Benefit verification
Coverage and benefits checked for upcoming visits.
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Virtual Prior Auth Specialist
A remote specialist dedicated to verifying benefits and getting prior authorizations submitted, approved and renewed on time.
Get a free consultationMonthly$10 per hour
Authorizations are time-consuming and deadline-driven, and they usually fall to the busiest person in the office. A dedicated specialist keeps them moving without pulling clinical staff off patient care.
Your specialist learns your payers, your common procedures and medications, and your scheduling flow.
What's included
Authorization submission
Requests submitted through payer portals and benefit managers with the right documentation.
Daily follow-up
Pending authorizations followed until approved or denied.
Medication authorizations
Prior authorizations for specialty and brand-name medications.
Expiration tracking
Visit counts and end dates monitored, with renewals started early.
Team updates
Front desk and providers told when a patient is cleared or a peer-to-peer is needed.
Price
$10 per hour
Monthly
Billed monthly. How payment works
Who it's for
Specialties with heavy authorization volume such as cardiology, pain management, orthopedics, behavioral health and therapy.
How it works
Pick the role
Tell us where your team is stretched and we match the role and hours.
Matching
We assign a trained assistant with healthcare experience for that role.
Onboarding
Your assistant learns your systems, scripts and workflows with secure access.
Ongoing support
A supervisor checks quality and covers absences so work never stops.
Hire it alone or as part of a package
Virtual Prior Auth Specialist is available on its own, and it is also included in Virtual Assistant Services. See all packages on our pricing page.
Specialties we provide virtual prior auth specialist for
We work with practices of every specialty. These pages explain what is different about yours:
See every specialty and provider type →
Virtual Prior Auth Specialist FAQs
Can the specialist also verify eligibility?
Yes. Most practices combine benefit verification and authorizations in one role.
Do they need clinical knowledge?
They are trained on authorization criteria and documentation. Clinical decisions always stay with your providers.
How many authorizations can one specialist handle?
It depends on payer mix and complexity. We size hours after looking at your weekly volume.
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Ready to talk about virtual prior auth specialist?
Book a free 30-minute consultation. We'll review your practice and tell you where to start.