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Prior Authorization Rn Jobs in Alabama (NOW HIRING)

OneOncology LLC

Prior Authorization Specialist

Huntsville, AL · On-site

$17.75 - $23.75/hr

Communicate with Physicians and RN's regarding treatment. * Check previous patient treatment with current treatment to ensure insurance payments and prior authorizations have been entered/approved.

OneOncology

Prior Authorization Specialist

Huntsville, AL · On-site

$17.25 - $23/hr

Communicate with Physicians and RN's regarding treatment. * Check previous patient treatment with current treatment to ensure insurance payments and prior authorizations have been entered/approved.

OneOncology LLC

Prior Authorization Specialist

Huntsville, AL · On-site

$17.75 - $23.75/hr

Communicate with Physicians and RN's regarding treatment. * Check previous patient treatment with current treatment to ensure insurance payments and prior authorizations have been entered/approved.

OneOncology

Prior Authorization Manager

Huntsville, AL · On-site

Collaborate with healthcare providers, nurses, and patients to address any prior authorization delays or denials, exploring appeals processes when necessary * Ensure clear communication with patients ...

New

Shields Health Solutions

$54.25 - $63.75/hr

This includes referral intake, data entry, claims adjudication support, prior authorization ... We are seeking experienced pharmacy technicians who are registered with the State of employment and ...

Oshi Health

Registered Nurse - GI

Birmingham, AL

GI Registered Nurse (RN) Reports To: Associate Director of Clinical Operations Locations Hiring ... coverage/prior authorization barriers. * Evaluate refill appropriateness, identifying cases that ...

New

Wisconsin Fertility

Registered Nurse

Birmingham, AL · On-site

Transcribe and transmit prescriptions and manage prior authorizations * Perform phlebotomy ... Active Alabama RN license in good standing required * Nursing experience, minimum of 2 years ...

Wisconsin Fertility

Registered Nurse

Birmingham, AL · On-site

Transcribe and transmit prescriptions and manage prior authorizations * Perform phlebotomy ... Active Alabama RN license in good standing required * Nursing experience, minimum of 2 years ...

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Prior Authorization Rn information

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$6

$38

$65

How much do prior authorization rn jobs pay per hour?

As of Aug 23, 2026, the average hourly pay for prior authorization rn in Alabama is $38.29, according to ZipRecruiter salary data. Most workers in this role earn between $28.56 and $45.34 per hour, depending on experience, location, and employer.

What is a Prior Authorization RN?

A Prior Authorization RN is a registered nurse who specializes in reviewing and processing prior authorization requests for medical procedures, medications, or treatments. They evaluate clinical documentation to determine if requests meet insurance or regulatory criteria and often serve as a liaison between healthcare providers, patients, and insurance companies. Their role helps ensure that care is medically necessary and covered by the patient's health plan, streamlining access to important healthcare services while controlling costs.

What does a Prior Authorization RN do?

A prior authorization RN is a registered nurse who assesses applications for specific treatments, medical procedures, and medications. In this job, you review each request for medical coverage and determine the necessity or potential benefits of the treatment or medicine. You assess patient information and other factors to decide whether or not to authorize coverage. Your duties as a prior authorization RN also include reviewing denials of benefits and seeking additional information that could alter the initial decision. You document your findings for each case and present the evidence along with your decision. It is your job to review the case for each patient thoroughly while following all government regulations and healthcare provider policies.

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

To thrive as a Prior Authorization RN, you need a current RN license, strong clinical assessment skills, and a solid understanding of insurance guidelines and medical necessity criteria. Familiarity with utilization management software, electronic health records (EHRs), and payer-specific authorization systems is essential. Exceptional attention to detail, critical thinking, and effective communication help you advocate for patients and collaborate with healthcare providers and insurers. These skills ensure the efficient processing of authorizations, reduce delays in care, and support patients in receiving appropriate treatments.

What are some common challenges faced by Prior Authorization RNs, and how can they be addressed?

Prior Authorization RNs often navigate complex insurance guidelines and manage high volumes of requests, which can be challenging due to frequent policy updates and tight timelines. Staying organized, maintaining up-to-date knowledge of payer requirements, and leveraging electronic health record (EHR) systems can help streamline the process. Collaboration with providers and insurance representatives, as well as ongoing training, are essential for efficiently resolving issues and ensuring timely patient care.

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

AspectPrior Authorization RnMedical Coder
CredentialsRN license, possibly certifications in case management or utilization reviewCertification in coding (CPC, CCS), no RN license required
Work EnvironmentHospitals, insurance companies, healthcare facilitiesMedical offices, hospitals, insurance companies
Primary ResponsibilitiesReviewing and obtaining prior authorizations for treatments and proceduresTranslating medical records into coded data for billing and documentation

While both roles are integral to healthcare administration, the Prior Authorization RN focuses on obtaining approvals for patient care, requiring nursing credentials and clinical knowledge. In contrast, Medical Coders specialize in coding medical records for billing, emphasizing coding certifications. Understanding these differences helps healthcare professionals and job seekers identify the right career path or job opportunity.

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Prior Authorization Rn jobs near you
Infographic showing various Prior Authorization Rn job openings in Alabama as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 16% Part Time, 1% Temporary, and 4% Contract. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution, with an average salary of $79,642 per year, or $38.3 per hour.

Prior Authorization Specialist

OneOncology LLC

Huntsville, AL • On-site

$17.75 - $23.75/hr

Full-time

Posted 5 days ago

OneOncology rating

7.9

Company rating: 7.9 out of 10

Based on 18 frontline employees who took The Breakroom Quiz

Job description

Clearview Cancer Institute is north Alabama's leading cancer treatment facility. For over 30 years Clearview Cancer Institute has provided leading-edge treatment and compassionate care to those diagnosed with cancer or blood disorders. Clearview offers every service and amenity needed in an outpatient setting and our dedication to research and involvement in Phase I-IV clinical trials gives our patients the opportunity to receive potentially life-saving treatment options.

Why Join Us? We are looking for talented and highly-motivated individuals who demonstrate a natural desire to support the meaningful work of community oncologists and the patients we serve.

Job Description:

Job Purpose

The purpose of the Prior Authorization Specialist is to ensure all necessary prior authorizations have been obtained in an effective and efficient manner.

Essential Job Functions

  • Responsible for tracking, obtaining, and extending authorizations from various carriers in a timely manner.
  • Check daily, weekly, and monthly schedules for prior authorizations and request necessary authorizations.
  • Communicate with Physicians and RN's regarding treatment.
  • Check previous patient treatment with current treatment to ensure insurance payments and prior authorizations have been entered/approved.
  • Other duties as assigned.

Qualifications

  • Must have knowledge of Health Insurance Plans
  • Experience in obtaining Health Plan Prior Authorizations thru online portals and/or by phone or fax.
  • Ability to navigate Health Plan websites for medical policy review regarding services.
  • Must be organized and efficient.
  • Must be able to prioritize and complete tasks in a timely manner.
  • Must be able to follow directions and/or work independently.

Education/Experience

  • Must have a high school diploma or equivalent.
  • Certified Pharmacy Technician preferred, but not required
  • Oncology experience required
  • Familiarity with oncology medications preferred
  • Prior Authorization experience preferred

Working conditions

This position works in the billing department of a busy oncology/hematology clinic. This person generally only has contact with patients via phone.

Physical requirements

This position requires that the employee be able to sit at a desk in front of a computer for up to eight hours a day. Some walking and standing may be required to complete tasks.

Direct Reports

This position is not a supervisory position.

What OneOncology employees say

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