Hire a Prior Authorization Specialist

Someone whose entire job is submitting authorizations, sitting in payer phone queues and chasing decisions, so your clinical staff stop doing it between patients. Imaging, procedures, specialty drugs and DME, handled by someone who has worked US payer policy before.

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Jenny V. Verified

Jenny V.

Certified Virtual Medical Assistant 9+ years of experience

Highly skilled Certified Medical Assistant with over 9 years of experience in remote healthcare operations. She specializes in complex prior authorizations and virtual care coordination, demonstrating expertise in managing digital workflows and telehealth environments. Jenny is bilingual in.

4.9 Location View Profile
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Jenny V.

Certified Virtual Medical Assistant | 9+ years of experience

Highly skilled Certified Medical Assistant with over 9 years of experience in remote healthcare operations. She specializes in complex prior authorizations and virtual care coordination, demonstrating expertise in managing digital workflows and telehealth environments. Jenny is bilingual in.

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Rating 4.9
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Erika L.

Care management coordinator | 10+ years of experience

Erika is a dedicated medical assistant with over 11 years of experience in various medical settings, including primary care, family medicine, pediatrics, and endocrinology. She is skilled in both front and back office operations, with expertise in insurance verification, patient care, and.

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Rating 4.9
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Andrea B.

Medical Billing Agent | 1+ years of experience

Andrea is a dedicated Virtual Medical Assistant with four years of experience in medical billing, customer service, and data entry. She has a strong background in insurance verification, appointment scheduling, and medical records management. Andrea is proficient in handling sensitive.

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Rating 4.7
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César F.

Medical Coding Specialist | 10+ years of experience

César is a proactive and organized professional with a Bachelor's degree in International Relations. He has extensive experience in the healthcare industry, particularly in revenue cycle management, where he has handled tasks from patient intake to claims processing. He is also skilled in.

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Rating 4.8
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Latrell M.

Case Management Processor | 10+ years of experience

Latrell is a dedicated professional with over eight years of experience in customer service, specializing in healthcare administration and pharmaceutical sales. With expertise in medical billing, coding, and insurance verification, Latrell excels in training staff and improving operational.

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Rating 4.8

The task that keeps clinical staff off the floor

Verified

Daniela Ruiz

6 years of US payer experience

Daniela manages prior authorizations from initial submission through approval, gathering clinical documentation, tracking payer portals, following up by phone and escalating urgent or delayed requests.

Prior Authorization
96%
Payer Follow-up
94%
Documentation Accuracy

When a nurse or medical assistant spends part of every day on hold with a payer, you are paying clinical wages for administrative work and losing floor cover at the same time. A dedicated specialist does it faster because it is all they do, and your clinical team stays with patients.

  • Clinical staff stop spending their day in payer phone queues
  • Authorizations chased daily rather than when someone remembers
  • Fewer procedures cancelled or rescheduled for missing approval
  • Prior experience with US payer policy and appeals
  • HIPAA training before kick-off, refreshed annually, plus a signed BAA
  • Full-time from $2,200 a month

Why hire a prior authorization specialist

Delayed authorizations cost twice: the procedure slips, and the slot it was booked into goes unfilled. Practices that give prior auth to one owner rather than sharing it around the clinical team generally see faster turnaround and fewer same-day cancellations, simply because someone is watching every open request instead of nobody watching any of them.

Felipe Carvalho

Medical Virtual Receptionist

Online Rating 4.5

Felipe Carvalho

Medical Virtual Receptionist

Online Rating 4.5

Felipe Carvalho

Virtual Billing & Revenue Cycle Support

Online Rating 4.5

Full US hours overlap

Payer queues are open on US hours, and so is your specialist, a full 9 to 5 on your clock.

Trained and checked

HIPAA training before kick-off, annual refreshers, background checks and a signed BAA.

US payer experience

Only specialists who have worked US payer policy and appeals reach your shortlist.

One monthly rate

From $2,200 a month full-time. No recruitment or placement fee.

What a prior authorization specialist does

Prior authorization is the task everyone in a practice hates and nobody owns. It usually falls to a medical assistant or nurse between patients, which means it is done in fragments, chased inconsistently, and quietly delays care. Giving it to one person changes both the turnaround and who is doing it.

  • Check whether a service needs authorization before it is scheduled
  • Submit authorization requests through payer portals, fax and phone
  • Assemble the clinical documentation each payer policy actually requires
  • Track every open authorization and chase decisions rather than waiting
  • Sit in payer phone queues so your clinical staff do not have to
  • Handle peer-to-peer scheduling when a payer requests one
  • Appeal denials with the documentation the policy calls for
  • Monitor expiry dates and re-authorize before treatment lapses
  • Keep the scheduling team informed so patients are not booked without approval

Specialties

Medical Virtual Receptionists are healthcare professionals who support medical practitioners by managing patient communications, scheduling appointments, and handling administrative tasks. They are vital in ensuring that medical offices run efficiently and provide excellent patient care.

Skills and Qualifications

Medical Virtual Receptionists may have backgrounds in healthcare or administration. While a degree in healthcare is beneficial, it is not mandatory; experience in a medical setting is often sufficient.

  • Strong organizational and operational skills.
  • Proficient in professional English communication.
  • Familiarity with basic medical processes and terminology.
  • Excellent research and documentation skills.

How to hire a prior authorization specialist

Which specialties, procedures and payers have you handled authorizations for?

The closer their experience is to your specialty and payer mix, the faster they can become productive. Ask about routine requests as well as complex medications, imaging or procedures.

How do you prevent authorization requests from being delayed?

Strong specialists verify requirements early, gather complete clinical documentation, track every request by due date and follow up through payer portals and phone channels before appointments are affected.

How do you handle an urgent request or payer denial?

Look for a documented escalation process that follows payer rules, keeps the clinical team informed and supports reconsideration or appeal without making clinical decisions independently.

How it works

Tell us the workload

A short call to map which services you authorize most, your payer mix, and who is currently doing the chasing.

We build a shortlist

A placement specialist matches candidates who have worked your payers and your service lines, then sends a shortlist worth reading.

Interview and choose

You meet the candidates and make the hire yourself. We handle the in-country contract, payroll and compliance.

Onboard and start

Your specialist starts with HIPAA training complete and a signed BAA in place, taking your open authorization backlog first.

What practices hand off first

Authorization intake

Identify services requiring approval and gather the payer, procedure and patient information needed to begin.

Clinical document collection

Coordinate notes, test results and supporting records required by the payer without delaying submission.

Portal submissions

Enter complete requests through payer portals and document confirmation numbers and expected decisions.

Status tracking

Monitor pending cases by appointment date and payer deadline so requests do not disappear into a queue.

Payer follow-up

Call or message payers for updates, missing requirements and expedited-review options when appropriate.

Denial escalation

Organize denial details and appeal requirements for clinical review without making independent medical decisions.

5 Stage Vetting Process

US medical experience required

Background check

Skills and English assessment

HIPAA training before kick-off

Interview and placement

Frequently
Asked Questions

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