Prior Authorization Specialist
Every stalled authorization is a patient waiting and revenue sitting still. Get a certified, EHR-trained remote prior authorization specialist clearing your payer queue in 14 days.
Practice-Ready Onboarding
Vetted from top 3% of global healthcare talent.
Trained on your EHR (Epic, Athena, eClinicalWorks) and major payer portals before placement.
Submitting auths, chasing approvals and coordinating peer-to-peer reviews from day one.
142 Talent Profiles Live
Scope of work
Every function your practice needs, handled remotely within your EHR on your schedule.
Submits auth requests through payer portals accurately and on time.
Compiles medical necessity records required for each submission.
Tracks and chases pending authorizations with payers daily.
Schedules reviews between your providers and payer medical directors.
Reviews denied auths and files appeals with supporting documentation.
Renews ongoing authorizations before they expire.
Holds appointments until auth is confirmed before scheduling.
Documents all auth activity and status updates in your EHR.
Calls payers directly for benefit information and auth decisions.
No CVs from a database. Certified remote medical receptionists matched to your practice, your EHR and your hours.
Trained top talent
Four things that shift the moment a remote prior authorization specialist takes over your payer queue.
Auth Velocity
Submissions go out complete and on time. Follow-up happens daily.
Denial Rate
Clinical records gathered before submission. Appeals filed with full support.
Revenue Flow
Coverage confirmed before the visit. Claims go out clean and approved.
Provider Time
Your specialist handles payer communication so providers focus on patients.
Compare
Most providers give you a trained VA. We give you a compliant, office-based, credentialed hire inside a HIPAA-certified infrastructure.
Why us
Structural advantages that show up in your operations from day one.
Verified compliance that you can trust.
Secure, supervised facilities for talent.
Platform-trained before their first day.
BAA in place before first patient contact.
Replace at no cost if it doesn't work.
Consistent staff for smooth practice flow.
How it works
A straightforward process with no back-and-forth. Tell us what you need, we handle the rest.
Share your role, specialty and EHR. We scope the placement.
Vetted, certified candidates surfaced from our talent pool.
Review shortlisted talent on your schedule. No fees until you say yes.
EHR-ready, working your hours. Compliance and HR handled.
FAQ
A remote prior authorization specialist submits auth requests, gathers clinical documentation, tracks payer responses, coordinates peer-to-peer reviews, manages denials and appeals, and renews ongoing authorizations. They work inside your EHR and payer portals daily.
Yes. Every Outsentia Health placement operates within a HIPAA-certified, SOC 2 compliant infrastructure from a supervised office facility. A BAA is signed before your hire accesses any patient data.
Our specialists are trained on Athenahealth, eClinicalWorks, Epic, Tebra and AdvancedMD, and experienced with major payer portals including Availity and NaviMedix. If your system is not listed, confirm during your demo.
Most placements are deployed within 14 days. Shortlist by day 3, interview by day 7, live by day 14.
Practices typically save 70% compared to a full-time in-house hire. No setup fees, no placement fees, no payment until you hire.
We replace them at $0 cost. No additional fees, no delays. Your authorization coverage continues without interruption.
Book a demo
No setup fees. No placement fees. No payment until you hire. A certified, EHR-trained remote prior authorization specialist deployed in 14 days.