Outsource Prior Authorization

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What Are the Key Steps in Outsourcing Prior Authorization for Healthcare Providers?

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"Healthcare professional reviewing prior authorization documents with a digital workflow dashboard in the background."

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It’s 7:45 AM at Dr. Smith’s family practice, and the waiting room is already buzzing. But instead of prepping for patient consultations, Dr. Smith is huddled with his team, reviewing a stack of pending prior authorizations. A routine MRI for a long-time patient? Denied—missing one piece of documentation. A prescription refill for a chronic condition? Delayed—again. The administrative maze is overwhelming.

Prior authorizations, meant to control costs and prevent unnecessary procedures, have turned into a major barrier to timely care. For many clinics, they’ve become a daily headache. That’s when Dr. Smith starts to seriously consider the need to outsource prior authorization—and picks up the phone to call his old med school friend, Dr. Joe.

Doctor Dialogue:

Dr. Smith:
“Joe, I’m drowning in paperwork. Prior auths are taking up more of my team’s time than actual patient care.”

Dr. Joe:
“I’ve been there. That’s why we outsourced our prior auth process six months ago. Best move we ever made.”

Dr. Smith:
“Outsourced? Doesn’t that mean losing control?”

Dr. Joe:
“Not at all. We partnered with a specialized service that handles everything seamlessly—insurance checks, documentation, appeals if needed. They’re trained, fast, and we get real-time updates. My staff can actually focus on patients now.”

Dr. Smith:
“That sounds too good to be true. What are the steps to even get started?”

Dr. Joe:
“Surprisingly simple. Let me break it down for you.”

Industry Insight: The Prior Authorization

Prior authorizations now account for a significant portion of provider burnout and administrative overhead. According to the American Medical Association, 86% of physicians report that the burden of prior authorization is high or extremely high, and it’s estimated that the process costs healthcare providers $2.1 billion annually in staff time alone.

Outsourcing prior authorization has become a lifeline for overwhelmed practices, allowing clinical teams to reclaim their focus and reduce delays in patient care.

Staffingly’s Solutions:

Staffingly understands how critical—and painful—the prior authorization process can be. Here are the key steps healthcare providers follow when outsourcing prior authorizations through Staffingly:

Initial Assessment & Workflow Mapping
Staffingly begins by analyzing your current process to identify pain points and integration needs.
Customized Onboarding
A tailored team of trained remote medical professionals is assigned, familiar with your specialty and EMR systems.
Secure System Integration
Staffingly connects with your existing tools (EHR, billing software) to operate as a seamless extension of your team.
End-to-End Authorization Management
From insurance verification to documentation, submission, and follow-up, the Staffingly team handles it all.
Real-Time Communication & Reporting
You stay in control with live dashboards, alerts, and weekly performance updates.
Continuous Optimization
Staffingly reviews approval trends, payer requirements, and denial rates to ensure continuous improvement and compliance.

This structure ensures not only a smoother workflow but also a more efficient revenue cycle and enhanced patient experience.

Cost-Saving Benefits:

Outsourcing prior authorization with Staffingly can lead to:

Up to 70% cost savings compared to in-house staff costs
50% faster turnaround for approvals and appeals
Reduced clinician burnout by offloading time-intensive tasks
Improved patient outcomes through faster access to treatments
Scalable support during high-volume periods without hiring surges

What Did We Learn?

As Dr. Smith wraps up his call with Dr. Joe, he feels a sense of relief he hasn’t felt in weeks. The idea of unburdening his team from the endless back-and-forth with insurers? That’s not just a workflow upgrade—it’s a shift toward better care.

If your practice is feeling the strain of managing prior authorizations internally, now is the time to explore a smarter solution. Staffingly offers the expertise, efficiency, and cost-saving power to transform how your clinic operates—starting today

What People Are Asking?

Q1: What is prior authorization in healthcare?
A process where providers get insurer approval before delivering certain treatments or medications.

Q2: Why outsource prior authorization?
To reduce admin burden, speed up approvals, and free up clinical staff time.

Q3: What are the key steps to outsource prior auth?

Assess your current workflow
Choose a trusted outsourcing partner
Integrate with your systems
Transfer tasks (verifications, submissions, follow-ups)
Monitor results and optimize

Q4: Is outsourcing secure and HIPAA-compliant?
Yes, with reputable vendors like Staffingly, all processes are secure and compliant.

Q5: How much can providers save?
Up to 70% in costs, plus improved efficiency and reduced burnout.

Disclaimer

For informational purposes only; not applicable to specific situations.

For tailored support and professional services,

please contact Staffingly, Inc. at (800) 489-5877

Email : support@staffingly.com.

About This Blog : This Blog is brought to you by Staffingly, Inc., a trusted name in healthcare outsourcing. The team of skilled healthcare specialists and content creators is dedicated to improving the quality and efficiency of healthcare services. The team passionate about sharing knowledge through insightful articles, blogs, and other educational resources.