A full-time prior auth specialist who manages authorization requests, clinical documentation, and payer follow-up exclusively for your practice. Hired through Edge's managed talent platform. Approvals in hours, not days.
The average prior authorization takes 2+ business days and 3+ phone calls. Your clinical staff shouldn't be doing payer paperwork.
Every Edge professional is certified through Edge Edu (only 2-4% of applicants pass) and works from a secured campus with enterprise equipment.
New auth submissions, clinical documentation gathering, payer-specific form completion, CPT/ICD-10 coding for auth
Auth status tracking, peer-to-peer review scheduling, expedited request escalation, approval documentation
Denial analysis, appeal letter preparation, clinical documentation compilation, medical necessity arguments
Auth expiration monitoring, renewal requests, continued treatment authorizations, gap analysis
Chart review for supporting documentation, lab result compilation, medical records coordination
Approval rate tracking, turnaround time reporting, payer performance analysis, denial pattern identification
| Feature | Hire Through Edge | Prior Auth Company | Your Clinical Staff |
|---|---|---|---|
| How it works | Your own dedicated coordinator | Shared service, batch processing | Nurses/MAs squeezed between patients |
| Cost | 60-70% less than in-house hire | Per-auth fees ($15-40 each) | Expensive clinical hours on admin work |
| Turnaround | Same-day in most cases | 24-72 hours | When staff has time between patients |
| Your practice knowledge | Learns your payers and patterns | Generic, templated approach | Knows practice but resents the work |
| HIPAA compliance | Built-in: campus, VPN, BAA | Varies | Already compliant (but misusing clinical time) |
| Replacement guarantee | $0 cost, 7-day replacement | No personnel guarantee | Restart hiring if they leave |
| Denial appeal handling | Included — full cycle | Often extra cost | Clinical staff pull double duty |
"I consider Edge a concierge-level business. The talent they provide is trained, professional, and ready. My practice efficiency increased 30% within the first month."
DHR Health hired 75 dedicated professionals through Edge across 13 departments — including prior authorization coordinators who reduced auth backlogs and care delays across their system.
A prior authorization coordinator manages the entire auth process — from submitting initial requests and gathering clinical documentation to following up with payers, handling denials and appeals, and tracking auth expirations. They work full-time, exclusively for your practice, so nothing falls through the cracks.
Most Edge clients see significant improvement within the first 2 weeks. A dedicated coordinator can handle 20-40 auth requests per day, dramatically reducing backlogs and converting 2-day turnaround times into same-day processing.
Yes. Edge Edu certification includes clinical terminology, CPT/ICD-10 coding for auth purposes, medical necessity documentation, and payer-specific requirements. They understand the clinical context of what they're authorizing.
Absolutely. Denial management is a core part of the role. Your coordinator handles denial analysis, appeal letter preparation, clinical documentation compilation, and resubmission — proactively, not reactively.
Edge coordinators are trained on CoverMyMeds, SureScripts, payer-specific portals, and all major EHR auth modules including Epic, Cerner, athenahealth, and eClinicalWorks.
Edge clients save 60-70% compared to hiring a local coordinator. Unlike per-auth services that charge $15-40 per authorization (which adds up fast), Edge charges a flat monthly fee for unlimited auths — making it predictable and cost-effective.
Book a 15-minute call. We'll match you with a pre-vetted, certified professional in 7 days.
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