Sep 23

Physician Burnout in the US: More Systems Isn’t Helping Ease the Administrative Burden

How to reduce administrative burden in healthcare?

Key Takeaway // Quick Answer

Healthcare practices reduce administrative burden or clinical staff burnout by separating clinical work from clerical work. Most of the time, providers absorb both. The most effective approaches include structured EHR documentation templates, centralized prior authorization tracking, pre-visit insurance verification, digital patient intake systems, and delegating non-patient-facing tasks such as referral processing and appointment scheduling to administrative support, often offshore (outsourced).

You’re seeing it happening again, and all you can do is breathe in and heave a sigh with your clinical staff: healthcare worker burnout is at it once more.

Everyone clocks in weekend-fresh on a Monday. The day unravels, and so does Tuesday all the way until Friday or Saturday or Sunday (for those who have broken shifts). Fresh, no longer.

It’s the overflow of routine administrative work from one person to the next. It seldom stops, and overflows yet again to the rest of the days of the week. And the week after. And so on. Energies and mental capacities “burning” with it all.

New systems aren’t doing much to cool the pressure and work overload, and hiring local medical administrative specialists isn’t seeing positive results.

How do you address it then?

First, understand where the burden stems from and what you can do about it.

How to Reduce Administrative Burden in Healthcare? (Without Throwing Care Quality Away)

By separating clinical work from clerical work wherever and as much as possible.

The “how” comes with:

  • Using structured EHR templates
  • Moving insurance verification earlier in the workflow
  • Centralizing prior authorization tracking
  • Digitizing patient intake
  • Assigning referral processing
  • Proper scheduling
  • Medical coding and billing
  • Billing follow-up
  • Similar tasks to dedicated administrative support

Maintain clinical decisions in clinicians’ work scope and pass routine administrative execution on to the people with job descriptions that include those specific tasks.

“Administrative work” and “harmless” aren’t in the same boat when used in the context of clinical staff burnout. It’s true that from doctors to nurses and admin staff, overflow admin work can be done by anyone. However, fewer hands in patient care can be, indirectly at first, and more obvious later on, “harmful” to patients.

Free Consult. No Pressure.

Free Consult. No Pressure.

We’ll answer any question on how to hire world-class, high performing, vetted virtual staff to cut your labour costs by 60-70%.

By submitting this form, you agree to receive SMS or phone communications from Remote Staff, Inc. Message & data rates may apply. Reply STOP to opt out.

What Are the Best Ways to Reduce Administrative Friction in Healthcare?

Begin where parts of workflows repeatedly tug at clinical staff and force them away from patients.

1. Organize the EHR and Charting Workflow

What’s become one of the most persistent administrative problems in US healthcare today?

Documentation. There’s a phrase for it now, too:

Documentation burden.

The AMIA’s 25×5 initiative aims to reduce clinical documentation burden to 25% of its current level. An initiative that sprang up from work referenced in the U.S. Surgeon General’s 2022 advisory on health worker burnout.

Some of the suggested fixes are practical, which you can directly apply to your facility’s administrative SOPs:

  • Use structured templates and quick-text macros for routine visit types
  • Prepare charts before appointments (includes gathering relevant histories and test results)
  • Support staff (can happen remotely) to handle appropriate data-entry and documentation preparation tasks
  • Review whether every field and note requirement is genuinely necessary
  • Consider ambient AI scribes (DAX Copilot, Abridge) where they fit the practice’s workflow and compliance requirements

About ambient AI scribes, a 2025 JAMA Network Open quality-improvement study involving 263 ambulatory physicians and advanced practice practitioners found that reported burnout fell from 51.9% to 38.8% after 30 days of using an ambient AI scribe.

It also found less after-hours documentation time and lower note-related cognitive workload. Promising.

There may not be a need to add a new system to a set of ones you already have. Just manage the workflows by assigning them to people whose job descriptions match the responsibilities.

2. Stop Going After Insurers for Prior Authorization

Surveying 1,000 practicing physicians in the U.S., AMA again discovered that practices complete an average of 40 prior authorizations per physician each week.

Physicians and their staff spend about 13 hours a week on them, while 40% of physicians reported having staff who work exclusively on prior authorization.

Something else that’s more staggering:

94% said prior authorization increases physician burnout. 93% of those surveyed said prior authorization delays care.

— American Medical Association (AMA)
Prior Authorization Physician Survey

What to do: Verify insurance eligibility before the appointment. Prior authorization requests and follow-ups should be centralized; nothing complicated here – just assign one person to take charge of this task instead of passing them down to whoever’s available at the moment.

Every process should have its own designated overseer, and said overseer’s job should be solely to have their hands deep into only the tasks specifically assigned to them.

Records are to be visible. Anything about requests that are pending, approved, denied, or appealed.

3. Automate Patient Intake and Front-Desk Logistics

From paper forms to last-minute insurance checks, each one’s manageable manually. Just not collectively. So automate repetitive work out of the front desk so work clogs are cleared before the patient comes in.

