A full-time verification specialist who handles eligibility checks, benefits breakdowns, and pre-certifications exclusively for your practice — through Edge's managed talent platform. No shared call center. Your team member.
When eligibility isn't verified before the appointment, your practice absorbs the cost. A dedicated verification specialist eliminates surprises.
Every Edge professional is certified through Edge Edu (only 2-4% of applicants pass) and works from a secured campus with enterprise equipment.
Real-time insurance status checks, active coverage confirmation, effective dates, termination alerts
Detailed benefit summaries, copay/coinsurance/deductible amounts, in-network vs out-of-network, frequency limitations
Pre-cert requirement identification, authorization request initiation, approval tracking, expiration monitoring
Out-of-pocket cost calculations, financial counseling prep, payment plan recommendations
CDT frequency limitations, annual maximum tracking, waiting period verification, predetermination management
Primary/secondary insurance identification, COB verification, dual coverage processing
| Feature | Hire Through Edge | Verification Company | Front Desk Staff |
|---|---|---|---|
| How it works | Your own dedicated specialist | Shared team, batch processing | Squeezed between other duties |
| Cost | 60-70% less than in-house | Per-transaction fees add up | Part of salary but costly inefficiency |
| Turnaround | Same-day, real-time | 24-48 hours typical | When they have time |
| Medical + Dental coverage | Both — one specialist | Usually medical-only | Depends on training |
| HIPAA compliance | Built-in: campus, VPN, BAA | Varies | Your responsibility |
| Capacity | 30-50 verifications/day | Depends on volume tier | 5-10 between other tasks |
| Replacement guarantee | $0 cost, 7-day replacement | No personnel guarantee | Restart hiring |
"I consider Edge a concierge-level business. The talent they provide is trained, professional, and ready. My practice efficiency increased 30% within the first month."
DHR Health hired 75 dedicated professionals through Edge — including verification specialists who handle eligibility checks across 13 departments. Each specialist works exclusively for DHR, not a shared verification service.
An insurance verification specialist confirms patient insurance coverage before appointments. They check eligibility status, break down benefits (copays, deductibles, coinsurance), identify pre-certification requirements, calculate patient responsibility estimates, and flag coverage issues before they become claim denials. Your specialist works full-time, exclusively for your practice.
Yes. Edge professionals are trained on both medical and dental insurance verification through Edge Edu. This includes medical benefits, dental frequency limitations, annual maximums, waiting periods, and CDT-specific rules.
A dedicated Edge verification specialist typically processes 30-50 verifications per day, depending on complexity. This frees your front desk from 3-5 hours of daily phone hold time with payers.
Edge specialists are trained on Availity, Trizetto, Waystar, payer-specific portals, and all major practice management systems. They work within your existing workflow — no new software required.
Every Edge professional works from a secured campus with HIPAA-grade VPN, encrypted connections, and biometric access. They access patient data through the same secure channels your in-office staff would use. Edge provides the BAA and manages compliance infrastructure.
Edge clients save 60-70% compared to hiring a local verification specialist. The flat monthly fee includes salary, benefits, equipment, compliance infrastructure, and replacement guarantee — no hidden costs.
Book a 15-minute call. We'll match you with a pre-vetted, certified professional in 7 days.
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