Outsourced Prior Authorization Specialists conduct can be assigned functions such as submitting and following-up preauthorization to various insurance companies.
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Businesses can outsource the Pre-authorization process, or Prior approvals, an important role in the revenue cycle management cycle.
Outsourced Prior Authorization Specialists conduct can be assigned functions such as submitting and following-up preauthorization to various insurance companies.
They conduct authorization checks such as whether authorization started online by accessing the database and conduct verification via phone, fax Clinicals/HPI, Physician peer-to-peer and determine and request any further documents are necessary.
Benefits of Outsourcing Prior Authorization
The time and effort spent by front desk/in-house Healthcare staff on administrative tasks such as waiting for an answer to an eligibility question or for a pre-authorization, can be delegated to a dedicated Offshore Healthcare team.
By assigning functions such as sending authorization requests, generating authorizations, and tracking expired specialty infusions authorizations & Rx Specialty Departments, the pre-authorization is more efficient, making sure other specialty care plans are processed with authorization and claims are processed properly.
By outsourcing prior authorization, healthcare providers can redirect their attention to delivering exceptional patient care. Reduced administrative burdens allow staff members to focus on building meaningful patient relationships, improving the overall patient experience, and delivering timely treatments.
Prior Authorization Outsourcing Case Studies
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