“A Positive Impact on Our Overall AR” How a Dermatology Practice Improved Verification, Prior Auth, and AR with Staffingly
This outsourced revenue cycle management and prior authorization success story covers Derm 360, a Miami dermatology practice whose accounts receivable was falling behind, whose eligibility verification delays were creating claim denials, and whose prior authorization backlogs for Mohs surgery, biopsies, and cosmetic procedures kept growing. Staffingly, a HIPAA-compliant healthcare BPO, delivered a dedicated remote team of five trained specialists — named specialists, not a shared offshore pool — who turned things around.
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Google Reviews From Providers Who Trust Staffingly
• Nov 14, 2024
A multi-location dermatology practice in Miami that partnered with Staffingly for prior authorization, eligibility verification, and AR management, then praised the results in a public Google review.
Running a dermatology practice that covers medical, surgical, cosmetic, and pediatric services means the billing and authorization side is relentless. Mohs surgery needs prior auth. Biopsies need prior auth. Cosmetic procedures need eligibility confirmed before the patient sits down. And if your AR is not managed daily, revenue slips through the cracks faster than you can keep track of it.
Derm 360 is a multi-provider dermatology practice with locations in Miami and Coral Gables, serving patients across Miami-Dade County. Dr. Mercedes E. Gonzalez, Dr. Kristin Haushalter, and Dr. Edward Gross see patients across a broad range of dermatology services, which means the billing team deals with complex payer mixes, varying authorization requirements, and a constant stream of eligibility checks.
When the practice needed to get prior authorizations, eligibility verification, and AR management under control, they turned to Staffingly. Five dedicated team members were assigned to handle their revenue cycle operations, and the results showed up in both the numbers and in Sheryl Larkin’s public Google review.
That is why Derm 360 chose Staffingly. And it is why their billing coordinator took the time to leave a five-star Google review praising the impact on their AR and authorization workflows.
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If you run a dermatology practice, you know the revenue cycle side never stops. Every Mohs surgery needs prior authorization. Every biopsy needs eligibility confirmed. Cosmetic procedures need verification before the patient is even scheduled. And when your AR starts aging because follow-ups are not happening fast enough, the revenue gap compounds week after week.
That is exactly what was happening at Derm 360. With three providers seeing patients across medical, surgical, cosmetic, and pediatric dermatology, the volume of prior authorizations, eligibility checks, and AR follow-ups was more than the in-house billing team could keep up with. Claims were aging, authorizations were delayed, and the billing coordinator was stretched thin trying to manage it all. What they needed was a dedicated team that understood dermatology billing workflows, could handle prior authorizations and eligibility verification at volume, and could actively manage AR so revenue stopped slipping through the cracks. Three failure modes kept repeating.
AR aging beyond 90 days
Growing accounts receivable was falling behind because follow-ups were not happening fast enough, and the revenue gap compounded week after week.
Eligibility verification delays
Constant eligibility verification delays were creating claim denials, with coverage needing to be confirmed before every visit across multiple payer types.
Prior auth backlogs stacking up
Three providers were generating prior auth requests daily, and authorizations for Mohs surgery, biopsies, and cosmetic procedures kept piling up.
Financial exposure: According to MGMA data, revenue cycle inefficiency is one of the top financial drains on specialty practices. Dermatology deals with high volumes of prior authorization requirements, complex payer mixes across medical and cosmetic lines, and AR that ages quickly when follow-ups are inconsistent — and aging AR is the number one revenue leak in dermatology practices.
Staffingly assigned five dedicated team members to Derm 360, trained specifically for dermatology revenue cycle workflows including prior authorization, eligibility verification, and accounts receivable management. The five specialists are assigned exclusively to the practice’s account — a dedicated remote team, not a shared pool — so each person knows the practice’s workflows, payer requirements, and provider preferences.
Staffingly also assigns a dedicated team lead, Gokul, who manages the Derm 360 account and ensures quality and turnaround targets are met. The practice has direct communication with their team, and Staffingly’s support stays involved through every phase of the engagement. That consistency is why the billing coordinator called the team “patient and knowledgeable employees.”
Prior authorization for dermatology procedures
Mohs surgery, biopsies, phototherapy, and certain cosmetic procedures all require prior auth from payers. Staffingly’s team handles the full PA workflow from submission to follow-up, so procedures are not delayed waiting on authorization approvals.
Eligibility verification
Before every patient visit, the team verifies insurance eligibility, checks benefits and copay details, and flags coverage gaps. For a practice with medical, surgical, and cosmetic service lines, catching eligibility issues upfront prevents denials downstream.
Accounts receivable management
AR aging is one of the biggest revenue leaks in dermatology. The team actively works the AR, following up on outstanding claims, appealing denials, and ensuring payments are collected within target timelines. Sheryl Larkin confirmed the positive impact on their overall AR.
Compliance posture: HIPAA · SOC 2 Type II · ISO 27001 · HITRUST · BAA signed at onboarding. Encrypted VPN connections keep sensitive patient records and billing data protected at every step. The dedicated remote team works inside the practice’s own systems under role-based access — not a shared offshore pool.
