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Overnight 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 ...

Springfield Clinic

RN - Plastic Surgery

Springfield, IL · On-site

$17.86 - $25.90/hr

... prior authorizations or certifications as needed. * Serve as a patient advocate by protecting ... Educated as a CMA, LPN or RN by an approved program. Licenses/Certificates * Current licensure in ...

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Overnight Prior Authorization Rn information

See Springfield, IL salary details

$15

$37

$54

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

As of May 30, 2026, the average hourly pay for overnight prior authorization rn in Springfield, IL is $37.36, according to ZipRecruiter salary data. Most workers in this role earn between $28.61 and $45.96 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as an Overnight Prior Authorization RN, and why are they important?

To thrive as an Overnight Prior Authorization RN, you need a current RN license, strong clinical judgement, and in-depth knowledge of insurance guidelines and medical necessity criteria. Familiarity with prior authorization software, electronic health records (EHR), and payer-specific systems is typically required. Exceptional attention to detail, critical thinking, and effective communication skills are vital for navigating complex cases and collaborating remotely. These skills ensure timely and accurate authorization decisions, supporting patient care and compliance during overnight shifts.

What are some unique challenges faced by Overnight Prior Authorization RNs, and how can they effectively manage them?

Overnight Prior Authorization RNs often work independently with limited immediate support, which can present challenges such as handling complex cases without direct peer consultation and maintaining focus during non-traditional hours. They must be adept at managing high volumes of authorization requests, prioritizing urgent cases, and communicating effectively with providers and insurance companies outside regular business hours. Staying organized, utilizing clear documentation, and leveraging electronic health record systems can help manage workload efficiently. Building strong relationships with day-shift colleagues for smooth case handoffs is also crucial for success in this role.

What is an Overnight Prior Authorization RN?

An Overnight Prior Authorization RN is a Registered Nurse who works overnight shifts to review and process requests for prior authorization of medical services, procedures, or medications. Their role involves evaluating clinical documentation to determine if requested treatments meet insurance or organizational guidelines for approval. These nurses collaborate with providers, patients, and insurance companies to ensure timely and appropriate care. Working overnight allows for 24/7 coverage, supporting urgent cases and maintaining continuous workflow in healthcare authorization departments.

What is the difference between Overnight Prior Authorization Rn vs Medical Assistant?

AspectOvernight Prior Authorization RnMedical Assistant
CredentialsRegistered Nurse (RN) licensePost-secondary certificate or diploma
Work EnvironmentHospitals, clinics, insurance companiesDoctor's offices, clinics, outpatient facilities
Job FocusReviewing insurance authorizations, patient advocacyAssisting with patient care, administrative tasks

The Overnight Prior Authorization RN primarily handles insurance approvals and patient advocacy during overnight shifts, requiring RN licensure. In contrast, Medical Assistants focus on direct patient care and administrative support in outpatient settings. While both roles support healthcare operations, their credentials, responsibilities, and work environments differ significantly.

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:
What cities near Springfield, IL are hiring for Overnight Prior Authorization Rn jobs? Cities near Springfield, IL with the most Overnight Prior Authorization Rn job openings:
Overnight Prior Authorization Rn jobs near you
Authorization Coordinator

Authorization Coordinator

Radiation Business Solutions

Springfield, IL

$18.25 - $22.75/hr

Full-time

Posted 9 days ago

Job description

Authorization Coordinator

The Authorization Coordinator will be responsible for effectively acquiring Radiation Oncology authorizations, working denied authorizations and submitting appeals as needed. The Authorization Coordinator must be able to handle multiple, simultaneous tasks effectively and efficiently and is expected to demonstrate ENCORE in all communications.

Essential Duties and Responsibilities

  • Submit referral, precertification and/or authorization for radiation oncology services from schedules two weeks out and checking back for add ons within 72 hours of exam to positively impact DSO for 100% of patients that require authorization.
  • Average time from precertification and/or authorization request notification and submission to approval should not exceed 5 business days
  • Review client queues and schedules daily to identify patients requiring authorization per payer requirements.
  • Review guidelines to confirm if no auth is required that exam meets medical necessity.
  • Communicate with physician/clinical staff on authorization issues and/or pre-certification requirements by the patient's insurance carriers.
  • Identify and address denied authorizations to include the appeal process and denial resolution.
  • Notify Billing Departments of any special instructions, for example, Skilled Nursing Facility or Inpatients. Demonstrated by ncourage others' success
  • New ideas; anticipate problems
  • Pick up on problematic client trends quickly and address them efficiently, bringing in management as appropriate.
  • Bring at least one idea for a process improvement to the team quarterly.
  • Create financial value for our clients
  • Interact with client staff and team members to ensure eligibility and authorization requests are completed in a timely and efficient manner.
  • Gold Standard: Achieving Authorization goals in the same month 4 out of 6 rolling months
  • Authorizations are submitted within 48 hours of notification; based on a monthly average
  • Authorization approvals should not exceed a monthly average of 5 business days
  • Obtain 90% approval rating from client satisfaction surveys obtained.
  • Ownership towards a solution
  • When a problem is presented to the team or to management it should be accompanied by at least one feasible solution.
  • Reach Life Balance
  • Embody a positive approach
  • Communication with clients and other RBS divisions should show an "I can" approach.
  • Actively engage in department meetings and group conversations with a positive and upbeat attitude.

Requirements

  • High School Diploma or equivalent
  • Minimum 1 year experience with prior authorization services
  • Oncology experience is a plus
  • Working knowledge of oncology specific codes and payer rules for commercial, Medicare, Medicare Advantage, and Medicaid plans preferred.
  • Knowledge of ICD10, CPT, and HCPCS codes and rules for Tech/Pro/Global and Freestanding/HOPPS coding preferred.

Physical Demands and Work Environment: The physical demands described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the functions.

  • Ability to lift/carry up to 25 pounds.
  • Ability to sit/stand for long periods of time.
  • Good manual dexterity with the ability to perform repetitive hand/wrist motions.
  • Requires mastery of complex language, comprehension, reasoning, and analytical skills typically found in mid to high-level work.
  • Typical office environment
  • Works onsite at client location. May require travel at times to RBS office locations.
  • Moderate noise levels

Disclaimer: This job description in no way states or implies that these are the only duties to be performed by the employee(s) of this position. Employees will be required to follow any other job-related instructions and to perform any other job-related duties requested by any person authorized to give instructions or assignments. All duties and responsibilities are essential functions and requirements and are subject to possible modification to reasonably accommodate individuals with disabilities.

The company is an equal opportunity employer, drug-free workplace, and complies with ADA regulations as applicable.

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