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Part Time Prior Authorization Nurse Jobs (NOW HIRING)

CentraCare

Prior Authorization Assistant

Saint Cloud, MN · On-site

$20.71 - $31.68/hr

The Prior Authorization team processes all health plan/payer utilization review requirements, which ... Schedule: * Part-time | 40 hours every two weeks * Day shift |Hours between Mon-Fri 8:00am-4:30pm

CentraCare

Prior Authorization Assistant

Saint Cloud, MN · On-site

$21.12 - $31.68/hr

The Prior Authorization team processes all health plan/payer utilization review requirements, which ... Schedule: * Part-time | 40 hours every two weeks * Day shift |Hours between Mon-Fri 8:00am-4:30pm

Quantile Health

$30 - $35/hr

Part-Time Pharmacy Prior Authorization Specialist $ 30.00 - 35.00 (US Dollar) Or refer someone Job Openings Part-Time Pharmacy Prior Authorization Specialist About the Job Part-Time Pharmacy Prior ...

Quantile Health

$30 - $35/hr

Part-Time Pharmacy Prior Authorization Specialist $ 30.00 - 35.00 (US Dollar) Or refer someone Job Openings Part-Time Pharmacy Prior Authorization Specialist About the Job Part-Time Pharmacy Prior ...

W3R

Prior Authorization Therapist

Austin, TX

... PT, OT, or ST license from the State of Texas. Minimum of two (2) years post licensure experience ... Prior Authorization experience. * 1 year of customer service or call-center experience, preferred.

W3R

Prior Authorization Therapist

Austin, TX

Prior Authorization experience. 1 year of customer service or call-center experience, preferred ... PT, OT, or ST license from the State of Texas. Minimum of two (2) years post licensure experience ...

W3R

PRIOR AUTHORIZATION THERAPIST

Austin, TX

... PT, OT, or ST license from the State of Texas. Minimum of two (2) years post licensure experience ... Prior Authorization experience. * 1 year of customer service or call-center experience, preferred.

Cochise Sleep Center

Be Seen First

Authorization Specialist

Sierra Vista, AZ · On-site

$17/hr

Part-Time Authorization Specialist Cochise Sleep Center - Sierra Vista, AZ Cochise Sleep Center is ... Obtain prior authorizations for sleep studies and related services. * Confirm authorization ...

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Part Time Prior Authorization Nurse information

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$17

$38

$65

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

As of Aug 25, 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 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.

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.

More about Part Time Prior Authorization Nurse jobs

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What are the most commonly searched types of Prior Authorization Nurse jobs?

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What states have the most Part Time Prior Authorization Nurse jobs?

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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 August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 16% Part Time, 1% Temporary, and 2% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $80,321 per year, or $38.6 per hour.

Benefits & Prior Authorization Specialist

company520

Pepper Pike, OH • On-site

$26/hr

Full-time, Part-time

Posted 13 days ago

Job description

Description
Do you have experience with healthcare prior authorizations, insurance verification, medical billing, electronic health records, payer portals, or Medicaid management? JFSA of Cleveland has an immediate opening for a part-time or full-time Benefits & Prior Authorization Specialist.
Position Type: Hourly, Part-time or Full-time, Office-based
General Duties and Responsibilities:
  • Coordinates initial, concurrent, and renewal prior authorization requests for assigned behavioral health services in accordance with payer requirements and internal timelines.
  • Verifies coverage, eligibility, benefit limitations, authorization requirements, and payer-specific submission procedures before services begin and throughout the authorization period.
  • Advocates for individuals through benefits application/enrollment process. Monitors revalidation/redetermination needs through client portals or local office. Assists individuals with problem-solving barriers and ensuring benefits are reinstated.
  • Reviews authorization packets for required administrative and clinical elements and promptly follows up on missing, inconsistent, expired, or incomplete information.
  • Submits requests and supporting records through payer portals and other approved secure methods while protecting client confidentiality and complying with HIPAA requirements.
  • Maintains an accurate authorization tracker that includes requested and approved services and units, effective dates, remaining balances, renewal deadlines, status, denials, and follow-up activity.
  • Monitors service utilization, payer thresholds, and clients approaching or exceeding authorized limits and provides advance notice to clinical and program leadership.
  • Tracks pending requests through final resolution, documents payer communications, responds to requests for additional information, and escalates delays before they affect services or billing.
  • Coordinates prior authorization denial reviews, reconsiderations, peer-to-peer requests, and appeals by gathering records, communicating deadlines, and supporting clinical leadership and billing staff.
  • Communicates authorization decisions and limitations promptly and ensures approved information is entered accurately in the electronic health record and billing systems.
  • Reconciles authorization records with service delivery and claims data and helps identify services delivered without authorization, unused units, authorization-related denials, and recurring process gaps.
  • Prepares routine reports on pending requests, upcoming expirations, denials, appeal outcomes, turnaround times, and authorization-related financial risk and recommends workflow improvements.
  • Maintains organized, audit-ready records and remains current on Ohio Medicaid, managed care, Medicare, commercial payer, and organizational requirements relevant to assigned services.
  • Participates in team meetings, audits, training, and quality-improvement activities and performs other duties or special projects as required or assigned.
  • Credentialing new providers for in-network reimbursement and provider revalidations.
  • Assists with special projects as needed and any additional duties as assigned.

Requirements
Minimum Qualifications and Skills:
  • High School Diploma/GED, degree in healthcare administration, information management, medical billing and coding, business, or related behavioural health field preferred.
  • Relevant payer, clinical expereince, prior authorization, revenue-cycle, or medical office training may substitute for post-secondary education.
  • Experience in Excel, Word, and other applicable software.
  • At least 2 years expereince in healthcare prior authorization, insurance verification, utilization support, medical billing, revenue cycle, or medical office operation is preferred.
  • Behavioral health, community mental health Medicaid managed care, or human-services expereince is strongly preferred.
  • Excellent interpersonal skills.
  • Must be able to prioritize and schedule daily activities effectively.
  • Computer data entry experience.
  • High degree of accuracy and attention to detail.
  • Experience using the Internet.
  • Experience with payer portals, authorizations, claims-tracking systems, Direct Data Entry ("DDE"), and electronic medical records systems preferred.

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