Outsourced Prior Authorization Specialists conduct can be assigned functions such as submitting and following-up preauthorization to various insurance companies.
THE CONNEXT DIFFERENCE
Outsource Prior Authorization with Connext
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.
With efficient pre-authorization processes in place, patients experience shorter wait times, reduced rescheduling, and increased access to necessary treatments, leading to higher patient satisfaction levels.
Outsourcing pre-authorization to dedicated service providers ensures access to a team of experts who possess in-depth knowledge of insurance protocols and requirements. These professionals stay up to date with the latest industry trends and regulatory changes, minimizing errors and increasing the likelihood of successful claim submissions. As a result, healthcare organizations can maintain compliance, reduce claim denials, and expedite reimbursements.
Outsourcing pre-authorization allows providers to streamline the approval process, resulting in faster claims submission and reduced reimbursement delays. By partnering with experienced outsourcing companies, healthcare organizations benefit from their advanced technological infrastructure, automated workflows, and optimized processes.
Outsourcing pre-authorization enables healthcare providers to reclaim valuable time and resources that were once consumed by the labor-intensive task of managing prior approvals. By partnering with specialized outsourcing companies, providers can delegate the responsibility of obtaining pre-authorization to experienced professionals. This enables internal staff to focus on core tasks, such as patient care and revenue generation, resulting in a significant boost in overall operational efficiency.
Managing pre-authorization in-house involves significant overhead costs, including staffing, training, and software investments. Outsourcing pre-authorization eliminates the need for these expenditures, as providers can leverage the expertise and infrastructure of external service providers.
Prior Authorization Outsourcing Case Studies
We continue to help and educate at all levels of the back office services industry
Dedicated outsourced credentialing support: Customized Staffing Solutions
Get The Ultimate End-To-End Client Experience.
Contact Us and Get A Custom Solution: Outsource Credentialing
GET IN TOUCH
Customize your Offshore Team
Connext Back Office Outsourcing
Outsource your back office
Connext Customer Service Outsourcing
Outsource your customer service
Connext Accounting Outsourcing
Outsource your accountants and CPAs
Connext Virtual Assistants
Outsource your administrative tasks
Connext Healthcare Outsourcing
Outsource medical billing, coding, eligibility, and nursing
Connext IT Outsourcing
Outsource development, design, and automation
Outsource to Connext
Outsource to experts
Outsource to Latin America with Connext
Outsource to experts in Latin America
