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Part Time Prior Authorization Nurse Jobs (NOW HIRING)

Fenway Health

LPN, Part-Time

Boston, MA · On-site

$28.21 - $31.13/hr

Job Type Part-time Description Our nurses are the heart and soul of Fenway Health. Every day, they ... Works with MA and pharmacy to call in prescription refills or obtain prior authorizations * Assists ...

Fenway Health

LPN, Part-Time

Boston, MA · On-site

$28.21 - $31.13/hr

Our nurses are the heart and soul of Fenway Health. Every day, they work tirelessly to ensure that ... Works with MA and pharmacy to call in prescription refills or obtain prior authorizations * Assists ...

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Part Time Prior Authorization Nurse information

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How much do part time prior authorization nurse jobs pay per hour?

As of Jun 17, 2026, the average hourly pay for part time prior authorization nurse in the United States is $38.62, according to ZipRecruiter salary data. Most workers in this role earn between $29.57 and $43.27 per hour, depending on experience, location, and employer.

What is a Part Time Prior Authorization Nurse?

A Part Time Prior Authorization Nurse is a registered nurse who works reduced hours and specializes in reviewing medical requests to determine if procedures, medications, or services meet insurance coverage criteria. They assess clinical documentation and communicate with healthcare providers, patients, and insurance companies to ensure appropriate authorization is obtained before care is provided. This role requires strong clinical judgment, attention to detail, and an understanding of insurance policies. Part time positions offer flexibility, making them suitable for nurses seeking work-life balance.

What are the key skills and qualifications needed to thrive as a Part Time Prior Authorization Nurse, and why are they important?

To thrive as a Part Time Prior Authorization Nurse, you need a valid RN license, strong clinical knowledge, and experience with insurance processes and medical necessity reviews. Familiarity with electronic health record (EHR) systems, utilization management software, and payer-specific authorization portals is typically required. Excellent attention to detail, strong communication skills, and the ability to work independently are critical soft skills for this role. These competencies are essential for ensuring accurate, timely authorization decisions that support patient care and compliance with payer requirements.

What is the difference between Part Time Prior Authorization Nurse vs Part Time Medical Coder?

AspectPart Time Prior Authorization NursePart Time Medical Coder
CredentialsRN license, certification in case management or utilization reviewCertification in coding (CPC, CCS), knowledge of medical coding systems
Work EnvironmentHealthcare facilities, insurance companies, telehealthMedical offices, hospitals, insurance companies, remote
Industry UsageUtilization review, insurance authorization, patient advocacyMedical billing, coding, documentation review

While both roles require healthcare knowledge, the Part Time Prior Authorization Nurse focuses on reviewing patient cases for insurance approval, requiring nursing credentials. In contrast, the Part Time Medical Coder specializes in translating medical records into codes for billing, requiring coding certifications. Both roles often work in healthcare settings but serve different functions within the industry.

What are the main challenges a Part Time Prior Authorization Nurse may face, and how can they be managed?

A Part Time Prior Authorization Nurse often encounters challenges such as managing a high volume of authorization requests and keeping up with frequently changing insurance policies. Balancing efficiency with accuracy is crucial, as errors can lead to delays in patient care. To manage these challenges, it's important to stay organized, maintain up-to-date knowledge of insurance guidelines, and communicate effectively with providers and payers. Many teams use digital tools and regular training sessions to help nurses stay current and streamline the authorization process.
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Part Time Prior Authorization Nurse jobs near you
Infographic showing various Part Time Prior Authorization Nurse job openings in the United States as of June 2026, with employment types broken down into 98% Full Time, 1% Part Time, and 1% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $80,321 per year, or $38.6 per hour.
Medical Assistant/Prior Authorization/Insurance Specialist

Medical Assistant/Prior Authorization/Insurance Specialist

AlignHR, LLC

Wheeling, WV

$18 - $24/hr

Full-time, Part-time

Medical, Retirement, PTO

Posted 17 days ago

Job description

A successful ENT practice in the Wheeling WV area seeks a part-time (which could increase to full-time) Medical Assistant/Prior Authorization/Insurance Specialist to complete their team. Candidates for this position must have a high school diploma or GED and previous customer service or inbound call center experience. On the job training can be provided if needed and applicable. The work schedule will be Monday through Friday, day shift hours.

Successful candidates must also possess an excellent work ethic, dedication, reliability, punctuality, a passion for patient care, and professionalism.

Primary Responsibilities:

  • Room patients and assist in office procedures
  • Assist in the initiation of new prior authorization requests to providers
  • Identify the correct prior authorization form required for the patient's insurance provider
  • Coordinate with prescribers and medical offices to ensure applicable information is translated onto prior authorization forms
  • Follow up with medical offices to check the status of prior authorization requests
  • Assist with communicating the status of prior authorizations to both patients and providers
  • Coordinate with medical offices to handle appeals
  • Respond to internal questions from other departments related to prior authorization requests

Requirements:

  • Must have experience using EPIC patient technology system
  • High school diploma or GED required
  • Customer service or inbound call center experience required
  • Strong verbal and written communication skills
  • Sound technical skills, analytical ability, attention to detail, good judgment, and strong operational focus
  • A passion for providing top-notch patient care
  • Ability to work with peers in a team effort and cross-functionally
  • 1+ year(s) working with prior authorizations or insurance verification

This position is eligible for all full-time benefits, which includes health insurance, retirement plan with a match, and paid time off. Compensation is commensurate upon experience level and credentials.

Interested candidates should submit their resume, cover letter, and list of professional references by no later than June 30, 2026.

Equal Opportunity Employer

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