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Internship Prior Authorization Rn Jobs (NOW HIRING)

StatCare

Prior Authorization Coordinator

Knoxville, TN · On-site

$17.75 - $22/hr

StatCare strives to work collaboratively with hospital partners, nurses, and support staff ... Prior Authorization Coordinator is responsible for securing prior authorizations for diagnostic ...

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 ... Prior Authorization Coordinator is responsible for securing prior authorizations for diagnostic ...

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 ...

Avera Health

Prior Authorization Representative

Le Mars, IA · On-site

$16 - $19.25/hr

The ideal candidate will have a degree in the medical field (i.e. RN, LPN, Medical Assistant) and ... Appropriately document prior authorization and communicate information to performing facility ...

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 ...

BrightSpring

Prior Authorization Specialist

Louisville, KY · On-site

$16.50 - $22/hr

The Prior Authorization Coordinator is responsible for striving to complete either approval for ... as skilled nursing facilities, senior living communities, and hospitals. We also cater to ...

Avera Health

Prior Authorization Representative

Le Mars, IA · On-site

$16 - $19.25/hr

The ideal candidate will have a degree in the medical field (i.e. RN, LPN, Medical Assistant) and ... Appropriately document prior authorization and communicate information to performing facility ...

PharMerica

Prior Authorization Specialist

Louisville, KY · On-site +1

$16.50 - $22/hr

The Prior Authorization Coordinator is responsible for striving to complete either approval for ... as skilled nursing facilities, senior living communities, and hospitals. We also cater to ...

Axelon

Prior Authorization Clinician

Boston, MA · On-site

$50/hr

Prior Authorization payor-side taking criteria and applying to clinical documentation to make sure ... RN license in state of MA, NH or compact license • Medicare and Medicaid knowledge Experience ...

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Internship Prior Authorization Rn information

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How much do internship prior authorization rn jobs pay per hour?

As of Aug 24, 2026, the average hourly pay for internship prior authorization rn in the United States is $16.77, according to ZipRecruiter salary data. Most workers in this role earn between $14.42 and $18.75 per hour, depending on experience, location, and employer.

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.

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Internship Prior Authorization Rn jobs near you

Prior Authorization Specialist

Southwest Womens Oncology/Optimum

Albuquerque, NM • On-site

$16.50 - $22/hr

Full-time

Medical, Retirement, PTO

Posted 27 days ago

Job description

Prior Authorization Specialist
Southwest Women's Oncology + Optimum Infusion | Albuquerque, New Mexico
Why This Role Matters
A patient with a cancer diagnosis should not have to wait for treatment because the paperwork wasn't handled correctly.
Prior authorization is one of the most consequential administrative functions in oncology and infusion care. When it works-done completely, submitted correctly, followed up on relentlessly-patients get to their infusion chair, operating room, and medication on time. When it doesn't, care is delayed, revenue is lost, and the clinical team absorbs friction that shouldn't exist.
The Prior Authorization Specialist owns that process for clinic-based infusion therapies, surgical procedures, and specialty medications across Southwest Women's Oncology and Optimum Infusion. This is a high-stakes, detail-driven role for someone who takes patient access personally and follows through without being asked. We hire for attitude and aptitude above all else. Credentials matter, but who you are and how you grow matter more.
Who We Are
Southwest Women's Oncology (SWWO) is New Mexico's leading gynecologic oncology practice, delivering advanced cancer care with skill, courage, and compassion.
Optimum Human and Optimum Infusion extend that mission into performance medicine, infusion services, longevity, recovery, hormone optimization, medical weight loss, peptide therapies, hyperbaric medicine, aesthetics, and human performance.
Together, we operate as a single integrated platform committed to one mission:
To deliver new possibilities in medical care, human performance, and health by uniting passion, knowledge, and precision into something greater than the sum of its parts.
The Opportunity
The Prior Authorization Specialist is responsible for obtaining timely insurance authorizations for clinic-based services-including infusion therapies such as chemotherapy, immunotherapy, and biologics; surgical procedures; and oral and specialty medications-ensuring patients receive medically necessary care without delays.
You will work closely with:
  • Providers and clinical staff on order review, documentation completeness, and peer-to-peer coordination
  • Nurses and infusion schedulers to ensure authorizations are secured prior to every treatment appointment
  • Surgery schedulers on surgical authorization timelines and operative plan documentation
  • Pharmacy on specialty medication authorization and oral oncology coordination
  • Billing and coding staff to ensure authorized services align with CPT, HCPCS, and ICD-10 requirements

