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Prior Authorization Rn Jobs in Arkansas (NOW HIRING)

The Intake RN works with the Business Office regarding patient financial data and verification and prior authorization of insurance benefits as needed, as well as with the UR Department for the ...

The Intake RN works with the Business Office regarding patient financial data and verification and prior authorization of insurance benefits as needed, as well as with the UR Department for the ...

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Prior Authorization Rn information

See Arkansas salary details

$6

$34

$59

How much do prior authorization rn jobs pay per hour?

As of Jun 10, 2026, the average hourly pay for prior authorization rn in Arkansas is $34.93, according to ZipRecruiter salary data. Most workers in this role earn between $26.06 and $41.35 per hour, depending on experience, location, and employer.

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.

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 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 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 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 are popular job titles related to Prior Authorization Rn jobs in Arkansas? For Prior Authorization Rn jobs in Arkansas, the most frequently searched job titles are:
Infographic showing various Prior Authorization Rn job openings in Arkansas as of June 2026, with employment types broken down into 77% Full Time, 18% Part Time, and 5% Nights. Highlights an 100% In-person job distribution, with an average salary of $72,658 per year, or $34.9 per hour.

Other

Posted 14 days ago


Job description

Description

Job Title: Registered Nurse

Supervisor: Clinic Lead

Employment Type: Full-Time

FLSA Classification: Non-Exempt

Location: Various


Requirements

SUMMARY OF RESPONSIBILITIES


The position of Registered Nurse (RN) is responsible for assisting the Provider with patient visits during clinic, as well as administering moderate sedation during procedures.


ESSENTIAL FUNCTIONS


During clinic, the essential functions of the Registered Nurse position can be divided into two categories - Scribe duties and Circulator duties. During any particular patient visit, the RN may be responsible for performing some or all of these functions, depending on the nature of the visit, the direction of the Provider and the presence or absence of a second assistant during the particular patient visit.


The Scribe duties that may be assigned to the RN include, but are not limited to, the following:


(1) Accompanying Provider into the patient examination room and accurately documenting the Provider's encounter with the patient, including HIP, ROS, Physical Assessment, Education, Lab Orders, Radiology Orders, Assessment/Plan, Billing, and Meaningful Use. The position does not complete charting documentation for prescriptions.


(2) Ensuring that the Provider reviews and signs off on the patient's chart.


(3) Regularly monitoring voicemails and promptly returning phone calls from patients.


(4) Regularly monitoring EMR messages and responding in a timely manner.


(5) Performing other related duties as assigned.


The Circulator duties that may be assigned to the RN include, but are not limited to, the following:


(1) After each patient visit, updating Face Sheet Plan with all pertinent information including but not limited to UDS/PMP/Pill Count Consistent/Inconsistent, Repeat UDS, Procedures/Imaging/PT, and Medication Refills/Changes/Weaning Plan. 


(2) Documenting Warnings/Violations/Inappropriate Behavior in "Alerts" or in the personal notes section of the Face Sheet.


(3) Updating Past Medical History ICD codes, reconciling current medication list, performing pill counts, and entering PQRS codes.


(4) Obtaining and recording patients' vital signs in the medical health records software.


(5) Completing letter out referrals for orders.


(6) Sending messages for prior authorizations for back braces.


(7) Scheduling patients' next appointments.


(8) Regularly monitoring voicemails and promptly returning phone calls to patients.


(9) Regularly monitoring EMR messages and responding in a timely manner.


(10) Performing other related duties as assigned.


In addition, during procedures, the RN is responsible for administering moderate sedation to patients. The essential functions relative to this aspect of the RN position are as follows:


(1) Demonstrating knowledge of anatomy, physiology, pharmacology, cardiac arrhythmia recognition and complications related to sedation/analgesia medications.

(2) Assessing total patient care requirements before, during and after administration of sedation/analgesic medication.

(3) Understanding principles of oxygen delivery, respiratory physiology, transport/uptake. And demonstrating the ability to use oxygen delivery devices.

(4) Recognizing potential complications of sedation/analgesia for each type of agent being administered.

(5) Possessing the required knowledge and skills to assess, diagnose and intervene in the event of complications or undesired outcomes to institute nursing interventions in compliance with orders (including standing orders) and institutional protocols.

(6) Performing other related duties as assigned.


CORE COMPETENCIES

  • Excellent oral and written communication skills
  • Strong telephone communication skills
  • Knowledge of current medical terminology to communicate with physician, staff, and patients
  • High level of attention to detail
  • Strong organization, filing, and time management skills
  • Basic computer literacy and typing
  • Patient focused


REQUIRED EDUCATION, EXPERIENCE, AND/OR CERTIFICATIONS

The position requires a valid, unrestricted Arkansas Registered Nurse license, ACLS and BLS certification, current influenza vaccination, current TB skin test. One (1) year of prior relevant experience is preferred. 

WORKING ENVIRONMENT AND PHYSICAL DEMANDS


This is a full-time position. Days and hours of work are expected to include 7:00 a.m. to 5:00 p.m. Occasional overtime may be required. The position operates in a professional office environment and the incumbent, in the course of performing this position, spends time writing, typing, speaking, listening, driving, seeing (such as close, color and peripheral vision, depth perception and adjusted focus), sitting, walking, standing, and reaching. The incumbent may operate any or all of the following standard office equipment including but not limited to multi-line telephone system, postage mater, facsimile machines, calculator, photocopy machine, computer/printer, and coffee maker. The incumbent may operate medical equipment. The work environment characteristics and physical demands described here are representative of those an employee encounters while performing the essential functions of this job.


OTHER


Employee performance, in part, is evaluated based upon completion of the tasks listed herein. PTCOA/ISI reserves the right to change this job description at any time according to business needs and/or assign tasks that it may deem appropriate. This document does not represent a contract of employment, and employment with PTCOA/ISI may be terminated by the employee or employer at any time, for any reason.Â