Nariah Pearsey

Healthcare revenue cycle professional specializing in front-end workflow accuracy, insurance access, and denial prevention for specialty practices. Experienced in prior authorizations, referrals, insurance verification, and payer requirement alignment, with daily responsibility for ensuring patients are fully cleared and compliant before date of service.

My work focuses on identifying and resolving missing or incorrect coverage elements early in the process to prevent downstream denials, delays, and rework. This includes reviewing CPT and diagnosis code alignment, verifying medical necessity requirements, and navigating payer-specific rules that directly impact scheduling readiness and reimbursement outcomes.

Skilled in Epic, Availity, and a multitude of payer portals, with hands-on experience coordinating between providers, front desk, billing, and insurance to close gaps in authorization, referral, and documentation workflows. Currently completing a Bachelor’s degree in Allied Health Management, with a background in medical coding and billing, and applying that knowledge in a real-world specialty practice setting.

• Managed high-volume referral release and authorization workflows, consistently processing 200+ monthly items across key front-end workqueues, with peak monthly volumes above 300 released referrals and nearly 300 authorized referrals.
• Processed high-volume referral release workflows with monthly output ranging from 214 to 323 items during peak production periods.
• Managed authorization activity with sustained monthly totals above 200, including peak months near 300 completed authorizations.
• Supported front-end scheduling readiness through consistent resolution of referral and authorization requirements across a specialty practice environment.
• Contributed to operational continuity by maintaining strong workqueue throughput across referral release and authorization functions.

• Remote
• Contract
• Consulting

Operational Impact

• Identifies and resolves missing referral, authorization, and verification elements prior to date of service to reduce preventable front-end denials
• Supports scheduling readiness by ensuring coverage, documentation, and payer requirements are aligned before patient visits
• Improves workflow consistency across front desk, provider, and payer communication through standardized notes and tracking methods
• Assists in preventing delays and reschedules by proactively catching incomplete or incorrect insurance information
• Handles complex insurance access issues using payer portals, escalation, and documentation review
• Serves as a central point for coordinating authorizations, referrals, and benefits across a multi-provider specialty setting

I help specialty practices reduce preventable front-end denials and improve scheduling readiness by ensuring patients are authorized, verified, and compliant before services are rendered.

I provide front-end revenue cycle support for practices that need stronger structure around insurance access, scheduling readiness, and denial prevention, ensuring patients are properly cleared before the visit to avoid preventable denials, delays, and rework.

What Support May Include

• Review and cleanup of referral and authorization workflows
• Insurance verification process improvement
• Identification of gaps causing missed approvals or incomplete scheduling
• Alignment of CPT, diagnosis, and payer requirements
• Standardized documentation and communication workflows
• Workqueue organization and follow-up structure

Ideal For

• Specialty practices with frequent referral or authorization issues
• Offices experiencing scheduling delays due to missing approvals
• Clinics dealing with preventable front-end denials

Engagement Style

• Monthly retainer-based support
• Workflow review and recommendations
• Ongoing operational support based on practice needs

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Engagements are structured based on workflow needs and availability. Limited retainer slots.

Tier 1 – Essential Support

• Light workflow support and guidance
• Review of referral, authorization, and verification processes
• Identification of common gaps affecting scheduling
• 3–4 hours/week structured support window

Investment:

$1,500/month

Tier 2 – Standard Optimization

• Active workflow improvement and ongoing support
• Authorization, referral, and verification workflow cleanup
• Payer requirement and documentation alignment
• Regular check-ins and process adjustments
• 5–6 hours/week structured support window

Investment:

$2,500/month

Tier 3 – High-Touch Support

• Deeper workflow restructuring and optimization
• Support across multiple workflow areas (auth, referral, verification)
• Priority review and communication
• More involved process improvement
• 7–8 hours/week structured support window

Investment:

$3,500 – $4,000/month

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For consulting inquiries, contact me directly to discuss scope, workflow needs, and retainer availability.

Limited retainer availability to ensure focused support.

What I Help Practices Improve

• Reduce preventable front-end denials
• Strengthen referral and authorization workflows
• Improve scheduling readiness before date of service
• Standardize documentation across payer and front desk touchpoints
• Resolve insurance access barriers more efficiently
• Support reimbursement integrity through stronger upstream operations

Helping specialty practices protect revenue by strengthening the front-end workflows that determine whether patients are cleared, compliant, and ready before services are rendered.