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Manager Prior Authorization Rn Jobs in Springfield, IL

Orthopaedic Center Of Illinois

RN/LPN/MA

Springfield, IL · On-site

$17 - $40/hr

Registered Nurse / Licensed Practical Nurse / Medical Assistant Orthopedic Center of Illinois ... Manage prior authorizations, referrals, and prescription refill requests in coordination with ...

TotalMed RN

Travel OR RN

Springfield, IL · On-site

TotalMed RN is seeking a travel nurse RN OR - Operating Room for a travel nursing job in ... manage medication and home care needs. Additional duties for Circulating OR Nurses may include:

TotalMed RN

Travel OR RN

Springfield, IL · On-site

TotalMed RN is seeking a travel nurse RN OR - Operating Room for a travel nursing job in ... manage medication and home care needs. Additional duties for Circulating OR Nurses may include:

TotalMed RN

Travel OR RN

Springfield, IL · On-site

TotalMed RN is seeking a travel nurse RN OR - Operating Room for a travel nursing job in ... manage medication and home care needs. Additional duties for Circulating OR Nurses may include:

TotalMed RN

Travel OR RN

Springfield, IL · On-site

TotalMed RN is seeking a travel nurse RN OR - Operating Room for a travel nursing job in ... manage medication and home care needs. Additional duties for Circulating OR Nurses may include:

Kaplan

Hospice Registered Nurse, RN

Springfield, IL · On-site

Perform comprehensive patient assessments, symptom and pain management, and individualized end-of ... NOTICE : * Successful completion of a drug screen prior to employment is part of our background ...

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Manager Prior Authorization Rn information

See Springfield, IL salary details

$25

$48

$83

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

As of Sep 14, 2026, the average hourly pay for manager prior authorization rn in Springfield, IL is $48.93, according to ZipRecruiter salary data. Most workers in this role earn between $37.88 and $55.29 per hour, depending on experience, location, and employer.

What is the difference between Manager Prior Authorization Rn vs Nurse Case Manager?

AspectManager Prior Authorization RnNurse Case Manager
CredentialsRN license, certifications in prior authorizationRN license, case management certification
Work EnvironmentUtilization review, insurance companies, healthcare administrationPatient advocacy, care coordination, healthcare facilities
Employer & IndustryInsurance companies, healthcare organizationsHospitals, clinics, insurance providers

The Manager Prior Authorization Rn primarily focuses on reviewing and approving insurance claims for medical procedures, ensuring compliance with policies. Nurse Case Managers coordinate patient care, advocate for patients, and manage treatment plans. While both roles require RN licensure and healthcare knowledge, the Manager Prior Authorization Rn emphasizes administrative review, whereas Nurse Case Managers are more involved in direct patient care coordination.

Is manager prior authorization RN a stressful job?

Manager Prior Authorization RNs often experience stress due to managing complex approval processes, strict deadlines, and high caseloads. The role requires strong organizational skills and attention to detail, which can contribute to job pressure, especially in fast-paced healthcare environments.

What are the most commonly searched types of Prior Authorization Rn jobs in Springfield, IL?

The most popular types of Prior Authorization Rn jobs in Springfield, IL are:

Manager Prior Authorization Rn jobs near you
Infographic showing various Manager Prior Authorization Rn job openings in Springfield, IL as of September 2026, with employment types broken down into 62% Full Time, 24% Part Time, and 14% Contract. Highlights an 93% In-person, and 7% Remote job distribution, with an average salary of $101,771 per year, or $48.9 per hour.

Patient Service Representative - Prior Authorization- Nephrology

Springfield, IL • On-site

Springfield Clinic
Health Care and Social Assistance • 1 - 5K employees
Learn more about Springfield Clinicexternal

$17.25 - $22/hr

Other

Posted 5 days ago

Springfield Clinic rating

6.9

Company rating: 6.9 out of 10

Based on 61 frontline employees who took The Breakroom Quiz

Job description

Patient Service Representative - Prior Authorization

Patient Service Representative - Prior Authorization is responsible for discussing insurance coverage, including usual and customary charges, Medicare and Medical Assistance availability, reimbursement options available for services, educating patients regarding the Clinic's billing and credit policies, work with patient's insurance carrier to verify benefits coverage for treatment, and discuss any credit concerns regarding a past due account and make special arrangements if necessary to assure payment will be made in a timely manner.

Job Relationships

Reports to Operations Manager or Director of the service line

Principal Responsibilities

  • Verify coverage and benefits prior to treatment.
  • Secure prior-approval and pre-authorizations.
  • Maintain proficiency with insurance and billing issues and serve as a resource to providers and staff.
  • Provide a positive impression to patients about the Clinic's billing department.
  • Enter/edit patient insurance coverage/demographic information when necessary.
  • Answer questions that patients may have in regard to insurance coverage and other billing issues.
  • Respond to patient's verbal and written requests in a timely fashion.
  • Maintain statistics.
  • Maintain proficiency with insurance and billing issues by participating in Patient Accounting meetings and training sessions as appropriate.
  • Must be empathetic, yet responsive to patients while adhering to Patient Accounting billing practices and guidelines.
  • Provide coverage at other Springfield Clinic locations as assigned.
  • Comply with the Springfield Clinic incident reporting policy and procedures.
  • Adhere to all OSHA and Springfield Clinic training & accomplishments as required per policy.
  • Provide excellent customer service and adhere to Springfield Clinic's Code of Conduct and Ethics Standards.
  • Perform other job duties as assigned.

Education/Experience

  • High School graduate or GED required.
  • Minimum two to three (2-3) years experience in medical billing and insurance preferred.

Knowledge, Skills and Abilities

  • Ability to handle multiple tasks and prioritize in a fast-paced environment required.
  • Computer skills, including Microsoft Office, preferred.
  • Strong verbal communication and listening skills are required.
  • Knowledge of the computer systems with emphasis on registration and insurance screens.
  • Knowledge of Medicare, medical assistance and other third party payors.
  • Ability to work with patients of all ages in a courteous and professional manner. Must be empathetic, yet responsive to Patient Accounting billing policies and guidelines.
  • Ability to tactfully work with patients with past due accounts.
  • Ability to meet quality and performance guidelines and work with patients in a courteous and professional manner.
  • Must have the ability to maintain composure under stress.
  • Manual dexterity required for use of telephone headset, calculator and computer keyboard.

Working Environment

  • Work in office environment.
  • Use of telephone required.
  • Involves frequent contact with staff and the public.
  • Requires siting for long periods of time.
  • Some bending and stretching required.

PHI/Privacy Level

HIPAA1

What Springfield Clinic employees say

Pay

Benefits

Hours and flexibility

Workplace

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