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Flexible Prior Authorization Rn Jobs (NOW HIRING)

Axelon

Prior Authorization Clinician

Boston, MA · On-site

$50/hr

Prior Authorization payor-side taking criteria and applying to clinical documentation to make sure ... RN license in state of MA, NH or compact license • Medicare and Medicaid knowledge Experience ...

StatCare, LLC

Prior Authorization Coordinator

Knoxville, TN · On-site

$15.25 - $19/hr

StatCare strives to work collaboratively with hospital partners, nurses, and support staff ... Prior Authorization Coordinator is responsible for securing prior authorizations for diagnostic ...

Axelon

Prior Authorization Clinician

Charlestown, MA · On-site

$50/hr

Nursing degree or diploma required, bachelor's degree in nursing Preferred/Desirable * RN license in state of MA, NH or compact license Experience: * 2+ years prior authorization experience and ...

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

As of Sep 13, 2026, the average hourly pay for flexible 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 Flexible Prior Authorization Rn vs Medical Coder?

AspectFlexible Prior Authorization RnMedical Coder
CredentialsRN license, certification in prior authorizationCertification in coding (CPC, CCS)
Work EnvironmentHospitals, clinics, insurance companiesMedical offices, billing companies, hospitals
Job FocusReviewing and approving insurance requestsTranslating medical records into codes

Flexible Prior Authorization Rns and Medical Coders both work within healthcare settings, but their roles differ. RNs focus on reviewing insurance requests for coverage, while Medical Coders translate medical documentation into standardized codes. Both require specialized certifications and are essential in healthcare administration and billing processes.

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Flexible Prior Authorization Rn jobs near you

Prior Authorization Specialist / Remote

Englewood, CO • Remote

BrightSpring Health Services
Health Care and Social Assistance • 10K+ employees
Learn more about BrightSpring Health Servicesexternal

$21 - $26/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 7 days ago

BrightSpring Health Services rating

4.9

Company rating: 4.9 out of 10

Based on 65 frontline employees who took The Breakroom Quiz

Job description

Overview

This role will be responsible for activities relating to the proper initiation, clinical review, submission, and follow up of prior authorizations. This role requires working knowledge of pharmacy benefits and prior authorization process.

Schedule:
Monday - Friday
9:30am - 6:30pm CST

We Offer:

• Competitive Pay 

• Health, Dental, Vision & Life Insurance

• Company-Paid Short & Long-Term Disability
• Flexible Schedules & Paid Time Off
• Tuition Reimbursement 
• Employee Discount Program & DailyPay
• 401k

• Pet Insurance


Responsibilities

  • Initiate, process, and oversee the clinical review of prior authorization requests for medication and supply, ensuring compliance with payer requirements and clinical guidelines.
  • Collaborate with healthcare providers, insurance companies, and patients to gather necessary clinical information and documentation to support prior authorization submissions.
  • Submit prior authorization requests accurately and in a timely manner, utilizing electronic submission platforms and following established protocols.
  • Knowledgeable to perform all PA functions.

Qualifications

  • High School Diploma or GED or licensed/registered pharmacy technician or previous experience in Pharmacy
  • 1+ years pharmacy experience
  • Pharmacy or healthcare-related knowledge
  • Knowledge of pharmacy terminology including sig codes, and Roman numbers, brand/generic names of medication
  • Basic math and analytical skills
  • Intermediate typing/keyboard skills

What BrightSpring Health Services employees say

Pay

Benefits

Hours and flexibility

Workplace

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