Prior Authorization Specialist
How this pay compares
This posting does not state an hourly rate. Open patient access representative jobs in Pennsylvania post a median of $23.69 an hour, the middle half $23.41–$24.52, across 49 jobs that state their pay. Patient access representatives employed in Pennsylvania earn a median of $21.19 an hour (source: BLS Occupational Employment and Wage Statistics), according to the Bureau of Labor Statistics (May 2025) (source: BLS Occupational Employment and Wage Statistics).
Patient access representatives in Pennsylvania: pay by town and employer
Patient access, front desk and medical coding jobs in our research
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- How often these jobs state their pay: Jobs stating any pay 49.8% · Stating an hourly rate 44.6%
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About the job
Full-Time | On-Site | 221 West Market Street, Pottsville, PA 17901
Concept Billing Solutions is seeking a proactive Prior Authorization Specialist to help patients receive timely access to prescription medications. You will manage authorization requests from submission through resolution while working closely with insurers, physician offices, nursing facilities, and pharmacy teams.
What You’ll Do
- Prepare and submit prescription prior authorization requests with accurate supporting documentation.
- Review payer requirements and obtain needed clinical and insurance information from appropriate partners.
- Monitor pending requests, follow up on decisions, and prioritize time-sensitive cases.
- Investigate authorization-related claim rejections and coordinate appeals or additional documentation when needed.
- Communicate status updates and outstanding requirements to providers, facilities, insurers, and internal teams.
- Maintain thorough records and take ownership of open requests until resolved.
What We’re Looking For
- Prior authorization, pharmacy claims, insurance billing, or related healthcare insurance experience preferred.
- LTC pharmacy experience and familiarity with Medicare, Medicaid, or commercial prescription coverage are pluses.
- Strong organizational skills and ability to manage competing deadlines.
- Clear, professional communication and effective problem-solving skills.
- Comfort learning multiple systems; proficiency with Microsoft Office.
- Ability to work independently and collaborate with a cross-functional team.
Benefits
- Medical insurance
- Paid vacation and paid holidays
- 401(k) retirement plan
About Concept Billing Solutions
Concept Billing Solutions is a growing medical billing and revenue cycle management company serving healthcare organizations. Our team supports clients with billing, insurance coordination, prior authorizations, and related administrative services. We value accuracy, responsiveness, teamwork, and dependable follow-through.
Apply today to join the Concept Billing Solutions team.
From Concept Pharmacy's job posting, checked 11 Nov 2026. The employer's own page is the final word on requirements and availability.
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About Concept Pharmacy
Concept Pharmacy hires pharmacy staff in Ashland, Pennsylvania.
Hires in PennsylvaniaPay on its listings: 0% of its open jobs state an hourly rate
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