... prior authorization and financial assistance support to assist patients in obtaining medication ... We are seeking experienced pharmacy technicians who are registered with the State of employment and ...
New
Quick apply
... prior authorization and financial assistance support to assist patients in obtaining medication ... We are seeking experienced pharmacy technicians who are registered with the State of employment and ...
New
Quick apply
... prior authorization and financial assistance support to assist patients in obtaining medication ... We are seeking experienced pharmacy technicians who are registered with the State of employment and ...
New
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 ...
Ann Arbor, MI · On-site
The following job functions may not be the responsibility of all RN's. Some RN's will be assigned work that has more focused responsibilities (example: prior authorizations or indirect work ...
Ann Arbor, MI · On-site
The following job functions may not be the responsibility of all RN's. Some RN's will be assigned work that has more focused responsibilities (example: prior authorizations or indirect work ...
Ann Arbor, MI · On-site
The following job functions may not be the responsibility of all RN's. Some RN's will be assigned work that has more focused responsibilities (example: prior authorizations or indirect work ...
Ann Arbor, MI · On-site
The following job functions may not be the responsibility of all RN's. Some RN's will be assigned work that has more focused responsibilities (example: prior authorizations or indirect work ...
Ann Arbor, MI · On-site
The following job functions may not be the responsibility of all RN's. Some RN's will be assigned work that has more focused responsibilities (example: prior authorizations or indirect work ...
Ann Arbor, MI · On-site
The following job functions may not be the responsibility of all RN's. Some RN's will be assigned work that has more focused responsibilities (example: prior authorizations or indirect work ...
Ann Arbor, MI · On-site
The following job functions may not be the responsibility of all RN's. Some RN's will be assigned work that has more focused responsibilities (example: prior authorizations or indirect work ...
Ann Arbor, MI · On-site
The following job functions may not be the responsibility of all RN's. Some RN's will be assigned work that has more focused responsibilities (example: prior authorizations or indirect work ...
Ann Arbor, MI · On-site
The following job functions may not be the responsibility of all RN's. Some RN's will be assigned work that has more focused responsibilities (example: prior authorizations or indirect work ...
Ann Arbor, MI · On-site
The following job functions may not be the responsibility of all RN's. Some RN's will be assigned work that has more focused responsibilities (example: prior authorizations or indirect work ...
The following job functions may not be the responsibility of all RN's. Some RN's will be assigned work that has more focused responsibilities (example: prior authorizations or indirect work ...
The following job functions may not be the responsibility of all RN's. Some RN's will be assigned work that has more focused responsibilities (example: prior authorizations or indirect work ...
Ypsilanti, MI · On-site
The following job functions may not be the responsibility of all RN's. Some RN's will be assigned work that has more focused responsibilities (example: prior authorizations or indirect work ...
Ypsilanti, MI · On-site
The following job functions may not be the responsibility of all RN's. Some RN's will be assigned work that has more focused responsibilities (example: prior authorizations or indirect work ...
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 ...
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 ...
Ann Arbor, MI · On-site
The following job functions may not be the responsibility of all RN's. Some RN's will be assigned work that has more focused responsibilities (example: prior authorizations or indirect work ...
Ann Arbor, MI · On-site
The following job functions may not be the responsibility of all RN's. Some RN's will be assigned work that has more focused responsibilities (example: prior authorizations or indirect work ...
The following job functions may not be the responsibility of all RN's. Some RN's will be assigned work that has more focused responsibilities (example: prior authorizations or indirect work ...
The following job functions may not be the responsibility of all RN's. Some RN's will be assigned work that has more focused responsibilities (example: prior authorizations or indirect work ...
Ann Arbor, MI · On-site
The following job functions may not be the responsibility of all RN's. Some RN's will be assigned work that has more focused responsibilities (example: prior authorizations or indirect work ...
Ann Arbor, MI · On-site
The following job functions may not be the responsibility of all RN's. Some RN's will be assigned work that has more focused responsibilities (example: prior authorizations or indirect work ...
Brighton, MI · On-site
The following job functions may not be the responsibility of all RN's. Some RN's will be assigned work that has more focused responsibilities (example: prior authorizations or indirect work ...
Brighton, MI · On-site
The following job functions may not be the responsibility of all RN's. Some RN's will be assigned work that has more focused responsibilities (example: prior authorizations or indirect work ...
The following job functions may not be the responsibility of all RN's. Some RN's will be assigned work that has more focused responsibilities (example: prior authorizations or indirect work ...
The following job functions may not be the responsibility of all RN's. Some RN's will be assigned work that has more focused responsibilities (example: prior authorizations or indirect work ...
