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From Home Prior Authorization Rn Jobs (NOW HIRING)

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From Home Prior Authorization Rn information

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How much do from home prior authorization rn jobs pay per week?

As of Jul 15, 2026, the average weekly pay for from home prior authorization rn in the United States is $1,956.10, according to ZipRecruiter salary data. Most workers in this role earn between $1,528.85 and $2,288.46 per week, depending on experience, location, and employer.

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

AspectFrom Home Prior Authorization RnFrom Home Medical Coder
CredentialsRN license, possibly certifications like CCMMedical coding certification (CPC, CCS)
Work EnvironmentHome-based, clinical settingHome-based, administrative setting
Industry UsageHealthcare, insurance, patient careHealthcare, billing, insurance claims

While both roles are remote healthcare positions, From Home Prior Authorization Rn focuses on reviewing medical necessity for insurance approvals, requiring nursing credentials. In contrast, From Home Medical Coder handles medical billing and coding, requiring coding certifications. Both roles support healthcare operations but differ in responsibilities and required qualifications.

What cities are hiring for From Home Prior Authorization Rn jobs? Cities with the most From Home 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 From Home Prior Authorization Rn jobs? States with the most job openings for From Home Prior Authorization Rn jobs include:
Medication Prior Authorization Specialist

Medication Prior Authorization Specialist

St. Luke's University Health Network

Allentown, PA • On-site

$17.75 - $23.75/hr

Full-time

Posted 13 days ago


St. Luke's University Health Network rating

7.2

Company rating: 7.2 out of 10

Based on 265 frontline employees who took The Breakroom Quiz

329th of 885 rated healthcare providers


Job description

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.The Medication Prior Authorization Specialist is responsible for the coordination of insurance prior authorizations for applicable patient prescriptions. This role liaises with providers, insurance companies, and patients to perform insurance verification, obtain prior authorizations, and bring the authorization process to resolution.

JOB DUTIES AND RESPONSIBILITIES:

  • Monitors prior authorization work queues WQ(s) and promptly obtains and/or reviews patient insurance information and eligibility verification required to secure medication prior authorizations.
  • Utilizes online, fax, and telephony pathways to obtain prior authorizations from insurance companies for prescribed medications and documents medication prior authorizations in the medical record as necessary.
  • Seeks additional information and/or communicates updates to patients and providers as appropriate throughout the prior authorization process.
  • Engages insurance company representatives and provides required clinical information to secure prior authorization, when necessary.
  • Engages practice operations and incorporates clinical care team when prior authorization attempt is unsuccessful and/or a peer-to-peer and/or alternative medication is required.
  • Escalates complex prior authorization issues to Supervisor, Medication Prior Authorization for assistance/guidance.
  • Maintains working knowledge of St. Luke's electronic medical record system, internal systems and tools, and other online insurance websites.
  • Maintains solution-oriented/creative mindset to effectively anticipate and tend to patient needs by partnering with other organizational team members/departments.
  • Actively participates in performance improvement and continuous quality improvement activities.
  • Other related duties as assigned.

PHYSICAL AND SENSORY REQUIREMENTS:

Sitting for up to 8 hours per day, 3 hours at a time. Consistent use of hands and fingers for typing, telephones, data entry, etc. Occasional twisting and turning. Uses upper extremities to lift and carry up to 15 pounds. Stoops, bends, and reaches above shoulder level to retrieve files. Hearing as it relates to normal conversation. Seeing as it relates to general vision. Visual monotony when reading reports and reviewing computer screen.

EDUCATION:

  • High School graduate or equivalent.

TRAINING AND EXPERIENCE:

Required:

  • One year practice-based experience or in a similar healthcare setting.

Preferred:

  • Customer service experience.
  • Previous prior authorization experience.
  • Previous Medical Assistant experience.

Please complete your application using your full legal name andcurrent home address. Be sure toincludeemployment history forthe past seven (7) years, including your present employer. Additionally, you areencouraged to upload a current resume, including all work history, education, and/or certifications andlicenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!!

St. Luke's University Health Network is an Equal Opportunity Employer.

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