No need to automate every human interaction. Mainly the responsibilities that come up with every new patient – typing, copying, looking for patient info.

4. Take Non-Clinical Tasks Off Providers’ Hands

Referral processing. Prescription refill requests. Insurance follow-up. Records requests. Billing questions. Diagnostic follow-ups. These should be assigned to other staff.

Some ways to redistribute the workload:

  • Cross-train existing staff – when the additional volume is manageable
  • Hire an in-house coordinator – when the practice needs dedicated capacity locally
  • Use remote administrative support – when the work can be handled securely outside the office (a growing niche since local hiring continues to be a problem)

Remote support can include prior authorization coordination, insurance verification, patient intake, scheduling, billing support, EHR administration, and other non-clinical workflows.

Do Compliance Requirements Still Apply to Remote Medical VAs?

The same HIPAA rules apply if a role involves protected health information (PHI). A healthcare practice must have a Business Associate Agreement (BAA) with any business associate handling PHI for it and put the right safeguards in place.

No automatic prohibition, though practices are encouraged to consider any security or legal concern.

How can healthcare practices reduce documentation and EHR burden?

Key takeaway//Quick Answer
By deploying AI ambient scribes, macro smart-phrases, and specialty-specific templates to streamline note-taking during consultations. Outsourcing real-time clinical scribing, data entry, and medical coding to dedicated virtual assistants directly offloads chart updates and inbox management from clinicians. Establishing patient portal intake questionnaires allows patients to enter historical data directly into the system before their appointment. Additionally, assigning routine administrative tasks to third-party virtual medical staff ensures compliant, accurate records while protecting physicians from burnout.

Why Is Administrative Burden the Root Cause of Healthcare Worker Burnout?

We’re out of the pandemic conversation, and it’s been nearly a decade. Physician burnout has dropped from those pandemic-era highs. But a workday’s still gravity-heavy, almost to pandemic levels.

In 2025, 41.9% of U.S. physicians reported at least one symptom of burnout, according to the American Medical Association. Down from 43.2% in 2024. 48.2% in 2023.

Really peer through and look at where those working hours drown the most:

Here’s what’s in the average physician’s workweek (57.8 hours): Only 27.2 of those hours were spent on direct patient care. Where do the 13 hours go? To indirect care.

Physician Workweek Breakdown
57.8 Total Work Hours = 27.2 Direct Patient Care Hours + 13 Indirect Care Hours(The remaining 17.6 hours account for administrative tasks, paperwork, and non-clinical duties.)

What’s indirect care? Documentation, order entry, test-result interpretation, referrals, and more.

The remaining 7.3 hours go to administrative work, like prior authorizations and insurance forms. And then there’s “pajama time.”

What is Pajama Time in Healthcare in the US?

In a phrase, it refers to after-hours Electronic Health Record work. Unpaid hours, whether in the office, at home, over the weekend, etc. It’s what the AMA calls “EHR work physicians do outside their regular shifts.”

Data shows that in 2024, 22.5% of physicians reported spending more than eight hours a week on the EHR after hours.

The burnout is three-pronged: first, the sheer volume of administrative work. Second, the impact that workload has on the providers themselves, and finally, how these affect the patients those workers support.

operational excellence

Unsure Where to Start?

Find the Role That Owns Support Work.

Hire a Remote Staff specialist to support operations while you focus on scaling your core business vision.

Trusted by 3,000+ businesses to scale remotely since 2007.

How Do You Build a Delegation Model in Your Practice?

Step 1: Run a Time Audit

Track one representative week across providers and administrative staff.

Look for tasks that are:

  • repetitive
  • rules-based
  • time-consuming
  • frequently interrupted
  • possible to complete without clinical judgment

You may find that the biggest drain isn’t one enormous task, but dozens of small ones scattered across the day.

Step 2: Document the Workflow

Before handing a task to someone else, write down how it is currently done. Document the steps for prior authorizations, insurance verification, referrals, billing follow-up, patient intake, or whichever workflow you want to move.

Something the practice can improve later, and something clearly outlined for new staff members, local or remote.

Step 3: Build the Compliance Framework

Be absolutely clear about safeguards, even before going over PHI.

That can include:

  • a signed BAA where required
  • role-based access to systems and patient information
  • appropriate HIPAA training
  • approved communication and file-sharing tools
  • documented procedures for handling and reporting sensitive information

As long as protected health information’s involved, HIPAA requirements still apply whether the work is done inside the practice or remotely.

Step 4: Trace and Measure What Changed

After the first workflow makes its run, observe what happened. Track measures such as:

  • provider after-hours documentation
  • turnaround time for prior authorizations
  • referral processing time
  • claim follow-up volume (reduce claim denials)
  • patient wait times
  • staff overtime
  • provider and staff retention

Try it with one workflow first. If it works, you’ll know where else the same approach might help.

Direct Channel

Have questions? Drop our team a line anytime.

Copy Email:inquiry@remotestaff.com

How to Delegate Healthcare Tasks?

