Prior authorizations are one of the biggest headaches in healthcare. They take time, slow care, and frustrate both staff and patients. Phones ring. Forms pile up. Approvals take days or even weeks.
This is why many practices turn to prior authorization outsourcing services.
Outsourcing prior authorizations gives your team more time for patients. Specialists handle insurance calls, forms, and follow-ups. This helps your staff stay organized and keeps care moving forward.
At Oclinicals, we handle prior authorization outsourcing services. This helps healthcare teams stay focused on patients.
Why Prior Authorizations Create So Much Stress
Prior authorizations are required by many insurance plans before care can move forward. This includes imaging, procedures, referrals, and prescriptions.
The process often involves:
- Calling insurance companies
- Submitting forms and documents
- Tracking approvals and denials
- Following up again and again
When staff is already busy, prior authorization work can pile up fast. Patients may face delays and feel frustrated while waiting for care. In a nationwide survey, nearly 94% of doctors said prior authorization sometimes or often delays needed treatment.
Staff may spend hours calling insurance companies, filling out forms, and checking on approvals. This can reduce the time they have to answer patient questions or provide support.
Prior authorization outsourcing services help lift this workload from your team and keep approvals moving forward.
How Prior Authorization Outsourcing Services Help
Outsourced prior authorization services give practices trained specialists who handle authorizations all day. These team members handle insurance communication, paperwork, and follow-ups from start to finish.
This helps:
- Speed up approvals
- Reduce backlogs
- Improve communication with payers
- Free staff to focus on patients
Hospitals and practices can scale support as needed, whether they need one person or a full authorization team.
Experienced Prior Authorization Professionals
When you partner with Oclinicals, you work with trained prior authorization specialists. These professionals understand payer rules, timelines, and documentation needs.
They talk directly with insurance companies to move approvals along. This helps patients get care sooner and eases the workload for care teams.
Our prior authorization services support many specialties, including:
- Primary Care
- Gastroenterology
- Ophthalmology
- Urology
- Cardiology
- Orthopedics
- Neurology
- Oncology
- Dental practices
What’s Included With Our Prior Authorization Outsourcing Services
Every prior authorization partnership includes support designed to improve accuracy, speed, and reliability.
Each service includes:
- HIPAA-compliant and secure handling of patient information
- SOC 2–certified cybersecurity standards
- Recruitment and training of authorization staff
- A dedicated account supervisor
- Performance tracking and KPI dashboards
- Quality assurance and protocol compliance
- Clear documentation of all authorization activity
- Dependable and responsive client support
These services help reduce delays and create a smoother experience for both patients and staff.
Our Simple Prior Authorization Process
We Handle Hiring and Training
Finding and keeping skilled staff can be difficult. We recruit, train, and manage prior authorization specialists so you do not have to worry about turnover or onboarding.
Built-In Quality Assurance
Our quality team reviews work from day one. This helps ensure authorizations follow your rules and payer requirements.
A True Extension of Your Team
We work closely with your staff and systems. Real-time communication helps resolve questions quickly and keeps authorizations moving.
This leads to:
- Better workflow integration
- Faster approval times
- Clear communication
- Less stress for internal staff
Secure, Compliant, and Reliable Support
All prior authorization services are HIPAA-compliant and cybersecurity certified. Patient information is protected at every step.
All team members are HIPAA trained and certified. Oclinicals also holds SOC 2 cybersecurity certification to help protect sensitive data.
Ready to Reduce Prior Authorization Delays?
Prior authorizations shouldn’t slow down patient care or overwhelm your staff. With the right support, approvals move forward, and patients face fewer delays.
If your team is worn down by insurance backlogs, prior authorization outsourcing services can help.
Contact Oclinicals today for a free consultation to learn how our prior authorization outsourcing services can support your practice and free up your team’s time.