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Prior Authorization Jobs in Reading, PA (NOW HIRING)

Dermatology Partners

Medical Triage

West Lawn, PA · On-site

$16.25 - $21.25/hr

Providing pathology results and Prior authorizations as allowed * Respond within 24 hours to messages sent through multiple message channels * Send applicable prescriptions * Handle medication and ...

UNION COMMUNITY CARE

Referral Coordinator (63041)

PA · On-site

$17.75 - $23/hr

JOB SUMMARY The Referral Coordinator is responsible for completing prior authorizations and arranging specialty care appointments for patients. The Referral Coordinators track and follow up on ...

Medix

Referral Coordinator

Lebanon, PA · On-site

$17.80/hr

Coordinate directly with patients, specialist clinics, and insurance carriers to obtain necessary prior authorizations for specialty care and diagnostic procedures. * Schedule specialist appointments ...

Provider Healthcare

Dentist

Lebanon, PA

Accurately code, ensure prior authorization for procedures, and document all encounters * Provide guidance for dental assistants and front office staff * Perform all duties assigned by the Dental ...

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All JobsPrior Authorization JobsPrior Authorization Jobs in Reading, PA

Prior Authorization information

See Reading, PA salary details

$13

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$30

How much do prior authorization jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for prior authorization in Reading, PA is $20.07, according to ZipRecruiter salary data. Most workers in this role earn between $16.63 and $22.16 per hour, depending on experience, location, and employer.

What is prior authorization?

Prior authorization is a process used by health insurance companies to determine if they will cover a prescribed procedure, service, or medication. Before the provider delivers the service, they must receive approval from the insurer. This process helps control costs and ensures that the service or medication is medically necessary. It often involves submitting documentation and waiting for a decision, which can sometimes delay patient care. Patients and providers should check with insurance companies to understand which services require prior authorization.

What are the key skills and qualifications needed to thrive as a prior authorization specialist, and why are they important?

To thrive as a Prior Authorization Specialist, you need strong knowledge of medical terminology, insurance processes, and healthcare regulations, typically supported by a high school diploma or associate degree in a healthcare-related field. Familiarity with electronic medical records (EMR) systems, insurance portals, and authorization management software is essential. Attention to detail, effective communication, and problem-solving abilities help you navigate complex cases and collaborate with providers and payers. These skills ensure accurate and timely processing of authorizations, minimizing delays in patient care and reducing administrative errors.

What are some common challenges faced by prior authorization specialists, and how can applicants prepare for them?

Prior Authorization specialists often encounter challenges such as navigating complex insurance policies, managing high volumes of requests, and communicating effectively with both healthcare providers and insurance representatives. To prepare for these challenges, applicants should develop strong organizational skills, attention to detail, and a good understanding of medical terminology and insurance guidelines. Familiarity with electronic health records (EHR) systems and the ability to multitask in a fast-paced environment are also valuable assets in this role.

What is the difference between Prior Authorization vs Medical Billing Specialist?

AspectPrior AuthorizationMedical Billing Specialist
CredentialsTypically requires knowledge of insurance policies, healthcare regulations, and sometimes certifications like NCQA or AHIPRequires knowledge of coding, billing procedures, and often certifications like CPC or CCS
Work EnvironmentHealthcare provider offices, insurance companies, or hospitalsMedical offices, billing companies, or healthcare facilities
Employer & Industry UsageUsed by healthcare providers and insurers to approve treatments or proceduresUsed by healthcare providers and billing companies to process claims and payments

While both roles are essential in healthcare administration, Prior Authorization focuses on obtaining approval for treatments, whereas Medical Billing Specialists handle the financial aspects of claims processing. Understanding their differences helps clarify their distinct responsibilities within the healthcare system.

How do I become a prior authorization specialist?

To become a prior authorization specialist, you typically need a high school diploma or equivalent, along with knowledge of medical billing and coding. Relevant skills include attention to detail, communication, and familiarity with insurance policies and electronic health record systems. Certification in medical billing or coding can enhance job prospects.

What career paths follow prior authorization?

Careers following prior authorization include roles such as medical billers, claims processors, healthcare administrators, and utilization review specialists. These positions often require knowledge of insurance policies, medical coding, and healthcare regulations, and may involve certifications like CPC or CCS. Advancement can lead to supervisory or managerial roles within healthcare administration or insurance companies.

What is a prior authorization job?

A prior authorization job involves reviewing and processing requests from healthcare providers to approve specific medical treatments, medications, or procedures before they are administered. The role requires knowledge of insurance policies, medical terminology, and attention to detail, often utilizing electronic health record systems. It is essential for ensuring that treatments meet insurance criteria and are covered under the patient's plan.
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Prior Authorization jobs near you
Infographic showing various Prior Authorization job openings in Reading, PA as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 19% Part Time, 1% Temporary, and 2% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $41,736 per year, or $20.1 per hour.

Medical Triage

Dermatology Partners

West Lawn, PA • On-site

$16.25 - $21.25/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 12 days ago

Job description

Description:

Join us at Dermatology Partners, where your career flourishes alongside your health and happiness. Your future starts here-let's grow together!

Discover the Benefits of Joining Dermatology Partners!

  • No Nights or Weekends
  • Growth Opportunity 
  • Medical, Dental, and Vision Insurance 
  • PTO & Paid Holiday’s  
  • 401 (k) with 4% employee match-Fully Vested 
  • Company paid Life Insurance
  • Options of additional Life insurance, Short & Long term disability, Critical Illness and Accident Insurance 
  • Employee Discount
  • Referral Bonus 
  • Employee Appreciation Day: Dorney Park in Fall
  • Employee Assistance Program (EAP)


Dermatology Partners is a Dermatology group with locations in Pennsylvania, Delaware, and Maryland. Our Core values are the foundation for everything we do as an organization.

Our Core Values are:

  • Grow Together
  • Seize Opportunity from Struggle
  • Outcome Over Ego
  • Commitment to Serve
  • Do The Right Thing 


What your responsibilities will be in Medical Triage: 

  • Providing pathology results and Prior authorizations as allowed 
  • Respond within 24 hours to messages sent through multiple message channels
  • Send applicable prescriptions
  • Handle medication and prior authorization electronic faxes for multiple providers
  • Accurately filling out prior authorization request forms and documenting charts with updates
  • Ensure that patient medical records are up-to-date in accordance with regulatory and compliance policies
  • Schedule general, cosmetic, and surgical appointments for multiple providers
  • Recognizing, documenting, and informing the Supervisor regarding the trends in internal and external calls
  • Mailing of Certified Letters for non-compliance
  • Provide excellent customer service to all patients
  • Cross trained in Customer service (Call Center) call types & functions
  • Complete a clinical rotation as needed
  • Other duties as assigned


Requirements:

What we look for:

  • Medical Assistant experience (1 year min.)
  • Call Center or Medical Scheduling experience 
  • Strong Customer service 
  • Excellent written and verbal communication
  • Clean and presentable appearance
  • Team focused and is able to follow detailed instructions carefully with limited oversight
  • Organized, punctual and professional
  • Eager to grow and learn with the company
  • Fluency in computer systems and a variety of software packages
  • Medical Terminology experience
  • Dedicated to patients and personable customer service
  • Passionate about the field of Dermatology