Here’s a sample/model to easily see what goes where:

Administrative task
Traditional workflow
Delegated workflow

Prior authorizations
Physician or nurse completes forms and follows up with payers
Dedicated staff member manages submissions, tracking, and follow-ups

Patient intake and verification
Front desk collects paperwork and checks insurance at or near check-in
Intake is completed digitally and insurance is verified before the visit

EHR preparation
Provider gathers information and completes documentation around the visit
Support staff prepares appropriate information; provider reviews and finalizes clinical documentation

Billing and claims follow-up
Clinical staff handles payer questions between patients
Dedicated billing support manages claims follow-up

Each kind of work should have its own designated place and person assigned.

When Local Staffing’s Going Nowhere and More Tools Aren’t Helping

You’d think that practices are hands-on with reaching out to local professionals who specialize in the administrative side of healthcare. And they are. It’s the market pool that’s not budging. It’s, in fact, shrinking in some parts of the U.S.

What many clinics and healthcare organizations are doing is outsourcing. They’re reaching out to managed providers like us.

At Remote Staff, we’ve been supporting healthcare practices and businesses, matching them with remote healthcare administrative professionals.

We find ideal medical virtual assistants, medical coders, EHR support, and medical billing specialists and ensure they’re up to speed with compliance and are able to adapt to how your staff runs day-to-day administrative operations.

We’re there with you for the long-term, providing you with more than remote medical coding services or staffing for denial management services. We’re here to support work along the way, as staffing needs and your practice grow. Payroll, onboarding, and HR work are ours to handle.

Extra Read: Learn about the Return to Office Policy and why hybrid and remote teams are already ahead.

FAQs About Physician Burnout Solutions


What causes the high administrative burden for physicians?

There isn’t one cause across every healthcare role. Administrative burden, excessive documentation, workload, staffing pressures, and other workplace factors all contribute. But for the most part, it’s EHR documentation and administrative work on top of clinical or patient care, and understaffing.

Can outsourcing administrative tasks in healthcare violate HIPAA?

Outsourcing itself does not automatically violate HIPAA. If a third party performs services involving PHI on behalf of a covered entity, the practice generally needs the appropriate Business Associate Agreement and safeguards required under HIPAA.

How much does physician turnover cost a practice?

Estimates vary by organization, specialty, and how the calculation is made. The AMA has cited estimates ranging from $500,000 to more than $1 million per physician when recruitment, lost productivity, onboarding, and related costs are included.

What’s the fastest administrative fix for a small practice with no budget for new software?

Look at the work before buying another tool. Pick one repetitive task—such as referral follow-up, insurance verification, or prior authorization tracking; document the current process, and move ownership to someone who can handle it consistently.

Do virtual or offshore staff need to sign a HIPAA Business Associate Agreement?

The answer depends on the relationship and whether the person or organization qualifies as a business associate under HIPAA. A remote or offshore location doesn’t, by itself, remove HIPAA obligations. If HIPAA requirements, contracts, and other safeguards are in place, PHI can be handled offshore, as confirmed by HHS.

Related Read: Here’s a take on Specialized Remote Medical Coders, including a testimonial from a real remote coder.

Healthcare and Administrative Burnout Should Burn Less

Less of your staff’s energy. Of their morale. Their motivation. Work culture. It shouldn’t be burning anything, or anyone, in your team at all.

Quell healthcare worker burnout by leaving the paperwork out of your providers’ line of sight and work. Your providers should care for their patients, and paperwork – in the care of professionals whose expertise is exactly that – is medical administrative.

And you can offshore them today.

Thinking to outsource medical coding, medical coding virtual assistants, medical billing specialists, administrative specialists, claim specialists, and more? Let’s talk strategy in building a remote or hybrid team. Request a Callback now.

↑ Back to Top

Vaune Cura
+ posts

Vaune Everis Cura has always been a writer in the truest sense, drawn to the art both as a personal creative pursuit and as a profession. Her experience penning content across digital marketing spaces and collaborating with business owners and market shapers has broadened her craft to include strategic direction and SEO insight. Having spent years with the InterContinental Hotels Group before stepping boldly into freelancing, she understands that at the centre of it all are genuine, meaningful brand–customer relationships built on purposeful, human content.

Get FREE EXPERT Guidance

We’ll answer all your burning questions when it comes to building and setting up your remote team.

Our Featured Talent

Get instant and
FREE Access to
our more than
1,000 talent pool
database.

Pick and choose to your liking.

About The Author

Vaune Everis Cura has always been a writer in the truest sense, drawn to the art both as a personal creative pursuit and as a profession. Her experience penning content across digital marketing spaces and collaborating with business owners and market shapers has broadened her craft to include strategic direction and SEO insight. Having spent years with the InterContinental Hotels Group before stepping boldly into freelancing, she understands that at the centre of it all are genuine, meaningful brand–customer relationships built on purposeful, human content.

Leave a reply

Your email address will not be published. Required fields are marked *

Get Your Free Virtual Staff Toolkit

Step by Step Guide on how to effectively and efficiently build, manage your virtual staff.

Ready to Build and Retain your
Ideal Remote Workforce?