ZipRecruiter

Log In

1

Prior Authorization Lpn Jobs (NOW HIRING)

Claim Health

Prior Authorization Specialist

Manhattan, NY · On-site

$19.75 - $26.50/hr

Prior authorization is one of the largest operational bottlenecks for agencies. Our platform ... Comfortable working independently in a fast-moving startup Nice to Have * RN, LPN, or clinical ...

Claim Health

Prior Authorization Specialist

New York, NY · On-site

$19.75 - $26.25/hr

Prior authorization is one of the largest operational bottlenecks for agencies. Our platform ... Comfortable working independently in a fast-moving startup Nice to Have * RN, LPN, or clinical ...

Capital Cardiology Associates

LPN

Albany, NY · On-site

$27 - $29/hr

  • Medical

  • Dental

  • Retirement

  • PTO

Obtain prior authorizations for tests, procedures, and medications * Schedule patient appointments ... Current and valid New York State LPN License * Previous experience in a cardiology or other medical ...

Phaxis

LPN

Manhattan, NY · On-site

$35 - $42/hr

... referrals, prior authorizations, and lab work Maintain infection control standards and clinical supplies Requirements: • Active NYS LPN or RN License • Current CPR Certification • ...

REACH PROJECT INC

Licensed Practical Nurse

Ithaca, NY

$24.75 - $33.75/hr

LPN's at REACH Medical, PLLC work to ensure that all patients receive the highest quality health ... prior authorizations. The Reach Project, Inc is a non-profit organization that provides low ...

FENWAY HEALTH

LPN

Boston, MA · On-site

$28.21 - $31.13/hr

  • Medical

  • Dental

  • Retirement

  • PTO

As an LPN, you will provide specialized nursing support for patients and medical providers, phone ... Works with MA and pharmacy to call in prescription refills or obtain prior authorizations * Assists ...

Fenway Health

LPN

Boston, MA · On-site

$28.21 - $31.13/hr

  • Medical

  • Dental

  • Retirement

  • PTO

As an LPN, you will provide specialized nursing support for patients and medical providers, phone ... Works with MA and pharmacy to call in prescription refills or obtain prior authorizations * Assists ...

Fenway Health

LPN

Boston, MA · On-site

$28.21 - $31.13/hr

  • Medical

  • Dental

  • Retirement

  • PTO

As an LPN, you will provide specialized nursing support for patients and medical providers, phone ... Works with MA and pharmacy to call in prescription refills or obtain prior authorizations * Assists ...

previous pagenext page

Showing results 21-40

All JobsPrior Authorization Lpn Jobs

Prior Authorization Lpn information

See salary details

$15

$29

$43

How much do prior authorization lpn jobs pay per hour?

As of Aug 16, 2026, the average hourly pay for prior authorization lpn in the United States is $29.88, according to ZipRecruiter salary data. Most workers in this role earn between $24.76 and $33.65 per hour, depending on experience, location, and employer.

What is a Prior Authorization LPN?

A Prior Authorization LPN is a Licensed Practical Nurse who reviews medical insurance requests to determine if procedures, medications, or treatments meet coverage criteria. They collaborate with healthcare providers, insurance companies, and patients to ensure authorization for necessary care. This role involves assessing medical records, verifying policy guidelines, and advocating for patient access to services while maintaining compliance with regulations.

What are the key skills and qualifications needed to thrive as a Prior Authorization LPN?

To thrive as a Prior Authorization LPN, you need a current LPN license, strong clinical knowledge, and experience interpreting medical records and insurance guidelines. Familiarity with prior authorization software systems, electronic health records (EHRs), and payer-specific portals is highly valuable. Attention to detail, organizational skills, and effective communication are crucial soft skills for success in this role. These skills ensure accurate, timely authorization processing, help facilitate patient access to necessary care, and support smooth coordination between healthcare providers and insurers.

What does a Prior Authorization LPN do?

A typical day for a Prior Authorization LPN involves reviewing patient records, verifying insurance benefits, and submitting prior authorization requests to insurance companies for various treatments or medications. You’ll work closely with physicians, nurses, and administrative staff to ensure all required documentation is accurate and complete, and follow up as needed on pending cases. The role often requires frequent phone or electronic communication with both internal teams and external payers. Although much of the work is independent, you’ll be part of a collaborative team environment focused on streamlining access to care for patients.

More about Prior Authorization Lpn jobs

What cities are hiring for Prior Authorization Lpn jobs?

Cities with the most Prior Authorization Lpn job openings:

What states have the most Prior Authorization Lpn jobs?

States with the most job openings for Prior Authorization Lpn jobs include:

What job categories do people searching Prior Authorization Lpn jobs look for?

The top searched job categories for Prior Authorization Lpn jobs are:

Prior Authorization Lpn jobs near you
Infographic showing various Prior Authorization Lpn job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 17% Part Time, 1% Temporary, and 2% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $62,140 per year, or $29.9 per hour.

Prior Authorization Specialist

Claim Health

Manhattan, NY • On-site

$19.75 - $26.50/hr

Other

Posted 28 days ago

Job description

About the Role
We're hiring an experienced Prior Authorization Specialist to help build the future of authorization automation for home health and hospice.
Prior authorization is one of the largest operational bottlenecks for agencies. Our platform automatically verifies benefits, gathers documentation, submits authorizations, follows up with payers, and monitors approval status. Your role is to ensure those automations run accurately, efficiently, and according to payer requirements.
You'll combine deep operational knowledge with process improvement, helping us encode payer-specific workflows into software that scales across thousands of authorization requests.
This isn't a traditional authorization desk role. It's an operations role for someone who understands the complexity of authorizations and wants to help automate them.
What You'll Do
Audit authorization workflows
Review authorization requests completed by our automations for completeness, accuracy, and turnaround time. Identify recurring failure points and determine whether issues stem from payer requirements, documentation, or automation logic.
Improve authorization automation
Partner with product and engineering teams to translate complex payer rules into scalable workflows. Help define escalation logic, documentation requirements, follow-up cadences, and exception handling.
Build payer playbooks
Create and maintain SOPs covering authorization workflows across Medicare Advantage, Medicaid, managed Medicaid, commercial payers, and state-specific requirements.
Partner with clients
Meet with intake, authorization, and billing teams to understand agency workflows, resolve escalations, and configure automation to match operational needs.
Track operational performance
Monitor authorization turnaround times, approval rates, denial trends, escalation volume, payer response times, and automation success metrics. Drive continuous improvement initiatives.
What We're Looking For
Required
  • 3+ years of prior authorization experience within home health, hospice, or post-acute care
  • Deep familiarity with Medicare Advantage, Medicaid, managed Medicaid, commercial insurance, and authorization workflows
  • Experience obtaining authorizations across multiple payer portals
  • Strong understanding of eligibility verification, authorization documentation requirements, and referral workflows
  • Experience with HomeCare HomeBase (HCHB), Axxess, WellSky, and KanTime preferred
  • Strong organizational skills with excellent attention to detail
  • Experience documenting workflows or SOPs
  • Comfortable working independently in a fast-moving startup
Nice to Have
  • RN, LPN, or clinical background
  • Experience with Careport, Forcura, Ensocare, or referral management platforms
  • Experience working with automation or RCM software vendors
  • Knowledge of hospice-specific authorization requirements and Medicaid room & board processes
Why This Role
Multiply your impact. Your expertise becomes automation that processes thousands of authorizations every month.
Solve hard operational problems. Help eliminate one of the biggest administrative burdens in post-acute care.
Build the future. Join an early-stage healthcare AI company where your knowledge directly shapes the product roadmap.

Apply