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Full Time Prior Authorization Rn Jobs (NOW HIRING)

OneOncology LLC

Prior Authorization Specialist

Huntsville, AL · On-site

$17.75 - $23.75/hr

Communicate with Physicians and RN's regarding treatment. * Check previous patient treatment with current treatment to ensure insurance payments and prior authorizations have been entered/approved.

Claim Health

Prior Authorization Specialist

New York, NY · On-site

$19.75 - $26.25/hr

Prior authorization is one of the largest operational bottlenecks for agencies. Our platform ... Comfortable working independently in a fast-moving startup Nice to Have * RN, LPN, or clinical ...

Taha'a

Prior Authorization

American Fork, UT · On-site

$16 - $21.50/hr

... nurse case managers, and DOL claims examiners - Track authorization statuses, follow up on pending cases, and prepare appeals as needed - Coordinate equipment ordering, delivery, and setup to ensure ...

New

Boston Medical Center

Prior authorization specialist

$18.50 - $24.50/hr

Insurance Verification Schedule: Full Time ESSENTIAL RESPONSIBILITIES / DUTIES: RESPONSIBILITIES/DUTIES: * Prioritizes incoming Prior Authorization requests. * Processes incoming requests, including ...

New

IVX Health

Prior Authorization Coordinator

Brentwood, TN · On-site +1

$17.50 - $21.75/hr

In addition to cash pay, full-time regular employees are eligible for 401(k), health benefits, and other company-provided benefits. Prior Authorization Coordinator Pay Range $22--$24 USD About IVX ...

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 ...

IVX Health

Prior Authorization Coordinator

$19 - $23.50/hr

In addition to cash pay, full-time regular employees are eligible for 401(k), health benefits, and other company-provided benefits. Prior Authorization Coordinator Pay Range $22-$24 USD About IVX ...

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 ... In-Person, Full-Time, Monday - Friday BENEFITS: * 401(k) * Dental insurance * Health insurance

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 ...

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Full Time Prior Authorization Rn information

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

As of Sep 13, 2026, the average hourly pay for full time 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 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.

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What are the most commonly searched types of Prior Authorization Rn jobs?

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Full Time Prior Authorization Rn jobs near you

Prior Authorization Specialist

Huntsville, AL • On-site

OneOncology LLC
Health Care and Social Assistance • 1 - 5K employees
Learn more about OneOncology LLCexternal

$17.75 - $23.75/hr

Full-time

Posted 26 days ago

OneOncology rating

7.9

Company rating: 7.9 out of 10

Based on 18 frontline employees who took The Breakroom Quiz

Job description

Clearview Cancer Institute is north Alabama's leading cancer treatment facility. For over 30 years Clearview Cancer Institute has provided leading-edge treatment and compassionate care to those diagnosed with cancer or blood disorders. Clearview offers every service and amenity needed in an outpatient setting and our dedication to research and involvement in Phase I-IV clinical trials gives our patients the opportunity to receive potentially life-saving treatment options.

Why Join Us? We are looking for talented and highly-motivated individuals who demonstrate a natural desire to support the meaningful work of community oncologists and the patients we serve.

Job Description:

Job Purpose

The purpose of the Prior Authorization Specialist is to ensure all necessary prior authorizations have been obtained in an effective and efficient manner.

Essential Job Functions

  • Responsible for tracking, obtaining, and extending authorizations from various carriers in a timely manner.
  • Check daily, weekly, and monthly schedules for prior authorizations and request necessary authorizations.
  • Communicate with Physicians and RN's regarding treatment.
  • Check previous patient treatment with current treatment to ensure insurance payments and prior authorizations have been entered/approved.
  • Other duties as assigned.

Qualifications

  • Must have knowledge of Health Insurance Plans
  • Experience in obtaining Health Plan Prior Authorizations thru online portals and/or by phone or fax.
  • Ability to navigate Health Plan websites for medical policy review regarding services.
  • Must be organized and efficient.
  • Must be able to prioritize and complete tasks in a timely manner.
  • Must be able to follow directions and/or work independently.

Education/Experience

  • Must have a high school diploma or equivalent.
  • Certified Pharmacy Technician preferred, but not required
  • Oncology experience required
  • Familiarity with oncology medications preferred
  • Prior Authorization experience preferred

Working conditions

This position works in the billing department of a busy oncology/hematology/radiation/urology clinic. This person generally only has contact with patients via phone.

Physical requirements

This position requires that the employee be able to sit at a desk in front of a computer for up to eight hours a day. Some walking and standing may be required to complete tasks.

Direct Reports

This position is not a supervisory position.

What OneOncology employees say

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Hours and flexibility

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