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Prior Authorization Rn Jobs in Iowa (NOW HIRING)

Avera Health

Prior Authorization Representative

Le Mars, IA · On-site

$16 - $19.25/hr

The ideal candidate will have a degree in the medical field (i.e. RN, LPN, Medical Assistant) and ... Appropriately document prior authorization and communicate information to performing facility ...

Avera Health

Prior Authorization Representative

Le Mars, IA · On-site

$16 - $19.25/hr

The ideal candidate will have a degree in the medical field (i.e. RN, LPN, Medical Assistant) and ... Appropriately document prior authorization and communicate information to performing facility ...

WOLFE EYE CLINIC MASTER

Registered Nurse

Spencer, IA · On-site

Registered Nurse Join the TEAM that generations of Iowans have trusted to provide a higher standard ... Complete prior authorizations for procedures. * Triage phone calls and respond to tasks.

Wolfe Eye Clinic

Registered Nurse

Spencer, IA

Registered Nurse Join the TEAM that generations of Iowans have trusted to provide a higher standard ... Complete prior authorizations for procedures. * Triage phone calls and respond to tasks.

Wolfe Eye Clinic

Registered Nurse

Spencer, IA · On-site

Registered Nurse Wolfe Eye Clinic - Better vision, for a better life! Join the team that ... Complete prior authorizations for procedures. * Triage phone calls and respond to tasks.

Wolfe Eye Clinic

Registered Nurse

Cedar Falls, IA · On-site

Registered Nurse Cedar Falls - Cedar Falls, IA 50613; Waterloo - Waterloo, IA 50701 Overview ... Complete prior authorizations for procedures. * Schedule or reschedule clinic and surgical ...

Wolfe Eye Clinic

Registered Nurse

Cedar Falls, IA · On-site

Registered Nurse With over 100 years of specialized eye care experience, it's no wonder that Iowans ... Complete prior authorizations for procedures. * Schedule or reschedule clinic and surgical ...

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All JobsPrior Authorization Rn JobsPrior Authorization Rn Jobs in Iowa

Prior Authorization Rn information

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$6

$39

$67

How much do prior authorization rn jobs pay per hour?

As of Aug 24, 2026, the average hourly pay for prior authorization rn in Iowa is $39.68, according to ZipRecruiter salary data. Most workers in this role earn between $29.57 and $46.97 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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Cities in Iowa with the most Prior Authorization Rn job openings:

Prior Authorization Rn jobs near you
Infographic showing various Prior Authorization Rn job openings in Iowa as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 20% Part Time, 1% Temporary, and 2% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $82,531 per year, or $39.7 per hour.

Prior Authorization Representative

Le Mars, IA • On-site

Avera Health
Hospitals • 10K+ employees
Learn more about Avera Healthexternal

$16 - $19.25/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 21 days ago

Job description

Location:
Le Mars, IA
Worker Type:
Regular
Work Shift:
Day Shift (United States of America)
Floyd Valley Healthcare is proud to offer a positive and fulfilling work environment that supports a healthy work-life balance. We understand that our employees have choices, and we strive to be an employer of choice for our team.
Position Highlights
Come join our award-winning team at Floyd Valley Healthcare as a Centralized Authorization Department Representative.
Floyd Valley Healthcare in Le Mars, IA has a full-time Centralized Authorization Representative position (40 hours per week). The ideal candidate will have a degree in the medical field (i.e. RN, LPN, Medical Assistant) and/or medical experience of 2+ years with a strong understanding of medical terminology.
Floyd Valley offers a positive culture that supports a healthy work-life balance. Our Mission is to be a progressive healthcare partner serving with compassion, integrity and excellence.
Responsibilities:
  • Determine eligibility for all applicable payors by obtaining prior authorization from insurers for medical tests, procedures, surgeries and any other prior authorizations required by the patient's insurance carrier or Local Coverage Determination (LCD) if needed.
  • Appropriately document prior authorization and communicate information to performing facility, physician, clinic staff and patient can/or patient's family as necessary.
  • Utilization of electronic medical record to efficiently process required prior authorizations and communication with in the organization.
  • Communication with Nurse Manager and/or RN status of denials and appeals. Assist in the coordination of medical records retrieval to support appeal process.
  • Hours are Monday-Friday, 8:00am-4:30pm.
Requirements:
  • Degree in the medical field and/or 2+ years working in a medical environment.
  • Strong understanding of medical terminology.
  • Knowledge in ICD-10 and CPT is preferred.
  • Previous prior authorization and coding experience is preferred.
  • General computer knowledge is required.
  • Mandatory Reporter training certificate a plus; certification is required as an employee.
We are proud to offer:
  • Student Debt Program
  • IPERS Retirement
  • Medical, Dental, and Vision insurance
  • Flexible Spending Account (FSA)
  • Short-term and Long-term Disability Insurance
  • Life Insurance
  • Fitness Center
  • Paid Time Off
  • Competitive pay based on experience

About Floyd Valley Healthcare:
Floyd Valley Healthcare is a 25-bed critical access hospital and is located in Le Mars, Iowa, home of "The Ice Cream Capital of the World!" Floyd Valley Healthcare has had a rich history of serving the healthcare needs of people in Le Mars, Iowa and the surrounding communities. Today, Floyd Valley includes the hospital, family medicine clinics in Le Mars, Marcus and Remsen, and public health. We serve people in their homes through home health and home medical services. Floyd Valley Healthcare is licensed by the State of Iowa, affiliated with the Avera System of Sioux Falls, South Dakota and is a member of the Iowa and American Hospital Associations.
Pre-employment drug screen, background check, and employee health review including required immunizations are required. FVH participates in E-Verify.
Floyd Valley Healthcare is an Equal Opportunity Employer committed to providing an environment of opportunities to all applicants and employees without regard to race, color, religion, marital status, age, national origin, physical or mental disability, pregnancy, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected by law.
Avera Health logo

About Avera Health

Sourced by ZipRecruiter

Avera Health, based in Sioux Falls, SD, US, is a significant player in the healthcare industry. This notable network of healthcare providers, hospitals, and health facilities serves over a million people across five Midwestern states. The health network was formed with the 1994 partnership of the Benedictine and Presentation Sisters, with its roots in compassionate service dating back to the late 1800s. Renowned for its commitment to providing excellent care and improving the health of individuals and communities, it has made significant strides in the medical field. Notable achievements include consistently high rankings in the top 15% of U.S. hospitals for clinical performance and patient outcomes.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Sioux Falls, SD, US

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