What These Numbers Mean for Your Team
The 66% automatability score means roughly two-thirds of what your Prior Authorization and Insurance Verification staff do each day follows predictable, rules-based patterns — checking eligibility, submitting standard auth requests, tracking status, logging responses in EPIC or Allscripts, and managing routine correspondence through Outlook and Excel. These steps are repetitive and data-driven, making them strong candidates for automation.
The remaining 34% stays human — and for good reason. Insurance denials that require clinical context, appeals demanding nuanced judgment, payer relationships built over time, and edge cases where a patient's situation doesn't fit the standard criteria all require a person who can read between the lines and advocate effectively.
At $38,250–$48,000 annually, this role carries real payroll weight. Automating the routine two-thirds doesn't eliminate the position — it redirects your staff toward the exceptions, escalations, and relationship work where human judgment actually changes patient outcomes.
The opportunity is redeployment, not replacement.
Based on 10 postings our engine analyzed · updated .