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Prior Authorization Rn Jobs in Florida (NOW HIRING)

Southeastern Center for Infectious Diseases

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Registered Nurse

Tallahassee, FL · On-site

$57K - $60K/yr

Prior Authorizations & Pharmacy Liaison: Collaborate with pharmacy partners and insurance providers ... Active, unrestricted Registered Nurse (RN) license in the state of Florida (or a valid Multistate ...

Southeastern Center for Infectious Diseases

Be Seen First

Registered Nurse

Crawfordville, FL · On-site

$57K - $60K/yr

Prior Authorizations & Pharmacy Liaison: Collaborate with pharmacy partners and insurance providers ... Active, unrestricted Registered Nurse (RN) license in the state of Florida (or a valid Multistate ...

Southeastern Center for Infectious Diseases

Be Seen First

Registered Nurse

Tallahassee, FL · On-site

$57K - $60K/yr

Prior Authorizations & Pharmacy Liaison: Collaborate with pharmacy partners and insurance providers ... Active, unrestricted Registered Nurse (RN) license in the state of Florida (or a valid Multistate ...

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All JobsPrior Authorization Rn JobsPrior Authorization Rn Jobs in Florida

Prior Authorization Rn information

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$5

$31

$53

How much do prior authorization rn jobs pay per hour?

As of Jun 18, 2026, the average hourly pay for prior authorization rn in Florida is $31.57, according to ZipRecruiter salary data. Most workers in this role earn between $23.51 and $37.36 per hour, depending on experience, location, and employer.

How to make $300,000 a year as a nurse?

A Prior Authorization RN can earn $300,000 annually by gaining extensive experience, obtaining advanced certifications, and working in high-paying settings such as specialty clinics or insurance companies. Increasing workload, taking on leadership roles, or working overtime can also boost income, but reaching this level typically requires a combination of expertise, efficiency, and strategic employment choices.

How to make 150,000 as a nurse?

A Prior Authorization RN can earn $150,000 by gaining extensive experience, obtaining relevant certifications, and working in high-paying settings such as specialty clinics or insurance companies. Advancing to senior or managerial roles, working overtime, or taking on consulting opportunities can also increase earning potential.

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.

Can nurses do prior authorizations?

Prior authorization nurses, often called utilization review nurses or case managers, are qualified to handle prior authorization requests. They review medical documentation, communicate with providers and insurance companies, and ensure compliance with payer requirements, often using electronic health record systems. Certification in case management or utilization review can enhance their ability to perform these tasks effectively.

How to make an extra 2000 a month as a nurse?

A Prior Authorization RN can increase income by taking on additional shifts, working overtime, or offering consulting services to healthcare providers. Developing specialized knowledge in insurance authorization processes and obtaining relevant certifications can also lead to higher-paying opportunities or freelance work outside regular hours.

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.
More about Prior Authorization Rn jobs
What are the most commonly searched types of Prior Authorization Rn jobs in Florida? The most popular types of Prior Authorization Rn jobs in Florida are:
What are popular job titles related to Prior Authorization Rn jobs in Florida? For Prior Authorization Rn jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Prior Authorization Rn jobs in Florida look for? The top searched job categories for Prior Authorization Rn jobs in Florida are:
What cities in Florida are hiring for Prior Authorization Rn jobs? Cities in Florida with the most Prior Authorization Rn job openings:
Prior Authorization Rn jobs near you
Infographic showing various Prior Authorization Rn job openings in Florida as of June 2026, with employment types broken down into 52% Full Time, 46% Part Time, 1% Temporary, and 1% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $65,663 per year, or $31.6 per hour.
Specialty Prior Authorization Coordinator

Specialty Prior Authorization Coordinator

WellDyne

Lakeland, FL • On-site

$17.25 - $21.25/hr

Full-time

Posted 21 days ago

WellDyne rating

6.0

Company rating: 6.0 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

Job description

The Prior Authorization Coordinator is responsible for obtaining and renewing authorizations for medical and/or pharmacy payors. Additional responsibilities include preparing paperwork and documentation required for billing and collections and working with other departments as necessary to facilitate accurate and timely payment of claims.
Essential Duties amp; Responsibilities
  • Initiates Prior Authorizations, Pre-Certifications, Pre-Determinations and Advanced Benefit Determination requests for new and existing patients.
  • Performs pharmacy test claims and follow-up regarding results.
  • Work on patient's behalf to identify and assess reimbursement coverage options for those with insurance and to coordinate and/or investigate financial options for those without insurance.
  • Work with physician offices to facilitate the process of obtaining prior authorization from third party payers in order to maximize patients' access to treatment.
  • Help support the appeal process to overturn insurance denials and/or benefit exclusions when needed.
  • Works with Intake, Billing and Collection teams to resolve claims issues.
  • Maintains confidentiality of all PHI in compliance with state and federal law.
  • Other duties may be assigned.
Education and Experience
  • High School Diploma or equivalent
  • Registered Pharmacy Technician with the State of Florida.
  • Preferred – national certification (CPhT)
  • Previous Prior Authorization and Claims experience is preferred
Knowledge, Skills, and Abilities
  • Demonstrates a high degree of personal responsibility regarding accuracy and quality of work.
  • Demonstrates ability to work effectively and maintain expected productivity.
  • Ensures accuracy of information being provided to Management for review.
  • Schedules own time based on priorities.
  • Demonstrates Excellent customer service and Professionalism
  • Ability to multi-task
  • Ability to communicate effectively, patiently and courteously.
  • Ability to work in a high pace, stress environment.
  • Should be independent and self-motivated.
  • Maintains a good attendance record.
Work Environment / Physical Demands
This position is in a typical office environment which requires prolonged sitting and standing in front of a computer. In addition, this position requires hand-eye coordination and manual dexterity sufficient to operate standard office equipment, including the operation of standard computer and phone equipment. May have occasional high stress when dealing with customers/clients and employees. This position may be required to work long hours.

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