US Digestive Health · 2 weeks ago
Prior Authorization Specialist - Clinical/Office
Reading, PA
Full-time
Onsite
Mid Level
3+ years expUS Digestive Health is seeking a Prior Authorization Specialist to effectively obtain insurance authorizations for patients prescribed medication. The role involves verifying insurance requirements, researching clinical information, and communicating authorizations to patients and physicians.
Health Care
No H1B
Responsibilities
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 from insurance companies or patient assistance programs
Communicating authorizations to patients and physicians explaining approvals or denials for medication when needed
Field any phone calls and emails related to authorizations
Establish relationships with drug companies
Qualification
Required
High School Diploma or GED equivalent
Preferred
Minimum 3-5 years of experience in customer service preferred but not required
Prefer previous Medication Authorization responsibilities
Allscripts EMR program a plus
Company
US Digestive Health
US Digestive Health is a network of gastroenterology practices focused on helping patients.
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
Mark Johnston
Partner Regional Gastroenterology Inc.
Melissa DiGiacomo
Human Resources Business Partner
Recent News
2025-09-07
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