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Yes. Every engagement is covered by a signed Business Associate Agreement, staff work inside your systems under your access controls and audit logging, and delivery sites are SOC 2 Type II certified with quarterly HIPAA training for anyone handling patient data.

Requests get worked as they arrive rather than when someone has a free moment, and expiring authorizations are tracked before they lapse instead of after a claim is denied. Fewer stalled approvals means less rescheduling and shorter waits for treatment.

It can. Eligibility Verification Specialists confirm a patient’s coverage and benefits, which is normally the step before an authorization request. Pairing both roles in one team keeps eligibility questions from bouncing between desks.

No. These are non-clinical support roles: they gather and submit the documentation, chase the status, and record the outcome. Clinical criteria, medical necessity, and any peer-to-peer discussion stay with your licensed clinicians.

Yes. Prior Authorization Specialists start authorizations through payer portals and verify by phone or fax, supply clinical documentation when it is requested, and coordinate physician peer-to-peer reviews where a payer requires one.

Submits authorization requests to payers, follows them up, and tracks them so nothing lapses, including expiring specialty infusion and specialty pharmacy authorizations. That is the waiting-and-chasing half of the revenue cycle, handled by dedicated staff instead of your front desk.

Offshore medical data entry outsourcing typically runs at an average cost reduction of around 70% compared to an equivalent onshore hire once salary, benefits, and turnover costs are factored in (illustrative estimate; actual savings vary by role and location). Connext's model carries no upfront recruitment cost.