeals
Aggressive follow-ups on pending cases, scheduling physician peer-to-peers, and drafting Level-1 denial appeals.
92%+
First-Pass Approval Rate
< 24 Hrs
Submission Turnaround
0%
Agency or Placement Fees
Up to 70%
Staffing Cost Reductions
What Your Sagedoer Prior Authorization VA Manages Daily
Medical billing delays directly hurt patient care and cash flow. Our specialized assistants carry deep familiarity with medical terminology, coding accuracy, payer policies, and clinical workflows:
Insurance Eligibility & Benefits (E&B)
Verify active patient coverage before scheduled procedures, surgeries, infusion therapies, or specialty medication dispensing.
- Deductible, co-pay, out-of-pocket, and lifetime cap verification
- Commercial (Aetna, BCBS, Cigna, UHC) & Medicare/Medicaid checks
- Identifying precertification mandates for in-office vs outpatient
CPT, HCPCS & ICD-10 Cross-Checking
Ensure procedural and diagnostic codes align with payer Local Coverage Determinations (LCDs) and National Coverage Determinations (NCDs).
- Audit CPT/HCPCS modifiers and medical necessity linkages
- Step-therapy and fail-first protocol documentation check
- Preventing denials caused by mismatched diagnostic sequencing
Clinical Dossier Compilation
Gather and format all necessary medical records from your EHR/EMR to substantiate medical necessity on initial submission.
- Pull progress notes, lab pathology, and radiology reports (MRI/CT)
- Compile Letter of Medical Necessity (LOMN) physician templates
- Redact sensitive non-pertinent PHI to comply with minimum necessary rules
Payer Portal Submissions & E-PA
Swiftly input and transmit complete authorization dossiers directly into specialized payer clearinghouses and portals.
- Proficient in CoverMyMeds, Availity, NaviNet, Optum, and Carelon
- Prescription e-PA for specialty biologic medications (Buy-and-Bill)
- Surgical pre-certifications and advanced imaging authorizations
Payer Follow-Up & Hold Time Handling
Relieve in-clinic staff from agonizing hold times. Our VAs track pending cases daily to secure authorization numbers fast.
- Daily log updates on authorization reference and approval numbers
- Contacting medical directors to expedite STAT / urgent reviews
- EMR chart documentation with valid date spans and units approved
Denial Triage, Peer-to-Peer & Appeals
Never let an adverse determination drop through the cracks. We immediately initiate resolution protocols.
- Coordinate and calendar physician Peer-to-Peer (P2P) conferences
- Draft Level-1 administrative and clinical appeal packets
- Re-submit with missing clinical evidence before deadlines expire
EHRs, Portals & Clearinghouses Our VAs Operate Out-of-the-Box
No training curve. Our virtual assistants adapt instantly to your clinic's existing electronic medical record and clearinghouse workflows.
How It Works: In 4 Simple Phases
No recruiters, no temp agency retainers, and zero onboarding fees. An organized revenue cycle workflow managed by a dedicated Project Manager from day one.
Submit Requirements
Share your practice specialties (Orthopedics, Oncology, Cardiology, Imaging, Surgery), daily PA volume, and primary EHR systems via Email, WhatsApp, or Contact Form.
Finalise the Deal
Our dedicated project manager promptly connects with your practice administrator to review turnaround targets, confirm HIPAA security compliance, and finalize SOPs.
Expert Execution
Your project manager oversees daily queues, ensures authorization dossiers are submitted with verified clinical notes, and tracks payer SLAs to prevent patient treatment delays.
Pay Only for Output
We log and charge exclusively for the virtual assistant's actual working hours. Your dedicated project manager's supervision, onboarding, and QA are 100% free.
Traditional Medical Staffing vs. Sagedoer Managed VAs
Why busy medical practices, surgery centers, and multi-specialty clinics choose Sagedoer over expensive staffing agencies.
| Evaluation Metric | Traditional Staffing & Freelance Portals | The Sagedoer Advantage |
|---|---|---|
| Hourly Rates & Markups | $28–$45/hr domestic agency costs or heavy platform commissions. | Predictable rates from $6/hr with 0% markups or fees. |
| Operational Supervision | Your practice manager must micromanage every submission and call log. | Dedicated Project Manager acts as your single point of contact. |
| HIPAA & Data Security | Unvetted freelancers often lack HIPAA training and signed security agreements. | Strict HIPAA compliance protocols, secure VPN protocols, and BAA support. |
| Deployment Speed | Weeks spent screening resumes and testing medical coding basics. | Rapid deployment in 24–48 hours with pre-screened specialists. |
| Billing Transparency | Complex agency retainer contracts with minimum annual commitments. | Transparent USD invoicing with centralized time-tracking logs. |
| Staff Turnover & Coverage | Unexpected staff resignations stall urgent patient surgeries and treatments. | Immediate bench backup with zero interruption to active queues. |
Simple, Predictable Hourly Rates
No long-term contracts, no recruitment retainers, and no hidden overhead. Dedicated Project Manager supervision is included 100% free.