The following job functions may not be the responsibility of all RN's. Some RN's will be assigned work that has more focused responsibilities (example: prior authorizations or indirect work ...
The following job functions may not be the responsibility of all RN's. Some RN's will be assigned work that has more focused responsibilities (example: prior authorizations or indirect work ...
Ann Arbor, MI · On-site
The following job functions may not be the responsibility of all RN's. Some RN's will be assigned work that has more focused responsibilities (example: prior authorizations or indirect work ...
Ann Arbor, MI · On-site
The following job functions may not be the responsibility of all RN's. Some RN's will be assigned work that has more focused responsibilities (example: prior authorizations or indirect work ...
Brighton, MI · On-site
The following job functions may not be the responsibility of all RN's. Some RN's will be assigned work that has more focused responsibilities (example: prior authorizations or indirect work ...
Brighton, MI · On-site
The following job functions may not be the responsibility of all RN's. Some RN's will be assigned work that has more focused responsibilities (example: prior authorizations or indirect work ...
Ann Arbor, MI · On-site
The following job functions may not be the responsibility of all RN's. Some RN's will be assigned work that has more focused responsibilities (example: prior authorizations or indirect work ...
Ann Arbor, MI · On-site
The following job functions may not be the responsibility of all RN's. Some RN's will be assigned work that has more focused responsibilities (example: prior authorizations or indirect work ...
$6.50 - $11.62
0% of jobs
$11.62 - $16.74
0% of jobs
$16.74 - $21.87
4% of jobs
$21.87 - $26.99
18% of jobs
$27.66 is the 25th percentile. Wages below this are outliers.
$26.99 - $32.11
20% of jobs
The median wage is $34.22 / hr.
$32.11 - $37.24
18% of jobs
$41.85 is the 75th percentile. Wages above this are outliers.
$37.24 - $42.36
16% of jobs
$42.36 - $47.48
10% of jobs
$47.48 - $52.61
6% of jobs
$52.61 - $57.73
4% of jobs
$57.73 - $62.86
3% of jobs
$6
$36
$62
| Aspect | Prior Authorization Rn | Medical Coder |
|---|---|---|
| Credentials | RN license, possibly certifications in case management or utilization review | Certification in coding (CPC, CCS), no RN license required |
| Work Environment | Hospitals, insurance companies, healthcare facilities | Medical offices, hospitals, insurance companies |
| Primary Responsibilities | Reviewing and obtaining prior authorizations for treatments and procedures | Translating 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.
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.

Full-time
PTO
Posted 7 days ago
New
8.3
Based on 39 frontline employees who took The Breakroom Quiz
12th of 104 rated pharmacies
Patient Support Supervisor
Location: Stoughton and Phoenix Area Preferred (other locations considered based on unique situations)
Shields is seeking an experienced person who loves to work with and lead people, has strong management skills, who is highly motivated self-starter who is looking for a challenging career with a fast-growing company in specialty pharmacy management services. Applicants should be results-oriented with a positive outlook and a clear focus on high quality. A natural forward planner who critically assesses their own performance. The ideal candidate should have front-line employee management experience with a background in pharmacy or healthcare. Applicant should be service-oriented, motivational in their style and have a clear focus on performance accountability and employee development. The applicant must be able to work as a member of a close-knit team.
A Patient Support Supervisor is a key leadership position supporting Shields Health Solutions Patient Support team. This position will provide day-to-day leadership for a significant portion of Patient Support Center and will be responsible for leading a team of Patient Support team members. This person is primarily responsible to ensure either/both of the following: Manage all responsible work of assigned sites/clinics and ensure service level metrics are reached in accordance with contract requirements. The leader is responsible for ensuring the adoption and continuity of best practices, providing ongoing support, coordinating coverage, coaching, performance management and professional development of the team, and any other support team members.
Key Responsibilities:
Experience/Requirements
Required Licensure/Certification:
Education:
Skills:
California residents employed by or applying for work at Shields have certain privacy rights. Please review our: California Workforce Privacy Notice and Privacy Policy.
By providing your mobile number, you agree to receive text messages from Shields Health Solutions related to job opportunities, interview scheduling, and recruiting updates. Message and data rates may apply. You may opt out at any time by replying 'STOP.' Consent is not a condition of employment.
Solid computer skills are required, including proficiency in Microsoft Office tools (Outlook, Teams, Word, Excel, and PowerPoint) for communication, documentation, and data management, as well as, navigating the internet and web-based platforms. Data entry and computer skills will be evaluated through an assessment as part of the pre-employment process.
Shields Health Solutions provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
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