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Internship Prior Authorization Rn Jobs in Illinois

$27.68/hr

Please ensure that you are logged into Workday and applying through the Jobs Hub before proceeding. RN Prior Authorization Prior Authorization RN is responsible to obtain prior authorization for ...

Prior Authorization Specialist

Peoria, IL · On-site

$18.80 - $22.12/hr

Prior Authorization Specialist OSF HealthCare is dedicated to provide Mission Partners with a ... equivalent (CNA, CPhT, or similar). Other requirements/information: Accurate typing speed of at ...

Intake RN-PRN | The Pavilion at Williamsburg Place | Williamsburg, Virginia About the Job: About ... Facilitates intake, admission, and prior authorization process for incoming patients. * Performs ...

MUST HAVE 6 months of Prior Authorization. Education: * Active and unrestricted RN licensure in state of residence Questionnaire: * Do you have experience with Medcompass? * Do you have experience ...

Care Review Clinician

Springfield, IL · On-site

$40 - $42/hr

Must have 2-3 years of Prior Authorization OR Med-Surg experience; Familiarity with Inpatient Medical Necessity * Must have solid experience within a clinical setting as RN's must be able to use ...

Must have 2-3 years of Prior Authorization OR Med-Surg experience; Familiarity with Inpatient Medical Necessity * Must have solid experience within a clinical setting as RN's must be able to use ...

Care Review Clinician

Dunlap, IL · On-site

$40 - $42/hr

Must have 2-3 years of Prior Authorization OR Med-Surg experience; Familiarity with Inpatient Medical Necessity * Must have solid experience within a clinical setting as RN's must be able to use ...

New

Must have 2-3 years of Prior Authorization OR Med-Surg experience; Familiarity with Inpatient Medical Necessity * Must have solid experience within a clinical setting as RN's must be able to use ...

Care Review Clinician

Springfield, IL · Remote

$40 - $42/hr

Must have 2-3 years of Prior Authorization OR Med-Surg experience; Familiarity with Inpatient Medical Necessity * Must have solid experience within a clinical setting as RN's must be able to use ...

UM Care Review Clinician

Chicago, IL · On-site

$40 - $42/hr

Must have 2-3 years of Prior Authorization OR Med-Surg experience; Familiarity with Inpatient Medical Necessity * Must have solid experience within a clinical setting as RN's must be able to use ...

UM Care Review Clinician

Chicago, IL · Remote

$40 - $42/hr

Must have 2-3 years of Prior Authorization OR Med-Surg experience; Familiarity with Inpatient Medical Necessity * Must have solid experience within a clinical setting as RN's must be able to use ...

Lead Pre-Authorization Specialist

Champaign, IL · On-site +1

$16.75 - $22.50/hr

ResponsibilitiesMonitors daily activities of the Prior Authorization department to ensure quality ... nursing care. We offer opportunities in several communities throughout central Illinois with ...

Lead Pre-Authorization Specialist

Champaign, IL · On-site

$18 - $24/hr

Monitor day to day scheduling and functions of Prior Authorization department to ensure staff are ... nursing care. We offer opportunities in several communities throughout central Illinois with ...

Revenue Authorization Specialist

Mount Carmel, IL · On-site

$16.25 - $21.75/hr

... referrals, prior authorizations, or other equivalent knowledge of professional revenue cycle ... Tuition/professional development reimbursement starting on day one. * RN to BSN tuition 100% paid ...

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Internship Prior Authorization Rn information

What is the difference between Internship Prior Authorization Rn vs Medical Billing Specialist?

AspectInternship Prior Authorization RnMedical Billing Specialist
CredentialsRN license, internship experienceCertification in medical billing or coding
Work EnvironmentHospitals, clinics, healthcare facilitiesMedical offices, billing companies, healthcare providers
Employer & Industry UsageHealthcare providers requiring authorization for patient careHealthcare billing and insurance reimbursement

The Internship Prior Authorization RN focuses on obtaining approval for patient treatments, requiring nursing credentials and clinical experience. In contrast, a Medical Billing Specialist handles billing processes, insurance claims, and coding. Both roles are essential in healthcare but serve different functions—one ensures proper authorization for care, the other manages financial reimbursement.

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

The most popular types of Prior Authorization Rn jobs in Illinois are:

What cities in Illinois are hiring for Internship Prior Authorization Rn jobs?

Cities in Illinois with the most Internship Prior Authorization Rn job openings:

$27.68/hr

Full-time

Posted 17 days ago


Job description

Internal Employees: Please ensure that you are logged into Workday and applying through the Jobs Hub before proceeding.

RN Prior Authorization

Job Description

Prior Authorization RN is responsible to obtain prior authorization for medications and/or procedures when required by the patient's health insurance company. The RN routinely communicates and collaborates with patients, insurance companies, other departments, and healthcare providers.

Hours: Full-time/40 hours per week

Required: RN; ADN

Pay: Based on experience, starting at $27.68 per hour

Responsibilities

Assists with other tasks to support patients or team members., Assists with other tasks to support patients or team members., Documents results of authorization approval/denial in the patient chart., Maintains up-to-date knowledge of new medications/procedures and diagnoses for which the treatment is effective., Notifies the ordering healthcare provider and patient if authorization is denied and works to help resolve the denial in an effort to gain approval., Notifies the ordering healthcare provider and patient if authorization is denied and works to help resolve the denial in an effort to gain approval., Obtains current patient demographics and insurance benefits from Registration., Obtains current patient demographics and insurance benefits from Registration., Requests authorization after medications / procedures have been provided when needed., Requests authorization after medications / procedures have been provided when needed., Responsible for contacting patients' insurance companies to obtain prior authorization (if required) for medications and/or procedures ordered by the healthcare provider., Serves as a customer service representative and liaison among patient, insurance company, and medical staff., Serves as a customer service representative and liaison among patient, insurance company, and medical staff., Works closely with the healthcare provider's office nurse to ensure proper authorization is obtained. Collects insurance benefit information, sends supporting medical records, and provides benefits of medication and/or procedures ordered., Works closely with the healthcare provider's office nurse to ensure proper authorization is obtained. Collects insurance benefit information, sends supporting medical records, and provides benefits of medication and/or procedures ordered.

Requirements

ADN (Required)RN-Registered Nurse - Illinois Department of Financial and Professional Regulation

Compensation

Estimated Compensation Range

$27.68 - $42.90

Pay based on experience