โข 1โ2 Day Authorization Turnaround
โข 70% Fewer Authorization Denials
โข 75โ85% Less Staff Effort Required
Overview
A specialty care network struggled with slow prior authorization approvals, delayed appointments, and heavy administrative burden. Manual data gathering, payer-portal submissions, and ongoing status checks created bottlenecks and patient dissatisfaction. GeBBS deployed an RPA-driven Prior Authorization Automation solution that accelerated submissions, reduced errors, and provided real-time visibility into authorization status.
Opportunities & Challenges
The manual authorization workflow led to:
โข 2โ7 day turnaround times for key procedures
โข 30โ60 minutes of staff work per request
โข 15โ20% denial rates due to missing documentation
โข No centralized visibility into authorization status
โข Scheduling delays impacting patient outcomes
Solution
Automated Intake, Submission & Authorization Tracking
GeBBSโ RPA automation:
โข Identified procedures requiring prior authorization and collected required data
โข Auto-submitted authorization requests to payer portals with complete documentation
โข Monitored real-time status updates and routed issues for rapid intervention
โข Managed additional payer requests and centralized updates within tracking dashboards
Outcomes
โข Turnaround Time: Reduced from 2โ7 days to 1โ2 days
โข Denials: 70% fewer missing-information denials
โข Staff Efficiency: 75โ85% reduction in manual effort per request
โข Patient Access: Faster scheduling and improved care continuity
โข Visibility: Real-time dashboards across all authorizations
Key Takeaways
โข Authorization automation accelerates approvals and reduces administrative waste.
โข Standardized workflows strengthen compliance and reduce denials.
โข Real-time visibility improves scheduling accuracy and patient coordination.
Conclusion
GeBBSโ Prior Authorization Automation modernized a critical front-end process, improving patient access, reducing workload, and enabling faster, more predictable authorization decisions.
Client Testimonial
โOur authorization queue no longer slows down our clinics. Approvals arrive faster, and our staff can finally focus on patient preparationโnot paperwork.โ
โ Executive Director, Access & Scheduling
