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Prior Authorization Specialist - Clinical/Office
U. S. Digestive Health
πŸ“ Wyomissing Hills, Berks County On-site Prior Authorization Posted 2026-01-23
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Job Description

Full-time Description Summary/Objective Effectively obtain insurance authorizations for patients prescribed medication Essential Functions Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Responsible for authorizations in multi-provider practice. Obtain patient insurance information and contact insurance carriers online or by phone t
A Day in the Life: Prior Authorization
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7:00 AM
Review the surgical and procedure schedule for the next 48–72 hours. Every case that requires authorization needs to be cleared be…
7:30 AM
Pull the PA worklist. Filter by date of service β€” cases with the earliest service dates get worked first. High-cost procedures (su…
8:30 AM
Submit PA requests to payers. Each payer has its own portal, its own forms, its own documentation requirements. You know them all…
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