Prior Authorization Outsourcing Services for U.S. Healthcare
Prior Authorization Outsourcing Services for U.S. Healthcare
Faster Approvals. Fewer Denials. Save Up to 70%.
Prior authorization is one of the most time-consuming challenges in U.S. healthcare. Physicians, clinics, and billing teams spend countless hours coordinating with payers to approve treatments, tests, and medications. Delays or errors often lead to denials, revenue loss, and patient dissatisfaction.
At Offshore Staffings, we provide prior authorization outsourcing services tailored for U.S. healthcare providers. Our offshore teams from India manage authorization requests, payer follow-ups, and documentation with accuracy and speed — helping you save up to 70% in staffing costs.
🌟 Why Outsource Prior Authorization?
💰 Cut Costs by Up to 70% compared to in-house staff.
⏱ Faster Turnaround Times — approvals processed efficiently.
🔒 HIPAA-Compliant Workflows (HHS.gov).
📑 Knowledge of U.S. payer requirements (CMS.gov).
📈 Fewer Denials with accurate documentation.
👩⚕️ Improved Physician Efficiency by reducing admin workload.
📋 Our Prior Authorization Services
Gathering patient and insurance details
Preparing and submitting prior authorization requests
Coordinating with insurance companies and payers
Tracking request status and managing follow-ups
Denial management and resubmission
Documenting and updating EHR systems
👩⚕️ Who Benefits from Outsourcing Prior Authorization?
Hospitals & Health Systems
Physician Practices
Specialty Clinics
Telemedicine Providers
Medical Billing & RCM Companies
🔑 In-House vs. Offshore Prior Authorization
| Feature | In-House Authorization Team | Offshore Authorization Outsourcing |
|---|---|---|
| Cost | $4,000–$6,500/month | Up to 70% lower |
| Speed | Limited capacity | 24/7 processing & follow-ups |
| Compliance | Requires internal HIPAA setup | HIPAA-compliant by default |
| Denial Rate | Higher risk due to workload | Lower denials via accuracy & QA |
✅ Result: Offshore prior authorization reduces costs, speeds up approvals, and helps providers deliver care without delays.
📢 Get Started Today
With Offshore Staffings Prior Authorization Outsourcing Services, U.S. healthcare providers can reduce costs, speed up approvals, and improve patient satisfaction.
Prior Authorization Services at Offshore Staffing
Our staff seamlessly works with you to reduce your workload on the time-consuming health insurance pre-authorization process. We can assist your organization as an extended staff to streamline your prior authorization process to increase revenues while saving 70% in staffing costs. You can opt for a single outsourced staff member for your prior authorization process support, or we can also help with team sourcing for large-volume healthcare providers. Learn more about best practices in health insurance prior authorization from the American Health Insurance Plans (AHIP).
As a healthcare provider, you should focus on patient care and maximize revenues. Unfortunately, the insurance pre-authorization or prior-authorization process requires several person-hours and constant follow-ups to avoid issues with carriers and denials.
Serving as your employees
Our staff can act as an extended arm to support the prior-authorization process, reporting to you. Every PA staff member becomes a part of your workforce, serving as your employee so you can always provide exceptional patient care and support. Fortunately, for a fixed hourly or monthly fee without the hassles of payroll, benefits.
Background of our Staff – Know your hires!
Our Staff members possess exceptional communication skills with educational backgrounds in healthcare, nursing, and pharmacy. Many hold master’s Degrees in Healthcare and Doctorates in Pharmaceutical Sciences, including United States licensed pharmacists on staff.
Avoid common challenges of the prior-authorization process
According to the 2019 AMA PA physician survey, almost 91% of patients experience delayed treatment due to delays in the PA process. These delays resulted in serious problems, rehospitalization, and patient treatment interruptions, which increased the healthcare cost of the payer and the patients.
Our experienced and trained staff will help overcome the delays in determining PA requests. Our PA specialists and coders are crucial in submitting the appropriate data for claim approvals.
The 360 Degrees of pre-authorization process
Our staff has the necessary experience and knowledge to handle the prior-authorization process.
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- Receive patient schedules from the provider.
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- Jump into action as soon as patient data is transmitted/received.
