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How to delegate prior authorization
To delegate prior authorizations, give your specialist payer portal access, your EHR, and a request checklist for each common procedure or medication. They identify which orders need authorization, gather clinical notes, submit requests, follow up until a decision, and alert the care team to approvals, denials, and appeal deadlines.
How to delegate prior authorization, step by step
1. The SOP outline
- Review new orders daily for authorization requirements.
- Gather clinical notes, codes, and supporting documents.
- Submit requests through the payer portal or by fax.
- Follow up on pending requests on a set schedule.
- Record decisions and alert the care team to denials and deadlines.
2. Access and tools to set up
- EHR access to orders and clinical notes.
- Payer portal logins and fax access.
- Authorization checklists by payer and procedure.
- A tracker for pending requests.
3. What good looks like
- Treatments are not delayed by missing authorizations.
- Every request has a status and a follow-up date.
- Denials reach the clinician with time to appeal.
4. Weekly metrics to review
- Requests submitted and average turnaround.
- Pending requests past follow-up date.
- Approval and denial counts.
Mini SOP checklist
- Review new orders daily
- Gather notes and codes
- Submit the request
- Follow up on schedule
- Record the decision
- Alert the team to denials
Who to hire for prior authorization
Insurance Verification Specialist. A full-time Insurance Verification Specialist from the Philippines is $1,800 a month through Rekruuto. Every hire works your hours, starts within 14 days, and begins with a 1-week trial backed by a replacement or a refund.
Free tool for this handoff
VA onboarding checklist builder: Build a day-by-day plan for the first 30 days, including the access and SOPs this task needs.
Related tasks to delegate
- How to delegate insurance verification
Delegate insurance verification by giving your specialist access to payer portals and your practice system, plus a verification form that lists exactly what to confirm.
- How to delegate medical billing
To delegate medical billing, give your billing specialist access to your practice management system and clearinghouse, plus your payer rules.
- How to delegate patient scheduling
Delegate patient scheduling by documenting appointment types, lengths, provider preferences, and booking rules.
Questions about delegating prior authorization
Who decides whether to appeal a denial?
The clinician and practice leadership. Your specialist prepares the appeal packet and tracks deadlines.
What slows down prior authorizations?
Missing clinical documentation and slow follow-up. A checklist per procedure and a fixed follow-up schedule fix most delays.
Who should I hire to handle prior authorization?
A full-time Insurance Verification Specialist. A full-time Insurance Verification Specialist from the Philippines is $1,800 a month through Rekruuto. Every hire is a full-time professional based in the Philippines who works your hours, starts within 14 days, and begins with a 1-week trial backed by a replacement or a refund.
Hand prior authorization to a full-time hire
Rekruuto places full-time professionals from the Philippines who work your hours. Most roles are $1,800 a month; software developers and AI Implementation Specialists start from $2,500 a month. Candidates pass top 2% vetting, every hire starts within 14 days, and the first week is a trial with a replacement or refund.