Prior Authorization Department
$18.75 - $25/hr
... nurses, pharmacies, and other departments regarding authorization status and additional ... prior to scheduled services when required Maintain confidentiality of patient information in ...
$18.75 - $25/hr
... nurses, pharmacies, and other departments regarding authorization status and additional ... prior to scheduled services when required Maintain confidentiality of patient information in ...
$18.75 - $25/hr
... nurses, pharmacies, and other departments regarding authorization status and additional ... prior to scheduled services when required Maintain confidentiality of patient information in ...
Position Title Prior Authorization Specialist / Prior Authorization Coordinator Department Prior ... Communicate with physicians, nurses, pharmacies, and other departments regarding authorization ...
Quick apply
Position Title Prior Authorization Specialist / Prior Authorization Coordinator Department Prior ... Communicate with physicians, nurses, pharmacies, and other departments regarding authorization ...
Position Title Prior Authorization Specialist / Prior Authorization Coordinator Department Prior ... Communicate with physicians, nurses, pharmacies, and other departments regarding authorization ...
Quick apply
Position Title Prior Authorization Specialist / Prior Authorization Coordinator Department Prior ... Communicate with physicians, nurses, pharmacies, and other departments regarding authorization ...
Active California LVN or RN license * 3-5+ years of current clinical UM review * Experience with prior authorization in managed care or delegated environment * Knowledge of MCG criteria, medical ...
Active California LVN or RN license * 3-5+ years of current clinical UM review * Experience with prior authorization in managed care or delegated environment * Knowledge of MCG criteria, medical ...
Utilization review, prior authorization, or managed care experience preferred. * Active OH RN Licensure * Experienced with either Interqual or Milliman Licenses/Certifications: Current RN, required.
Utilization review, prior authorization, or managed care experience preferred. * Active OH RN Licensure * Experienced with either Interqual or Milliman Licenses/Certifications: Current RN, required.
$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 ...
$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 ...
Palo Alto, CA · On-site
$35.81 - $38.96/hr
Be authorized to work in the United States * Not require sponsorship of any kind for the duration ... Certified or Registered Pharmacy Technician (CPhT) credential or prior pharmacy experience.
Palo Alto, CA · On-site
$35.81 - $38.96/hr
Be authorized to work in the United States * Not require sponsorship of any kind for the duration ... Certified or Registered Pharmacy Technician (CPhT) credential or prior pharmacy experience.
Auburn, NY · On-site
$18 - $24.50/hr
The prior authorization specialist is responsible for coordinating all aspects of the prior ... Work with supervisors or nurse managers to confirm treatment plans meet medical necessity criteria.
Auburn, NY · On-site
$18 - $24.50/hr
The prior authorization specialist is responsible for coordinating all aspects of the prior ... Work with supervisors or nurse managers to confirm treatment plans meet medical necessity criteria.
Hamden, CT · On-site
$48K - $62K/yr
Track, follow up, and document all authorization statuses to ensure timely patient access to care. * Assist providers and nurses with prior authorization questions, refill coordination, and pharmacy ...
Hamden, CT · On-site
$48K - $62K/yr
Track, follow up, and document all authorization statuses to ensure timely patient access to care. * Assist providers and nurses with prior authorization questions, refill coordination, and pharmacy ...
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 ...
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 ...
$62K - $93K/yr
Active California LVN or RN license * 3-5+ years of current clinical UM review * Experience with prior authorization in managed care or delegated environment * Knowledge of MCG criteria, medical ...
$62K - $93K/yr
Active California LVN or RN license * 3-5+ years of current clinical UM review * Experience with prior authorization in managed care or delegated environment * Knowledge of MCG criteria, medical ...
Hamden, CT · On-site
$48K - $62K/yr
Track, follow up, and document all authorization statuses to ensure timely patient access to care. * Assist providers and nurses with prior authorization questions, refill coordination, and pharmacy ...
Hamden, CT · On-site
$48K - $62K/yr
Track, follow up, and document all authorization statuses to ensure timely patient access to care. * Assist providers and nurses with prior authorization questions, refill coordination, and pharmacy ...
Hamden, CT · On-site
$48K - $62K/yr
Track, follow up, and document all authorization statuses to ensure timely patient access to care. * Assist providers and nurses with prior authorization questions, refill coordination, and pharmacy ...
Quick apply
Hamden, CT · On-site
$48K - $62K/yr
Track, follow up, and document all authorization statuses to ensure timely patient access to care. * Assist providers and nurses with prior authorization questions, refill coordination, and pharmacy ...
$17 - $22.75/hr
Principal Accountabilities and Essential Duties for Prior Authorization Specialist position ... Assists the providers and nurses with patient referrals Functions as a focal communication source.
$17 - $22.75/hr
Principal Accountabilities and Essential Duties for Prior Authorization Specialist position ... Assists the providers and nurses with patient referrals Functions as a focal communication source.
$62K - $93K/yr
Active California LVN or RN license * 3-5+ years of current clinical UM review * Experience with prior authorization in managed care or delegated environment * Knowledge of MCG criteria, medical ...
$62K - $93K/yr
Active California LVN or RN license * 3-5+ years of current clinical UM review * Experience with prior authorization in managed care or delegated environment * Knowledge of MCG criteria, medical ...
Osage Beach, MO · On-site
$17 - $22.75/hr
Principal Accountabilities and Essential Duties for Prior Authorization Specialist position ... Assists the providers and nurses with patient referrals Functions as a focal communication source.
