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Prior Authorization Specialist
U. S. Digestive Health
πŸ“ Wyomissing Hills, Berks County On-site Prior Authorization Posted 2026-06-11

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Job Description

Full-time Description Summary/Objective Effectively obtain insurance authorizations for patients prescribed medication. Essential Functions Responsible for authorizations in multi-provider practice. Obtain patient insurance information and contact insurance carriers online or by phone to verify requirements. Research clinical information from medical record needed to obtain prior authorizations fr
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A Day in the Life: Prior Authorization
Full Career Guide β†’
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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