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Full Time Prior Authorization Rn Jobs in Albany, NY

Trinity Health

RN Clinical Lead

Albany, NY · On-site

$33.75 - $45.75/hr

Employment Type: Full time Shift: Day Shift Description: RN Clinical Lead - Albany Internal ... Obtains prior authorization for diagnostic testing and medication and enters into EMR. * Responds ...

Trinityhealth

RN Clinical Lead

Albany, NY

Employment Type: Full time Shift: Day Shift Description: RN Clinical Lead - Albany Internal ... Obtains prior authorization for diagnostic testing and medication and enters into EMR. * Responds ...

Trinity Health

RN Clinical Lead

Albany, NY

Employment Type: Full time Shift: Day Shift Description: RN Clinical Lead - Albany Internal ... Obtains prior authorization for diagnostic testing and medication and enters into EMR. * Responds ...

Community Care Physicians

Registered Nurse

Latham, NY · On-site

$32 - $45.50/hr

This is a full-time 40-hour work week. *This position is eligible for up to a $3,500.00 recruitment ... Prior critical care experience preferred, med-surg required. If you are interested in this ...

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All JobsPrior Authorization Rn JobsFull Time Prior Authorization Rn JobsFull Time Prior Authorization Rn Jobs in Albany, NY

Full Time Prior Authorization Rn information

See Albany, NY salary details

$7

$41

$71

How much do full time prior authorization rn jobs pay per hour?

As of Aug 30, 2026, the average hourly pay for full time prior authorization rn in Albany, NY is $41.94, according to ZipRecruiter salary data. Most workers in this role earn between $31.25 and $49.66 per hour, depending on experience, location, and employer.

What is a full time prior authorization RN?

Full Time Prior Authorization Registered Nurses (RNs) are healthcare professionals who work primarily in administrative roles to review and evaluate medical service requests. Their main responsibility is to determine if specific treatments, medications, or procedures meet insurance company criteria for coverage before they are provided to patients. They use their clinical knowledge to assess medical necessity and ensure compliance with healthcare policies and guidelines. These nurses typically interact with physicians, insurance companies, and patients to manage authorizations and appeals, ensuring that care is both appropriate and covered under a patient’s health plan.

What are some typical challenges faced by full time prior authorization RNs, and how can they be managed?

Full Time Prior Authorization RNs often encounter challenges related to navigating complex insurance guidelines, managing high caseloads, and ensuring timely communication between healthcare providers and payers. Staying organized, keeping up-to-date with frequently changing insurance policies, and developing strong collaboration skills with both clinical and administrative teams are key to success in this role. Leveraging electronic health records and standardized workflows can also help streamline the authorization process and reduce delays for patients.

What are the key skills and qualifications needed to thrive as a full time prior authorization RN, and why are they important?

To thrive as a Full Time Prior Authorization RN, you need a strong nursing background (active RN license), in-depth knowledge of medical terminology, and experience with insurance processes or utilization review. Familiarity with prior authorization software, electronic health records (EHRs), and insurance payer portals is typically required. Exceptional attention to detail, critical thinking, and strong communication skills help you effectively evaluate medical necessity and advocate for patient care. These abilities ensure timely, accurate authorizations, reduce claim denials, and promote optimal patient outcomes.

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

AspectFull Time Prior Authorization RnMedical Coder
CredentialsRN license, certification in case management or utilization reviewCertification in coding (CPC, CCS), knowledge of medical coding systems
Work EnvironmentHealthcare facilities, insurance companies, utilization review departmentsMedical offices, hospitals, insurance companies, coding agencies
Job FocusReviewing and authorizing medical procedures and treatmentsTranslating medical records into standardized codes for billing

While both roles require healthcare knowledge, the Full Time Prior Authorization RN focuses on evaluating medical necessity for treatments, whereas Medical Coders translate medical documentation into codes for billing. Both are essential in healthcare administration but serve different functions within the patient care and billing process.

What are the most commonly searched types of Prior Authorization Rn jobs in Albany, NY?

The most popular types of Prior Authorization Rn jobs in Albany, NY are:

Full Time Prior Authorization Rn jobs near you
Infographic showing various Full Time Prior Authorization Rn job openings in Albany, NY as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $87,241 per year, or $41.9 per hour.

Authorization Specialist

Capital Cardio Associates

Albany, NY • On-site

$20 - $25/hr

Full-time

Medical, Dental, Retirement, PTO

Re-posted yesterday

Job description

Join Our Team at Capital Cardiology Associates!

We are looking for a full-time Prior Authorization Specialist to join our dynamic team. In this role, you will be the key point of contact, ensuring patients have access to essential services and medications that require insurance prior authorization.

As a Prior Authorization Specialist, you will handle the review and processing of prior authorization requests for outpatient services and admissions, focusing on eligibility and benefits. You will also work to resolve issues and provide guidance to both internal and external staff.

Qualifications:

  • At least 2 years of experience in the healthcare industry, preferably in a cardiology environment.
  • Strong multitasking abilities, exceptional organizational skills, and advanced computer proficiency.
  • Prior experience with the Medical Manager system is a plus.
  • CPC certification is highly preferred

Compensation:

Hourly rate: $20-$25 per hour based on experience and qualifications.

What We Offer:

  • Monday through Friday schedule.
  • Paid Sick and Vacation Accruals
  • Health, Dental, and FSA plans available
  • Voluntary Supplemental Benefits options
  • Generous 401k Contributions
  • Tuition Reimbursement opportunities

Equal Opportunity Employer Statement:

Capital Cardiology Associates is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity and/or expression, status as a veteran, and basis of disability or any other federal, state or local protected class.

Our organization participates in E-verify.

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