Osage Beach, MO · On-site
$17 - $22.75/hr
Principal Accountabilities and Essential Duties for Prior Authorization Specialist position ... Assists the providers and nurses with patient referrals Functions as a focal communication source.
$62K - $93K/yr
Active California LVN or RN license * 3-5+ years of current clinical UM review * Experience with prior authorization in managed care or delegated environment * Knowledge of MCG criteria, medical ...
Quick apply
$62K - $93K/yr
Active California LVN or RN license * 3-5+ years of current clinical UM review * Experience with prior authorization in managed care or delegated environment * Knowledge of MCG criteria, medical ...
Chino, CA · On-site
$62K - $93K/yr
Active California LVN or RN license * 3-5+ years of current clinical UM review * Experience with prior authorization in managed care or delegated environment * Knowledge of MCG criteria, medical ...
Chino, CA · On-site
$62K - $93K/yr
Active California LVN or RN license * 3-5+ years of current clinical UM review * Experience with prior authorization in managed care or delegated environment * Knowledge of MCG criteria, medical ...
Columbia, SC · On-site
$17 - $21.25/hr
... nursing care. Consistently ranked as best in the Columbia Metro area by U.S. News & World Report ... prior authorizations for imaging and specialty services. Communicates authorization updates to ...
Columbia, SC · On-site
$17 - $21.25/hr
... nursing care. Consistently ranked as best in the Columbia Metro area by U.S. News & World Report ... prior authorizations for imaging and specialty services. Communicates authorization updates to ...
Northridge, CA · On-site
$38 - $42/hr
Prior Authorization Temp Nurse Case Manager, RN Northridge, CA 4-Month Contract Assignment * Quick On-Boarding/Placement Process * Career Stepping Stone from Bedside Nursing to Case Management (acute ...
Northridge, CA · On-site
$38 - $42/hr
Prior Authorization Temp Nurse Case Manager, RN Northridge, CA 4-Month Contract Assignment * Quick On-Boarding/Placement Process * Career Stepping Stone from Bedside Nursing to Case Management (acute ...
$9.13 - $10.38
1% of jobs
$10.38 - $11.63
0% of jobs
$11.63 - $12.87
3% of jobs
$12.87 - $14.12
11% of jobs
$14.49 is the 25th percentile. Wages below this are outliers.
$14.12 - $15.36
35% of jobs
The median wage is $15.41 / hr.
$15.36 - $16.61
13% of jobs
$17.78 is the 75th percentile. Wages above this are outliers.
$16.61 - $17.85
14% of jobs
$17.85 - $19.10
11% of jobs
$19.10 - $20.35
12% of jobs
$20.35 - $21.59
1% of jobs
$21.59 - $22.84
1% of jobs
$9
$16
$22
| Aspect | Internship Prior Authorization Rn | Medical Billing Specialist |
|---|---|---|
| Credentials | RN license, internship experience | Certification in medical billing or coding |
| Work Environment | Hospitals, clinics, healthcare facilities | Medical offices, billing companies, healthcare providers |
| Employer & Industry Usage | Healthcare providers requiring authorization for patient care | Healthcare 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.
$18.75 - $25/hr
Other
Posted 4 days ago
Position Title
Prior Authorization Specialist / Prior Authorization Coordinator
Department
Prior Authorization Department
Job Summary
The Prior Authorization Specialist is responsible for obtaining insurance authorizations and approvals for medical services, treatments, medications, procedures, and equipment. This role works closely with physicians, clinical staff, insurance companies, and patients to ensure timely approvals and accurate documentation while maintaining compliance with payer guidelines and company policies.
Essential Duties and Responsibilities
Submit prior authorization requests to insurance providers for medical services, medications, procedures, and treatments
Verify patient insurance eligibility and benefits
Review clinical documentation to ensure authorization requirements are met
Communicate with physicians, nurses, pharmacies, and other departments regarding authorization status and additional documentation needs
Follow up with insurance companies on pending, denied, or incomplete authorizations
Process authorization renewals and extensions as needed
Document all authorization activities accurately in the EMR/EHR system
Maintain knowledge of insurance payer guidelines, Medicare, Medicaid, and commercial insurance requirements
Assist with appeals and denial management when authorizations are denied
Ensure all approvals are obtained prior to scheduled services when required
Maintain confidentiality of patient information in compliance with HIPAA regulations
Provide excellent customer service to patients and internal staff
Qualifications
High school diploma or equivalent required; associate degree preferred
Minimum of 1–2 years of experience in healthcare, medical billing, insurance verification, or prior authorization preferred
Knowledge of medical terminology, CPT, ICD-10, and HCPCS coding preferred
Experience with EMR/EHR systems and insurance portals
Strong organizational and multitasking skills
Excellent communication and problem-solving abilities
Ability to work independently and in a fast-paced environment
Proficiency in Microsoft Office applications
Preferred Experience
Experience in Home Health, Hospice, Specialty Pharmacy, or Medical Office settings
Familiarity with Medicare, Medi-Cal/Medicaid, and commercial payer authorization processes
Physical Requirements
Prolonged periods of sitting and computer work
Ability to communicate effectively by phone and email
Occasional lifting of office materials up to 15 pounds
Work Environment
Office or healthcare setting
Standard business hours with occasional overtime depending on authorization volume
Skills
Attention to detail
Time management
Insurance verification and authorization processing
Data entry accuracy
Customer service
Team collaboration