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Day Shift Prior Authorization Rn Jobs (NOW HIRING)

Medical Billing and Coding Diploma Schedule/Shift * M-F 8:00-4:30pm (they can skip lunch break if ... In order to be eligible for health benefits, you must be employed for 30 days and must average 30 ...

The Prior Authorization team processes all health plan/payer utilization review requirements, which ... Day shift |Hours between Mon-Fri 8:00am-4:30pm * Majority remote; needed onsite for occasional ...

Prior Authorization Specialist

$18.50 - $24.50/hr

Join Our Prior Authorization Team at Logan Health! Location: Remote (see approved states) Schedule ... Variable Shift - 8 Hours | Full-Time - 40 Hours Logan Health operates 24 hours per day, seven days ...

Prior Authorization Specialist

Freehold, NJ · On-site

$18 - $24/hr

Communicates with nursing and medical staff to inform them of any restrictions or special ... Additionally, the compensation range reflects base salary and does not include extra shift rates or ...

$17 - $19/hr

Experience: * 0-3 years in a customer service or call center environment managing 75 calls/day ... Prior Authorization * Medicare and Medicaid * Call handling experience. Education: * High School ...

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Day Shift Prior Authorization Rn information

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How much do day shift prior authorization rn jobs pay per hour?

As of Aug 22, 2026, the average hourly pay for day shift prior authorization rn in the United States is $42.24, according to ZipRecruiter salary data. Most workers in this role earn between $31.49 and $50.00 per hour, depending on experience, location, and employer.

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

AspectDay Shift Prior Authorization RnDay Shift Medical Coder
CredentialsRN license, certification in case management or utilization reviewCertification in coding (CPC, CCS), high school diploma or equivalent
Work EnvironmentHospitals, insurance companies, clinics, primarily administrative with patient interactionHealthcare facilities, insurance companies, primarily desk-based coding tasks
Industry UsageUtilization review, patient care coordination, insurance authorizationMedical record coding, billing, documentation review

While both roles work within healthcare and involve administrative tasks, the Day Shift Prior Authorization Rn focuses on patient care coordination and insurance authorization, requiring nursing credentials. In contrast, the Day Shift Medical Coder specializes in translating medical records into codes for billing and documentation, requiring coding certifications. Both roles are essential but serve different functions within the healthcare industry.

What is the least stressful day shift prior authorization RN job?

A day shift prior authorization RN role with predictable hours, manageable caseloads, and a supportive work environment tends to be less stressful. Jobs that involve clear protocols, minimal urgent requests, and good work-life balance are generally considered less stressful for RNs in this position.
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What job categories do people searching Day Shift Prior Authorization Rn jobs look for?

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Infographic showing various Day Shift Prior Authorization Rn job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 67% Full Time, 27% Part Time, and 5% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $87,868 per year, or $42.2 per hour.

PRIOR AUTHORIZATION SPECIALIST

Graves Gilbert Clinic

Bowling Green, KY • On-site

$17.75 - $23.50/hr

Full-time

Re-posted 26 days ago


Graves Gilbert Clinic rating

5.6

Company rating: 5.6 out of 10

Based on 26 frontline employees who took The Breakroom Quiz


Job description

The Prior Authorization Specialist is responsible for verifying patient eligibility and insurance benefits for clinic-administered medications. This position requires a thorough understanding of insurance terminology, benefit structures, and authorization processes to ensure accurate documentation and timely completion of prior authorization requests. The Specialist will obtain, monitor, and maintain authorizations through payer websites, fax, and telephone, including all necessary follow-up and reauthorization activities. This role supports revenue cycle accuracy and contributes to the delivery of high-quality patient care.

Key Responsibilities:

  • Initiate, monitor, and secure prior authorizations from third-party payers.
  • Maintain electronic documentation for all prior authorization activities in accordance with organizational standards.
  • Track pending authorizations and follow up within defined timeframes (7–10 days or payer-specific requirements) to support timely claims submission.
  • Obtain authorization renewals and verify active provider orders and medical necessity documentation.
  • Work collaboratively with clinicians, practice managers, and other team members to obtain clinical notes and documentation necessary for prior authorization approval.
  • Verify authorization quantities and effective dates; ensure accurate processing by third-party payers and correct loading of information in internal systems.
  • Review and confirm patient eligibility, insurance benefits, and plan requirements for clinic-administered medications.
  • Interpret payer pre-certification and authorization guidelines and ensure appropriate approvals are obtained and documented.
  • Input accurate Payer Plan ID numbers and related data into organizational systems to ensure correct billing for current and future services.
  • Determine patient financial responsibility, including coordination of benefits and other coverage considerations.
  • Organize workload and manage deadlines to prevent delays or loss of revenue due to filing limitations.
  • Maintain professional communication with all payers, clinicians, and other team members.
  • Perform additional duties as assigned.

 Qualifications:

  • Prior experience in authorization processing and benefit investigation required.
  • Experience with specialty medication authorizations preferred.
  • Strong attention to detail and accuracy.
  • Excellent time management and organizational skills.
  • Proficiency in Microsoft Excel and related software applications.
  • Strong interpersonal and communication skills.
  • Ability to interpret insurance benefits, authorization guidelines, and medical terminology.
  • Ability to work collaboratively in a fast-paced, team-oriented environment.

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