Part-Time Specialist
Est. $560 USD / Month (4 Weeks)
Full-Time Dedicated
Est. $960 USD / Month (4 Weeks)
What Practice Administrators Say About Sagedoer
Real reviews from multi-specialty clinical directors and revenue cycle managers
"Our orthopedic surgeons were experiencing endless delays waiting on MRI and surgery authorizations. Our Sagedoer VA slashed approval turnarounds from 8 days down to under 48 hours."
Dr. Robert Hayes, MD
Managing Partner, Orthopedic Group, FL
"Having a Dedicated Project Manager who audits CoverMyMeds submissions and manages payer hold times freed up our on-site nursing staff. The $6/hr rate saved us over $45k annually."
Melissa Peterson
Revenue Cycle Director, Oncology Center, TX
"Denials used to sit in our AthenaHealth queue until deadlines expired. Sagedoer's assistant identifies missing clinical documentation immediately and calendars P2P calls without friction."
Carlos Santana
Clinic Administrator, Neurology Associates, CA
"Our orthopedic surgeons were experiencing endless delays waiting on MRI and surgery authorizations. Our Sagedoer VA slashed approval turnarounds from 8 days down to under 48 hours."
Dr. Robert Hayes, MD
Managing Partner, Orthopedic Group, FL
"Having a Dedicated Project Manager who audits CoverMyMeds submissions and manages payer hold times freed up our on-site nursing staff. The $6/hr rate saved us over $45k annually."
Melissa Peterson
Revenue Cycle Director, Oncology Center, TX
Frequently Asked Questions About Prior Auth VAs
Specific operational details on HIPAA compliance, credentialing, EMR access, and appeal procedures.
How do you maintain strict HIPAA compliance and Protected Health Information (PHI) security?
All Sagedoer healthcare assistants complete accredited HIPAA privacy and security training. We operate under Business Associate Agreements (BAA), access your EHR via secure virtual private networks (VPN) or restricted remote desktop instances, and enforce strict screen-recording, zero-download, and encrypted credential protocols. No PHI is ever stored locally on unauthorized devices.
Which medical specialties and procedures are your Prior Auth specialists experienced with?
Our specialists handle complex authorizations across high-volume medical fields including Orthopedics & Spine, Oncology (chemotherapy & specialty biologics), Cardiology, Pain Management, Advanced Radiology (MRI/CT/PET scans via Carelon/eviCore), Dermatology, Mental Health/PHP, and Durable Medical Equipment (DME).
How does the VA coordinate Peer-to-Peer (P2P) discussions for our physicians?
When an initial authorization is routed for medical review or denial, your VA contacts the payer’s medical director review unit, gathers the case reference number and clinical denial rationale, cross-references your doctor’s clinical calendar, schedules the peer-to-peer call, and prepares an organized one-page briefing document with relevant chart citations.
Can the VA work directly inside our existing EHR and clearinghouse portals?
Yes. You provide restricted role-based user logins to your EHR (e.g., Epic, AthenaHealth, eClinicalWorks, Kareo, Cerner, NextGen) and payer portals (Availity, CoverMyMeds, NaviNet, Optum). Your VA works entirely within your approved infrastructure and logs every status note directly into the patient chart.
How does the free Dedicated Project Manager benefit our medical practice?
Your Project Manager monitors submission turnaround times, tracks daily first-pass approval percentages, conducts quality checks against missing chart attachments, and manages cross-coverage if an assistant is unavailable. You never spend administrative hours managing remote staff, and PM supervision is 100% free.
Ready to eliminate Prior Authorization backlogs?
Schedule a 30-minute practice consultation with our clinical operations team or message us directly via WhatsApp. We will audit your current authorization volume and assign a dedicated Prior Auth specialist within 48 hours.
Request Prior Authorization Specialist
Tell us your medical specialty, primary EHR, and weekly authorization volume. We respond within 15 minutes.
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