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Contractual Prior Authorization Rn Jobs (NOW HIRING)

Curant Health

Prior Authorization Specialist

Smyrna, GA · On-site

$18 - $24/hr

The Prior Authorization specialist responsibilities includes: taking in-bound calls from providers ... Registered Pharmacy Technician Why Work for Us? We offer competitive pay, paid holidays, benefits ...

Aquent

Prior Authorization Specialist

Palo Alto, CA · On-site

$35.81 - $38.96/hr

Be authorized to work in the United States * Not require sponsorship of any kind for the duration ... Certified or Registered Pharmacy Technician (CPhT) credential or prior pharmacy experience.

Anchor Health CT

Prior Authorization Specialist

Hamden, CT · On-site

$48K - $62K/yr

Track, follow up, and document all authorization statuses to ensure timely patient access to care. * Assist providers and nurses with prior authorization questions, refill coordination, and pharmacy ...

Curant Health

Prior Authorization Specialist

Smyrna, GA · On-site

$18 - $24/hr

The Prior Authorization specialist responsibilities includes: taking in-bound calls from providers ... Registered Pharmacy Technician Why Work for Us? We offer competitive pay, paid holidays, benefits ...

Anchor Health CT

Prior Authorization Specialist

Hamden, CT · On-site

$48K - $62K/yr

Track, follow up, and document all authorization statuses to ensure timely patient access to care. * Assist providers and nurses with prior authorization questions, refill coordination, and pharmacy ...

Anchor Health CT

Prior Authorization Specialist

Hamden, CT · On-site

$48K - $62K/yr

Track, follow up, and document all authorization statuses to ensure timely patient access to care. * Assist providers and nurses with prior authorization questions, refill coordination, and pharmacy ...

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All JobsContractual Prior Authorization Rn Jobs

Contractual Prior Authorization Rn information

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$16

$36

$60

How much do contractual prior authorization rn jobs pay per hour?

As of Jun 23, 2026, the average hourly pay for contractual prior authorization rn in the United States is $36.49, according to ZipRecruiter salary data. Most workers in this role earn between $29.57 and $38.46 per hour, depending on experience, location, and employer.

What is the difference between Contractual Prior Authorization Rn vs Medical Coder?

AspectContractual Prior Authorization RnMedical Coder
CredentialsRN license, certifications in prior authorizationCertification in coding (CPC, CCS)
Work EnvironmentHealthcare facilities, insurance companiesMedical offices, coding departments
Industry UsageInsurance, healthcare providersHealthcare administration, billing

Contractual Prior Authorization Rns and Medical Coders both work within healthcare but focus on different tasks. Rns handle authorization requests to approve treatments, while Medical Coders translate medical records into billing codes. Both roles require specialized certifications and are essential in healthcare administration, often working in similar environments but with distinct responsibilities.

What cities are hiring for Contractual Prior Authorization Rn jobs? Cities with the most Contractual Prior Authorization Rn job openings:
What are the most commonly searched types of Prior Authorization Rn jobs? The most popular types of Prior Authorization Rn jobs are:
What states have the most Contractual Prior Authorization Rn jobs? States with the most job openings for Contractual Prior Authorization Rn jobs include:
Contractual Prior Authorization Rn jobs near you

Prior Authorization Department

One Stop Hospice Inc

Santa Ana, CA

$25/hr

Full-time

Posted 5 days ago

Job description


Position Title
Prior Authorization Specialist / Prior Authorization Coordinator
Department
Prior Authorization Department

Job Summary
The Prior Authorization Specialist is responsible for obtaining insurance authorizations and approvals for medical services, treatments, medications, procedures, and equipment. This role works closely with physicians, clinical staff, insurance companies, and patients to ensure timely approvals and accurate documentation while maintaining compliance with payer guidelines and company policies.
Essential Duties and Responsibilities
  •  Submit prior authorization requests to insurance providers for medical services, medications, procedures, and treatments 
  •  Verify patient insurance eligibility and benefits 
  •  Review clinical documentation to ensure authorization requirements are met 
  •  Communicate with physicians, nurses, pharmacies, and other departments regarding authorization status and additional documentation needs 
  •  Follow up with insurance companies on pending, denied, or incomplete authorizations 
  •  Process authorization renewals and extensions as needed 
  •  Document all authorization activities accurately in the EMR/EHR system 
  •  Maintain knowledge of insurance payer guidelines, Medicare, Medicaid, and commercial insurance requirements 
  •  Assist with appeals and denial management when authorizations are denied 
  •  Ensure all approvals are obtained prior to scheduled services when required 
  •  Maintain confidentiality of patient information in compliance with HIPAA regulations 
  •  Provide excellent customer service to patients and internal staff 
Qualifications
  •  High school diploma or equivalent required; associate degree preferred 
  •  Minimum of 1–2 years of experience in healthcare, medical billing, insurance verification, or prior authorization preferred 
  •  Knowledge of medical terminology, CPT, ICD-10, and HCPCS coding preferred 
  •  Experience with EMR/EHR systems and insurance portals 
  •  Strong organizational and multitasking skills 
  •  Excellent communication and problem-solving abilities 
  •  Ability to work independently and in a fast-paced environment 
  •  Proficiency in Microsoft Office applications 
Preferred Experience
  •  Experience in Home Health, Hospice, Specialty Pharmacy, or Medical Office settings 
  •  Familiarity with Medicare, Medi-Cal/Medicaid, and commercial payer authorization processes 
Physical Requirements
  •  Prolonged periods of sitting and computer work 
  •  Ability to communicate effectively by phone and email 
  •  Occasional lifting of office materials up to 15 pounds 
Work Environment
  •  Office or healthcare setting 
  •  Standard business hours with occasional overtime depending on authorization volume 
Skills
  •  Attention to detail 
  •  Time management 
  •  Insurance verification and authorization processing 
  •  Data entry accuracy 
  •  Customer service 
  •  Team collaboration