What does a dedicated prior authorization specialist do?

A dedicated prior authorization specialist works full-time (160+ hours per month) exclusively for your practice. They extract clinical charts and physician notes, submit authorizations via major payer portals (CoverMyMeds, Availity, NaviNet), follow up on pending reviews, coordinate peer-to-peer reviews, and draft initial denial appeals.

Which payer portals and authorization platforms does your team support?

Our specialists operate across all primary healthcare clearinghouses and payer portals including CoverMyMeds, Availity Essentials, NaviNet, Optum Health, UnitedHealthcare Provider Portal, Aetna, Cigna, Humana, Florida Blue, and state Medicaid platforms.

How does prior authorization staffing protect patient data under HIPAA?

Specialists work exclusively through encrypted, redundant stateside virtual desktop enclaves hosted in US data centers. Clinical records and PHI are processed via pixel streaming and never exit the United States. Your practice executes an unbroken BAA with our Jacksonville, Florida LLC.

What is the cost of a dedicated full-time prior authorization specialist?

Call Center Options provides dedicated prior authorization specialists at a flat rate of $2,350 per month (~$13.55/hour for 160+ hours). When staffing 2 or more FTEs, rates drop to $2,250 per month. There are zero hidden fees, volume surcharges, or staffing agency placement markups.

100% Dedicated FTE Staffing • Payer Portal Mastery • Direct US BAA

Dedicated Prior Authorization Specialist (Full-Time FTE)

Reduce prior authorization bottlenecks and stop delaying patient treatments. Our dedicated full-time prior authorization specialists work 40 hours per week exclusively inside your EHR and payer portals (CoverMyMeds, Availity, NaviNet)—submitting clinical documentation, tracking pending requests, and slashing approval turnarounds.

Flat $2,350/mo per FTE (~$13.55/hr) 160+ Dedicated Hours/Month Redundant US Desktops (PHI Stays on US Servers) Direct Jacksonville, FL BAA

End-to-End Payer Execution

How Your Dedicated Specialist Accelerates Approvals

They manage the entire authorization lifecycle from order placement to final insurer approval determination.

Clinical Chart Extraction

Extracts provider notes, diagnostic imaging, pathology findings, and lab results from your EHR to satisfy specific commercial and Medicare LCD/NCD medical necessity guidelines.

Multi-Portal Submission

Submits comprehensive authorization requests through CoverMyMeds (medications), Availity, NaviNet, or direct payer web portals with accurate CPT and ICD-10 diagnostic codes.

Daily Payer Follow-Up

Never lets a request linger in "pending" status. Performs daily automated and phone status checks with medical directors to fast-track approvals and avoid surgical schedule delays.

Denials & Peer-to-Peer Prep

In the event of an initial denial, organizes the appeal packet, drafts Level 1 appeal letters, and schedules peer-to-peer physician conferences with pre-compiled talking points.

Broad Ecosystem Fluency

Proficient Across Major Payer Platforms

Your dedicated specialist works comfortably across the clearinghouses, portal suites, and pharmacy benefit managers (PBMs) your clinic relies on daily.

CoverMyMeds

Availity Essentials

NaviNet

Optum / UHC

Aetna / CVS Caremark

Specialty-Specific Prior Authorization Programs

Dermatology Biologic Prior Authorizations (Dupixent, Skyrizi) → Orthopedic MRI, CT & Surgical Pre-Certifications → Psychiatric Medication & CoverMyMeds Authorizations → Dental Insurance Breakdown & Eligibility Verification →

Real-Time ROI Estimator

Calculate Your Practice Annual Savings

Compare the real all-in cost of an in-house medical receptionist vs a dedicated Call Center Options FTE.

Front Desk Specialists Needed 1 Dedicated FTE

1 FTE 2 FTEs 3 FTEs 4 FTEs 5+ FTEs

Benchmark In-House Wage (w/ taxes & benefits)

Zero health insurance, PTO, payroll taxes, or workers' comp burden

Redundant stateside virtual desktops (no PHI stored offshore)

Direct BAA with Call Center Options, LLC (Jacksonville, FL)

Estimated Annual Practice Savings

$23,800

Save ~$1,983 each month

In-House Cost $25/hr benchmark

$52,000 / yr ~$4,333 / mo

CCO Dedicated FTE $2,350 / mo flat

$28,200 / yr Save 46% net

Call (904) 586-1977 Or submit clinic consultation inquiry →

Direct US Entity BAA Min 1 FTE Engagement

Clear Your Prior Authorization Backlog

Deploy a dedicated full-time specialist (160+ hours/month) focused 100% on accelerating insurance approvals. Minimum engagement: 1 FTE. Flat $2,350/month.

Need immediate staff or prefer speaking with a clinical director directly?

Call (904) 586-1977 →

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Primary Roles Needed for this FTE

Medical Scheduling & Call Triage Prior Authorizations & Benefits EHR Charting & Records Indexing Patient Recall & No-Show Reduction

Practice Workflow Details or Questions (Optional)

Direct US-Signed BAA • No Patient Data Stored Offshore (Redundant US Enclave) • Response within 1 business day