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Services/Prior Authorization Support
Prior Authorization Support

Timely PA submissions and payer follow-up to keep care and billing workflows moving.

RCM Staff prior authorization specialists manage your PA queue from submission through approval tracking, helping reduce delays, surface missing requirements, and keep your clinical team focused on patient care.

Dedicated to your team
U.S. timezone coverage
HIPAA-aware onboarding
You interview and approve

Specialists screened for payer-portal experience and authorization workflow knowledge.

Authorization Workspace
Live PA tracking
Online
Open authorizations
33 in progress
MRIApproved
PT x12Submitted
DMEFollowing up
RenewInitiated
29
Auths approved
41
Payer follow-ups
8
Renewals tracked
PA specialist
Working in your systems
HIPAA-awareBAA and structured onboarding
U.S. hoursCoverage across major time zones
Your systemsEHR, PM, clearinghouse, and portals
One dedicated specialistNot shared across unrelated clients
What They Handle

Administrative PA support from submission through tracking.

From initial request submission through payer follow-up, approval documentation, and renewal tracking, specialists help keep your authorization workflow organized. Authorization work slots into broader billing support that works around your existing EHR.

PA request submission
Submit prior authorization requests through payer portals, fax, or phone using the documentation and instructions provided by your clinical or billing team.
Payer follow-up
Check payer portals and make follow-up calls on pending authorization requests to document status and next steps.
Approval tracking and documentation
Log authorization approvals, effective dates, authorized visit counts, reference numbers, and expiration dates in your PM or EHR system.
Retro-authorization support
Initiate and follow up on retrospective authorization requests when a service was provided without prior approval and a retro-auth pathway exists.
Authorization renewal tracking
Monitor expiring authorizations and help initiate renewals based on your scheduling cycle and payer requirements.
PA denial routing and escalation
Identify denied PA requests, document payer responses, and route next steps to the appropriate billing or clinical team for review.
Simple Pricing

Three ways to add PA support.

Start with a dedicated PA specialist at a fixed weekly rate. Experienced and authorization-lead roles are quoted based on complexity.

PA Specialist

Most popular
Starting at $390/week

Daily submission, follow-up, and approval tracking.

  • PA request submission
  • Payer follow-up
  • Approval tracking and documentation
  • Renewal tracking
  • PA denial routing
Request this tier

Experienced PA Specialist

Quoted by experience and workflow

Complex and specialty authorizations across multiple payers.

  • Complex and specialty authorizations
  • Retro-authorization support
  • Peer-to-peer scheduling support
  • Multi-payer PA queues
  • Turnaround tracking
Request this tier

Authorization Lead

Custom pricing

Authorization workflow leadership and denial prevention.

  • Authorization workflow build-out
  • PA denial-prevention analysis
  • Clinical-administrative coordination
  • Team lead and escalation handling
Request this tier

The PA Specialist tier starts at $390 per week for a full-time associate. Experienced and lead roles are quoted by complexity. Get a quote for your exact role →

Why RCM Staff

Healthcare professionals, not generic outsourcing.

Our talent standard is built around healthcare experience, revenue cycle knowledge, and professional communication, so your associate fits the realities of a U.S. practice.

Healthcare-trained talent
We recruit professionals with healthcare education backgrounds, not generic virtual assistants cross-trained on the side.
Prior U.S. healthcare experience
We prioritize candidates who have already worked with U.S. healthcare organizations and understand how American practices operate.
Strong English screening
Every candidate is screened for clear spoken and written English so patient and payer communication stays professional.
Revenue cycle knowledge
Our team understands eligibility, authorizations, denials, posting, and A/R, so support fits the real workflow, not just task lists.
Professional worker identity
Associates are treated as career professionals with a defined growth path and pay progression, which shows up in how they work with your team.
HIPAA-aware operations
Structured HIPAA onboarding and a signed BAA come standard before any access to patient information begins.
How It Works

A simple, concierge engagement.

We handle the sourcing, screening, and matching. You stay in control of who joins your team.

01

Tell us the role you need

Share the workflows, systems, schedule, and skill level you are looking for. We help you choose the right tier.

02

We screen and match

We source, screen, and shortlist healthcare-trained candidates against your role using our talent standard.

03

You interview and approve

You meet the matched candidates and approve the person who fits your team. You stay in control of the decision.

04

Your dedicated specialist starts

Your associate onboards into your systems and workflows and begins working as a dedicated member of your team.

05

We support the relationship

We stay involved with performance check-ins, coaching, and continuity support so the engagement keeps working.

How It Fits

Aligned to your payer mix and clinical scheduling cycle.

Helps reduce authorization delays
Timely submissions and consistent payer follow-up help keep authorization requests aligned with scheduling and treatment timelines.
Adapts to your payer mix
Specialists learn your payer portals, submission steps, documentation workflows, and turnaround expectations.
HIPAA-aware staff
Every specialist completes structured HIPAA onboarding before accessing clinical records, patient data, or payer authorization systems.
Administrative support only
Clinical decisions, medical necessity determinations, and clinical documentation remain with your licensed providers. RCM Staff supports the administrative PA workflow.

Every engagement includes a signed BAA and structured HIPAA onboarding before access begins. See our HIPAA and compliance posture →

Our People

Healthcare professionals, proud of the work they do.

The people behind RCM Staff are skilled Filipino healthcare professionals, not gig workers passing through. We hire for healthcare background and U.S. experience, invest in their growth, and treat them as career team members. That shows up in how they represent your practice.

Built on real experience
We prioritize professionals with healthcare education and prior work supporting U.S. healthcare teams, so they understand the work from day one.
A real career, not a gig
Associates have a defined growth path from specialist through senior and team-lead roles, with pay that grows alongside their skills.
Part of your team
They take pride in representing your practice to patients and payers with the professionalism your team is known for.

See the standard every associate is held to in our careers and talent approach →

FAQ

Prior authorization staffing questions.

How much does a prior authorization specialist cost?

A dedicated full-time PA specialist starts at $390 per week. Experienced and authorization-lead roles are quoted based on payer complexity and specialty mix. We provide a clear quote for your exact role on a short call.

Is the specialist dedicated to us or shared?

Each specialist is dedicated to your account for up to 40 hours per week and is not shared across unrelated clients. They work your PA queue inside your systems. Part-time schedules are available.

Do specialists make clinical decisions?

No. Clinical decisions, medical necessity determinations, and clinical documentation remain with your licensed providers. PA specialists handle the administrative submission, follow-up, and tracking workflow.

Do they work in our payer portals and PM system?

Yes. Specialists submit and track authorizations through your payer portals, fax, or phone, and document approvals in your PM or EHR system. No software changes are required.

How do you handle HIPAA and clinical records?

Every engagement includes a signed Business Associate Agreement and structured HIPAA onboarding before any access to clinical records or payer authorization systems begins. Specialists work only through your approved systems.

Do they track renewals and expiring authorizations?

Yes. Specialists monitor expiring authorizations and help initiate renewals based on your scheduling cycle and payer requirements, so care is not delayed by lapsed approvals.

Related Staffing Roles

Pair prior auth support with adjacent front-end and billing roles.

Explore Further

Explore related RCM staffing resources.

Build the Role

Tell us what your prior authorization specialist needs to own.

Share your payer mix, specialty, systems, and authorization volume. We will review the scope and recommend the appropriate tier.

Get a Staffing Plan

Clinical decisions and licensed work remain with your provider and internal clinical team.