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Part Time Prior Authorization Rn Jobs (NOW HIRING)

Employment Type: Part time Shift: Description: Eligible credentials include both Licensed Practical ... example: prior authorizations or indirect work supporting a provider inbox.) 1. Responsible for ...

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Employment Type: Part time Shift: Description: Eligible credentials include both Licensed Practical ... example: prior authorizations or indirect work supporting a provider inbox.) 1. Responsible for ...

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Part Time Prior Authorization Rn information

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

As of Jul 15, 2026, the average hourly pay for part time prior authorization rn in the United States is $42.24, according to ZipRecruiter salary data. Most workers in this role earn between $31.49 and $50.00 per hour, depending on experience, location, and employer.

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

AspectPart Time Prior Authorization RnPart Time Medical Coder
CredentialsRN license, certifications in case management or utilization reviewCertification in coding (CPC, CCS), knowledge of medical coding systems
Work EnvironmentHealthcare facilities, insurance companies, telehealthMedical offices, insurance companies, remote coding jobs
Employer & IndustryHospitals, insurance providers, healthcare organizationsHealthcare providers, insurance companies, billing services

While both roles work within healthcare and require industry-specific knowledge, Part Time Prior Authorization Rns focus on reviewing medical necessity for treatments, whereas Part Time Medical Coders translate medical records into codes for billing. They share some certifications and work environments but serve different functions in healthcare administration.

What cities are hiring for Part Time Prior Authorization Rn jobs? Cities with the most Part Time 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:
Medication Prior Authorization MA/LPN

Medication Prior Authorization MA/LPN

Fordland Clinic

Fordland, MO โ€ข On-site

Part-time

PTO

Re-posted 5 days ago


Job description

Salary: starting at $18 (more depending on certification/licensure and experience)

$500 Sign-on Bonus


Once training is complete, this role can work one day a week from home and one day a week in office.


Scope-Purpose:
The Medication Prior Authorization (PA) MA/LPN is responsible for coordinating and processing medication prior authorizations to ensure timely patient access to prescribed therapies. This role serves as a liaison between providers, pharmacies, insurance companies, and patients while supporting medication management and reducing administrative burden on clinical staff.


Responsibilities (included, but not limited to):
Prior Authorization Management (Primary Function)

  • Review medication prior authorization requests submitted by providers.
  • Gather required clinical documentation, laboratory results, and supporting records.
  • Complete and submit medication prior authorizations through electronic portals, fax, or phone.
  • Monitor authorization status and ensure timely follow-up on pending requests.
  • Communicate approval, denial, or additional information requests to providers and patients.
  • Coordinate appeals and reconsiderations for denied medication requests.
  • Maintain accurate documentation in the Electronic Health Record (EHR).
  • Track authorization turnaround times and outcomes for reporting purposes.
  • Collaborate with providers to identify alternative medications when coverage is denied.

Clinical Support

  • Utilize clinical knowledge to review diagnoses, treatment history, and supporting documentation needed for medication approval.
  • Assist with medication refill workflows as assigned.
  • Support quality initiatives related to medication adherence and patient access.
  • Provide patient education regarding authorization processes and expected timelines.
  • Assist nursing and provider teams with medication-related administrative tasks.
  • Serve as a point of contact for pharmacies regarding authorization status.
  • Communicate effectively with insurance representatives, pharmacies, patients, and staff.
  • Work closely with providers, nurses, medical assistants, referral coordinators, and care management staff.


Education and Experience Requirements:
For MA Candidates:
Current Certified Medical Assistant (CMA), Registered Medical Assistant (RMA), or equivalent certification.
Minimum one (1) year of outpatient clinical experience.
Experience working with EMR systems.
Knowledge of medical terminology, diagnoses, and medications.


For LPN Candidates:
Current Missouri LPN license.
Minimum one (1) year of clinical nursing experience.
Experience in ambulatory care, family practice, or community health preferred.
Experience working with EMR systems.
Knowledge of medical terminology, diagnoses, and medications.


Additional Requirements:
Prior authorization experience required.
Knowledge of insurance plans, formularies, and pharmacy benefit processes preferred.Familiarity with CoverMyMeds, CyberAccess, or other authorization platforms preferred.


Benefits:

  • PTO
  • Fitness Benefit Fordland Clinic encourages health and wellbeing and will contribute up to $50 per year for a fitness facility membership, or other approved fitness expenses.
  • Thank You recognition program through Motivosity, redeemable for gifts and gift cards.


Work hours: part-time, hourly position. Once training is complete, this role can work one day a week from home and one day a week in office. Clinic hours are 8am to 6pm Monday through Friday and Saturdays 8am to 4pm.This position may be scheduled to work any of the days the clinic is open (Monday through Saturday) and may be scheduled to arrive 15 minutes prior to opening and may be scheduled to leave one hour after closing, depending on patients scheduled.