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- Entry of patient demographic information
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- Verification of coverages and benefits from the patient’s primary and secondary payers
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- Utilize proper ICD and CPT codes to avoid delays and eliminate denials
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- Initiate prior authorization process to obtain an approval
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- Update the provider’s RCM (Revenue Cycle Management) System
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- Verify and Process denials for resubmission
Benefits of outsourcing Prior Authorization Services.
Offshore Staffing is one of the best prior authorization service providers with years of experience, our founders and advisors have expertise and background in outsourcing staffing services and healthcare.
Pre-authorizations performed through an outsourced service are facilitated between your clinic and the payer by a third party, which is exactly what it sounds like (such as insurance companies or Medicaid). To get prior authorization for inpatient and outpatient operations and pre-certifications for hospital admissions, the third-party organization gathers patient information from your practice.
The fact that an outsourced pre-authorization service has created a centralized and streamlined procedure that tends to reduce any patient data inaccuracies is a benefit of their services. They specialize particularly in this type of work, so they are highly knowledgeable about the procedure and what needs to be done – unlike physicians and nurses who are attempting to balance this with the rest of their work!
An outsourcing firm will take care of tasks like:
- The end-to-end pre-authorization process
- Any necessary follow-up, for instance, if the doctor needs to provide further details for the pre-authorization.
- Appeals against rejections, where appropriate.
Outsourcing the pre-authorization procedure is one way to free yourself from all the hassles.
Lower Operational Costs
Our outsourcing services are very affordable rates compared to local wages in the United States, Canada, and United Kingdom. We guarantee that you are operational 24/7 with up to 70% savings in staffing costs.
Data Security
We ensure that patient and other data is completely safe and secure.
HIPAA Compliance
Before we execute a contract for services, we first sign a HIPAA agreement to ensure that all the patient data is safe and not exposed to employees or third parties for misuse.
Maximize your Revenues
Our expertise in the process ensures that there are no write-offs or denials so you can maximize revenues.
Frequently Asked Questions — Prior Authorization Outsourcing (USA)
Q1: What is prior authorization in U.S. healthcare?
Prior authorization is the process of obtaining approval from insurance providers before delivering certain medical services, procedures, or prescriptions. It ensures that the treatment is covered and helps prevent denied claims.
Q2: Why should healthcare providers outsource prior authorization?
Outsourcing reduces the administrative burden on physicians and staff, speeds up approval times, and lowers costs by up to 70% compared to in-house teams. It also ensures fewer denials through accurate and timely submissions.
Q3: Can Offshore Staffings handle Medicare and Medicaid prior authorizations?
Yes. Our trained offshore teams manage prior authorizations for Medicare, Medicaid, and private payers. For official rules and coverage policies, see CMS.gov.
Q4: How does outsourcing improve patient satisfaction?
By ensuring faster approvals and reducing delays in care, outsourcing minimizes patient frustration and improves access to timely treatment.
Q5: Is patient data secure during the outsourcing process?
Absolutely. Offshore Staffings follows strict HIPAA compliance, including secure data transfer, staff training, and Business Associate Agreements (BAAs).
Q6: How fast are prior authorization requests processed?
Routine requests are typically completed within 24–48 hours, while urgent requests are prioritized for same-day turnaround when possible.
Q7: What types of services require prior authorization?
Common areas include diagnostic imaging (MRI, CT), specialty medications, surgeries, durable medical equipment (DME), and certain specialty referrals.
BENEFITS OF OFFSHORE STAFFING
Offshore staffing offers powerful advantages that make it an attractive model for businesses aiming to grow efficiently. Here’s why more companies are choosing offshore staff leasing
Offshore staffing can reduce hiring and setup costs by up to 70%. With proven remote work models, businesses can easily manage offshore teams with ensuring operational efficiency with minimal overhead.
Operational Flexibility
Offshore staff leasing frees up internal resources, allowing companies to focus on core strategic areas. It minimizes time spent on employee management, hiring, and housing — increasing flexibility and efficiency.
global talent pool
Offshore hiring removes geographical limits, connecting businesses to a worldwide network of highly skilled professionals. Companies can hire the best talent across time zones for key operations.
Low risk model
Offshore staffing reduces the burden of recruitment, HR processes, and infrastructure setup. It’s a low-risk staffing model that provides flexibility and security, making it a trusted choice for businesses.
Effective Resources
Businesses gain access to highly talented employees while saving on infrastructure and operational costs. Offshore staffing ensures top-quality work while keeping expenses under control.
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