Hire a prior authorization coordinator
Authorizations done, before the visit.
Prior authorizations stall care and eat staff time. We find a coordinator who submits each request, tracks it and follows up until there's an answer.
What one full-time prior authorization coordinator costs you a year
Source: US Bureau of Labor Statistics ("Medical Secretaries and Administrative Assistants"). Try your own numbers →
Sound familiar?
Problems this solves.
The job
What your coordinator does
Requests submitted
Through portals, fax or phone, with the right notes attached.
Tracking
Every open request tracked against its due date.
Follow-up
Payers chased until there's an approval or a clear reason.
Renewals
Expiring authorizations flagged and renewed in time.
Patient updates
Your team and patients kept informed.
Denial hand-off
Refused requests passed on for appeal with the full history.
- Prior authorization experience with US payers
- Knowing what each payer asks for
- Payer portals and phone follow-up
- Careful with clinical notes and deadlines
- Clear spoken English
- Willing and able to work your clinic's hours
FAQ
Questions about this role.
Do they make clinical decisions?
No. They know what payers ask for. Your providers own every clinical decision.
Can they also check eligibility?
Yes. Many practices combine the two in one hire.
See also
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