Your accuracy, urgency, and follow-through directly determine whether patients get to their care on time.
What You'll Own
Authorization Submission & Tracking
  • Obtain prior authorizations for infusion therapies (chemotherapy, immunotherapy, biologics, and supportive medications), surgical procedures, and oral and specialty medications.
  • Submit authorization requests via payer portals, electronic systems, phone, and fax with complete and payer-compliant documentation.
  • Track authorization status across all active requests and proactively follow up with insurance carriers to secure timely determinations.
  • Ensure authorizations are in place prior to scheduled infusion appointments, clinic visits, surgeries, and medication dispensing-without exception.

Documentation & Payer Compliance
  • Review provider orders, clinical notes, operative plans, and supporting documentation to ensure completeness and payer compliance before submission.
  • Verify insurance benefits, coverage criteria, and payer-specific requirements including step therapy, site-of-care rules, and clinical guidelines.
  • Maintain accurate, up-to-date documentation in the EMR and authorization tracking systems.
  • Stay current on payer policies, clinic workflows, and regulatory standards impacting outpatient services.

Denials, Appeals & Communication
  • Communicate authorization approvals, denials, and pending requirements to providers, nurses, surgery schedulers, pharmacy, and front-desk teams in a timely and clear manner.
  • Coordinate peer-to-peer reviews and appeal processes with providers and leadership when authorizations are denied or delayed.
  • Collaborate with billing and coding staff to ensure authorized services align with CPT, HCPCS, ICD-10 codes, and payer requirements.
  • Maintain strict compliance with HIPAA, organizational policies, and payer regulations at all times.

What Success Looks Like
First 90 Days
  • Independently managing the full authorization workflow for infusion, surgical, and medication services.
  • Zero preventable care delays due to missing or late authorizations.
  • Strong working relationships established with clinical, scheduling, pharmacy, and billing teams.

First 6 Months
  • Recognized as a reliable, high-accuracy resource across the clinical and administrative team.
  • Proactively identifying payer policy changes and surfacing authorization risks before they impact patient care.

First Year
  • Viewed as a culture carrier and operational anchor for the authorization function.
  • Measurable contribution to clean authorization rates, denial reduction, and on-time care delivery.
  • Consistently embodying the Optimum Standard.

Who Thrives Here
We want people who bring relentless positivity, a hunger to learn, and the drive to elevate everyone around them. You will likely thrive if:
  • You take ownership rather than waiting for direction.
  • You believe details matter.
  • You enjoy solving problems and seek continuous improvement.
  • You care deeply about patients and their families.
  • You value teamwork and accountability equally.
  • You're coachable, curious, and committed to mastery.

What You Bring
Required
  • High school diploma or equivalent; Associate's degree preferred.
  • 2+ years of prior authorization experience in healthcare revenue cycle.
  • Demonstrated experience with medication and procedural authorizations.
  • Knowledge of commercial insurance, Medicare, Medicaid, and managed care plans.
  • Proficiency with EMR systems and insurance payer portals.
  • Strong organizational skills with the ability to manage multiple active authorization requests simultaneously.
  • Excellent written and verbal communication skills with a patient-centered approach.

Preferred
  • Prior experience in a clinic, outpatient specialty practice, or ambulatory surgery setting.
  • Experience with oncology, infusion services, or surgical scheduling workflows.
  • Knowledge of oral oncolytics and specialty pharmacy coordination.
  • Familiarity with CPT, HCPCS, ICD-10 coding and medical necessity documentation.

Our Culture
We act with courage and embrace accountability.
We serve with precision and hold ourselves to impeccable standards-then raise them.
We reject mediocrity and the comfort of "good enough."
We measure success not only by outcomes, but by the integrity, excellence, and humanity we bring to every interaction.
Way Better. Extraordinary by Design.
If you crave mastery, meaning, and measurable impact-welcome home.
Compensation & Benefits
  • Competitive salary
  • Health benefits
  • 401(k)
  • Paid time off
  • Professional development and continuing education support
  • Opportunity to grow within the Optimum Platform

This is a full-time, on-site position at our Albuquerque, New Mexico office.

Apply