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Here is the thing about Google reviews for healthcare outsourcing partners. Billing coordinators at busy dermatology practices do not leave reviews unless the service made a measurable difference in their revenue cycle. Most outsourcing relationships are transactional. You pay, they process, nobody talks about it publicly. When a billing coordinator who manages AR, verification, and prior auth for a multi-provider dermatology practice goes out of her way to leave a five-star review and specifically calls out the impact on AR and authorizations, that says something about the results.
That is exactly what happened with Derm 360 in Miami, FL. Sheryl Larkin, the billing coordinator who works with Staffingly’s team on prior auth, eligibility verification, and AR management across the practice’s locations, had this to say.
“Staffingly has made a positive impact on our overall AR, verification as well as prior authorization. Patient and knowledgeable employees.”
Here is the step-by-step process that took Derm 360 from AR backlogs and authorization delays to a simplified revenue cycle with a dedicated Staffingly team.
AR Management Cannot Be a Side Task
When your billing coordinator is juggling AR follow-ups alongside prior auths and eligibility checks, things fall through the cracks. Aging AR is the number one revenue leak in dermatology practices. Having a dedicated team working your AR daily means claims get followed up, denials get appealed, and payments come in faster.
Prior Auth Delays Kill Your Schedule
Mohs surgery, biopsies, phototherapy, and many cosmetic procedures require prior authorization. When auths are delayed, procedures get rescheduled, patients get frustrated, and revenue gets pushed out. Derm 360 solved this by having Staffingly’s team handle PA submissions and follow-ups so procedures stay on schedule.
Eligibility Verification Prevents Denials Before They Happen
For a dermatology practice with medical, surgical, and cosmetic service lines, verifying eligibility before the appointment is essential. Catching coverage gaps, expired policies, and benefit limitations upfront prevents claim denials and billing surprises that eat into your revenue.
Dedicated Team Members Make the Difference
Derm 360 has five Staffingly team members who know their payers, their providers, and their workflows. Sheryl Larkin called them “patient and knowledgeable employees.” That consistency comes from having dedicated staff who learn your practice, not a rotating pool of contractors who start over every time.
The Impact Shows Up in the Numbers
When your billing coordinator publicly says Staffingly made “a positive impact on our overall AR, verification as well as prior authorization,” that means the numbers moved. Billing coordinators do not leave Google reviews unless the results are real and measurable in the practice’s revenue.
70% Cost Savings vs. Hiring In-House
Hiring five full-time billing staff in Miami, FL would cost well over $200,000 per year with salaries and benefits. Staffingly’s dedicated Pre-RCM team is a flat $349 per week per specialist at the 5+ volume tier ($399/week for a single specialist, $299/week for 10+) with no overhead, no benefits costs, and no long-term contracts. And as this case study shows, the quality is high enough that the billing coordinator publicly endorsed the results.
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Let us talk about what happens when a busy dermatology practice stops trying to manage the entire revenue cycle with an overwhelmed in-house billing team and brings on dedicated Pre-RCM support.
When you have three dermatologists seeing patients across medical, surgical, cosmetic, and pediatric dermatology, the billing volume is relentless. Prior authorizations for Mohs surgery and biopsies need to be submitted and tracked. Eligibility has to be verified before every visit across multiple payer types. AR needs daily follow-up or claims age past the point where they can be collected efficiently. At Derm 360, Sheryl Larkin was managing all of this as billing coordinator, and the workload was outpacing what the in-house team could handle.
The operational impact of having five dedicated Staffingly team members goes beyond just having extra hands. When prior auths are submitted and followed up on proactively, procedures stay on schedule. When eligibility is verified before the patient arrives, there are fewer claim denials. When AR is worked daily with consistent follow-up, the practice’s cash flow stabilizes.
What Does This Mean for Practices Like Yours?
According to MGMA data, revenue cycle inefficiency is one of the top financial drains on specialty practices. Dermatology specifically deals with high volumes of prior authorization requirements, complex payer mixes across medical and cosmetic lines, and AR that ages quickly when follow-ups are inconsistent. Outsourcing PA, EV, and AR management to a trained team is how practices recover revenue without hiring more full-time staff.
That is why Sheryl Larkin’s Google review matters. When a billing coordinator publicly says Staffingly made “a positive impact on our overall AR, verification as well as prior authorization,” it means the revenue cycle is actually improving in measurable ways, not just on paper.
How does outsourcing dermatology RCM and prior authorization change the numbers?
Model from this engagement: 5 dedicated Pre-RCM specialists at a flat $349/week each (5+ volume rate) vs $20–28/hr plus benefits for in-house Miami billing staff. Run it with your numbers →
full-time in-house billing staff
assigned to Derm 360
surgical, cosmetic, and pediatric services
practice’s billing coordinator
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Dan Nandan is the CEO of Staffingly, Inc. With 25+ years in IT consulting and IT staffing, and a decade in healthcare outsourcing, he was one of the few to establish an RPO/BPO operation in India over 20 years ago. Today his work centers on AI-driven healthcare workflows and helping practices across North America cut administrative costs without compromising care.
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Bincy Shiiju Kuriakose is a Clinical Content Reviewer at Staffingly, Inc. and a U.S. Licensed Registered Nurse (MSN, RN). NCLEX-RN certified with expertise in hospital nursing, telehealth, and nursing education, she is also a PhD scholar in Nursing. Bincy reviews every service page for medical accuracy, compliance, and evidence-based best practices.
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