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Overnight Prior Authorization Rn Jobs (NOW HIRING)

Prior Authorization Specialist

Smyrna, GA ยท 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 ...

Prior Authorization Specialist

Palo Alto, CA ยท 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.

Prior Authorization Specialist

Hamden, CT ยท 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 ...

Prior Authorization Specialist

Smyrna, GA ยท 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 ...

Prior Authorization Specialist

Hamden, CT ยท 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 ...

Prior Authorization Specialist

Hamden, CT ยท 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 ...

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Overnight Prior Authorization Rn information

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$15

$37

$54

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

As of Jun 23, 2026, the average hourly pay for overnight prior authorization rn in the United States is $37.70, according to ZipRecruiter salary data. Most workers in this role earn between $28.85 and $46.39 per hour, depending on experience, location, and employer.

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 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 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 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 cities are hiring for Overnight Prior Authorization Rn jobs? Cities with the most Overnight Prior Authorization Rn job openings:
What are the most commonly searched types of Prior Authorization Rn jobs? The most popular types of Prior Authorization Rn jobs are:
What states have the most Overnight Prior Authorization Rn jobs? States with the most job openings for Overnight Prior Authorization Rn jobs include:

Prior Authorization Department

One Stop Hospice Inc

Santa Ana, CA โ€ข On-site

$18.75 - $25/hr

Other

Posted 4 days ago


Job description

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 1โ€“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