Revenue & Billing
Prior Authorization Services — Submitted, Tracked, Chased
Every auth request out within one business day of complete documentation, statused on a fixed cadence, and tracked to decision — including peer-to-peer scheduling support. Your clinicians keep the clinical decisions; we take the paperwork war.
Quick Answer
Prior authorization outsourcing is an administrative service that handles the paperwork side of getting payer approvals — gathering documentation, completing payer-specific forms, submitting by portal, fax, or phone, checking status on a fixed cadence, tracking expirations and re-authorizations, and scheduling peer-to-peer reviews — while the provider's clinicians keep every clinical decision. It's used by practices, home care agencies, and NEMT companies whose clinical staff lose hours to auth follow-up. SS Support Network is a non-clinical support team: it submits standard requests within one business day of complete documentation, never gives medical advice, and prepares denial resubmissions and appeals for the clinician's review. The buyer outcome is authorizations that go out on time, get chased to a decision, and never expire unnoticed on recurring services.
What we handle
What does prior authorization outsourcing include?
- Documentation gathering — collecting what each payer requires from your team, chasing gaps
- Payer-specific forms — the right form, the right fields, the current version
- Submission by portal, fax, or phone — whatever each payer actually accepts
- Status checks on a fixed cadence — no request sits unstatused longer than agreed
- Expiration & re-auth tracking — units and end dates on a calendar, renewals started early
- Peer-to-peer scheduling support — payer contacted, slot booked, reminders sent
- Denial paperwork prep — resubmissions and appeals assembled for clinician review
- Auth log reporting — one list of every request: pending, approved, denied, expiring
The boundary, stated plainly
Do you make any clinical decisions?
Prior authorization has two halves. The clinical half — deciding what care a patient needs and documenting medical necessity — belongs to your licensed clinicians, and we never touch it. The administrative half — forms, portals, faxes, hold music, status checks, expiration calendars, and scheduling the peer-to-peer call — is repetitive, deadline-driven office work. That half is ours.
This is a deliberate line, not fine print. We are a non-clinical administrative support team: no medical advice, no clinical judgment, no nurse triage. What you get is the discipline layer — every request complete, submitted, statused, and never forgotten — so your clinical staff spends their hours on patients instead of payer portals.
Why auths slip in-house
- Requests wait because the person who submits them also rooms patients
- Payer follow-up happens "when someone gets a minute"
- Re-auth dates live in someone's memory, not a calendar
- Peer-to-peer windows expire before anyone books the call
- Nobody owns one list of what is pending where
How it works
Your auth queue, owned in 5–10 business days
- 1
Free workflow review
We map your auth volume, payers, and current backlog. Written plan with pricing within 1 business day.
- 2
We train on your payers
Forms, portals, documentation requirements, and your escalation rules — written into a playbook your team approves.
- 3
Live in 5–10 business days
We usually start with the pending backlog and re-auth calendar, prove the discipline, then take all new requests.
Proof, not promises
Paperwork discipline, proven at multi-state scale
For 2+ years we have run the daily back office for a growing East Coast NEMT provider — trips, calls, and the payer paperwork behind them — while they expanded from one state to several. The method is the same one we bring to auth queues: complete submissions, fixed follow-up cadence, nothing forgotten.
- Every open item tracked to closure — no silent expirations
- Work done inside the client's own systems and portals
- 24/7/365 coverage, including holidays
- 2+ years retained — still with us today
Cost, honestly
What does prior authorization outsourcing cost?
Three drivers: monthly request volume, payer mix (portal payers take fewer touches than fax-and-phone payers), and how much urgent same-day work your specialty generates. The first thing typical clients hand over is the pending backlog and the re-auth calendar — because expired authorizations on recurring services are the most expensive failure in the whole workflow. Staffing is a dedicated seat, typically 35–70% below the fully-loaded cost of in-house admin staff, per SS Support Network operations data. No per-auth fees that punish you for growing.
An authorization that expires quietly costs more than one that was denied loudly — because the service kept happening, and now nobody gets paid for it.
— SS Support Network authorization playbook
Common questions
Prior authorization outsourcing, answered straight
Standard requests are submitted within one business day of receiving complete documentation; urgent requests are prioritized the same day your team flags them. The payer controls decision speed — what we control is complete submissions, correct forms, and follow-up on a fixed cadence.
When a payer wants a clinician-to-clinician review, we handle the logistics: contacting the payer, finding a slot that fits your provider's calendar, confirming dial-in details, and sending reminders. The clinical conversation itself is entirely between your clinician and the payer's reviewer.
No, and we are careful about that line. Your clinicians decide what care is needed and supply the clinical documentation. We handle the administrative side: forms, portal submissions, status checks, expiration tracking, and scheduling. We never give medical advice or clinical judgment.
Yes — this is where most revenue quietly dies. Every active authorization goes on a tracked calendar with unit counts and end dates. Re-auth requests start early enough that recurring services and standing trips never run past their approval window unnoticed.
Cost follows request volume, payer mix, and urgency requirements. Most practices start by handing over the pending-auth backlog and re-auth tracking, then add new requests. A dedicated seat typically runs 35–70% below fully-loaded in-house cost, per SS Support Network operations data.
We document the denial reason, gather what the payer says is missing, and prepare the resubmission or appeal paperwork for your clinician's review. If the payer offers a peer-to-peer, we schedule it. You always know which requests are stuck and why.
Want to talk through your payer list? Call +1 (657) 777-0006 — 24/7.
Related
Auth support pairs naturally with
Insurance Verification
Eligibility checked before service — and auth requirements caught before they become denials.
Learn more
Revenue Cycle Management
Auths, claims, denials, AR, and posting run as one accountable workflow.
Learn more
Healthcare Back-Office Support
The full admin stack for clinics, home care, and healthcare businesses.
Healthcare overviewFree workflow review
How many auths are pending right now — and who owns them?
If that question takes more than a minute to answer, get the review. Within 1 business day: a written map of your auth workflow, the backlog risk, and what a dedicated seat costs.
Prefer to talk now? Call +1 (657) 777-0006 or WhatsApp us — 24/7.
