Medix Partners with Major Kidney Care Organization to Quickly Process Sudden Influx of Prior Authorizations

For healthcare providers, patient well-being is always the highest priority, but when operational hurdles arise, maintaining the highest quality of care can become a challenge. This was the case for a leading kidney care organization when a change in Medicare coverage triggered a sudden need for additional prior authorization staff. This change brought a massive influx of 30,000 new prior authorization requests and significantly increased the team’s workload. The client partnered with Medix, an award-winning healthcare staffing organization to address the staffing shortage. 

About the Client

• Nationwide kidney care organization
• Comprehensive treatment and support services provider for patients with kidney disease
• Committed to delivering high-quality, patient-centered care

The Challenge

Effective January 1, 2025, the Centers for Medicare & Medicaid Services (CMS) expanded its coverage to include phosphate binders, a commonly used medication for patients with kidney disease. This change required the organization to process a large volume of new prior authorizations for these medications, creating an immediate need for additional skilled professionals. With an estimated influx of 30,000 new items and a projected surge in workload, the client needed a rapid and reliable staffing solution.

The Solution

The client partnered with Medix, a leading healthcare staffing agency with over 20 years of industry experience and a highly-qualified candidate pool of over 3 million top-tier talent.

The client chose Medix for these reasons:

• A collaborative approach, based on open and transparent communication 
• Customized staffing solutions to support the client’s unique needs
• Attention to detail and connection in sourcing quality candidates
• Quick time to fill and commitment to the projected project timeline

The Results

30 Prior Authorization Representatives Placed in 25 Days

• Time-to-Fill: Within 25 days, Medix successfully placed 30 PA representatives, enabling the organization to effectively manage the surge in prior authorization requests. This rapid response ensured that patients continued to receive timely access to necessary medications. 
• High Retention Rates: The client was satisfied with the quality of candidates provided by Medix, resulting in strong retention and conversion rates of candidates moving from temporary placements to permanent positions at the client.  
• Customized Staffing Solutions: Medix’s commitment to figuring out the best approach to solve the client’s unique challenges resulted in a smooth and efficient process. The Medix team worked closely with the client  to understand their unique needs and tailor a staffing solution that seamlessly integrated with their existing operations.

“Medix has been a trusted partner of our dept for several years. We can rely on their proactive communication and clear understanding of our processes. They listen to our feedback and adjust where needed to ensure we are getting the highest quality candidates to choose from. As a result, we have been successful in transitioning many of our guest teammates to regular positions within our company.”

Looking for unique, flexible, and expert staffing support for your healthcare organization? Discover how Medix can provide tailored solutions to meet your unique needs. Get in touch with our team today.