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Prior Authorization Rn Jobs in Minnesota (NOW HIRING)

Minnesota Urology P.A.

Registered Nurse - RN

Woodbury, MN · On-site

$39.20 - $49/hr

... prior authorizations, providing education and resources to patients and their families, and ... Registered Nurse (RN) licensed in the state of MN. Bachelor of Science in Nursing preferred.

Minnesota Urology

Registered Nurse - RN

Saint Paul, MN · On-site

Initiates prescription prior authorizations for patient medications. Assists providers with special ... Registered Nurse (RN) licensed in the state of MN. Bachelor of Science in Nursing preferred.

Newport Healthcare

RN -PHP

Maplewood, MN · On-site

$38 - $51/hr

The PHP RN is responsible to assess, plan, implement, evaluate, and supervise nursing care of ... Obtains insurance pre-authorizations for medications and tracks prior authorizations in clinics.

Newport Healthcare

RN -PHP

Maplewood, MN · On-site

$38 - $51/hr

The PHP RN is responsible to assess, plan, implement, evaluate, and supervise nursing care of ... Obtains insurance pre-authorizations for medications and tracks prior authorizations in clinics.

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How much do prior authorization rn jobs pay per hour?

As of Jun 18, 2026, the average hourly pay for prior authorization rn in Minnesota is $41.37, according to ZipRecruiter salary data. Most workers in this role earn between $30.87 and $48.99 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 Minnesota? The most popular types of Prior Authorization Rn jobs in Minnesota are:
What are popular job titles related to Prior Authorization Rn jobs in Minnesota? For Prior Authorization Rn jobs in Minnesota, the most frequently searched job titles are:
What job categories do people searching Prior Authorization Rn jobs in Minnesota look for? The top searched job categories for Prior Authorization Rn jobs in Minnesota are:
What cities in Minnesota are hiring for Prior Authorization Rn jobs? Cities in Minnesota with the most Prior Authorization Rn job openings:
Prior Authorization Rn jobs near you
Infographic showing various Prior Authorization Rn job openings in Minnesota as of June 2026, with employment types broken down into 56% Full Time, 40% Part Time, 2% Temporary, 1% Contract, and 1% Nights. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution, with an average salary of $86,059 per year, or $41.4 per hour.
Prior Authorization Specialist (Full-Time Days)

Prior Authorization Specialist (Full-Time Days)

Mille Lacs Health System

Onamia, MN • On-site

$20.61 - $30.92/hr

Full-time

Posted 15 days ago

Job description

Summary

The Prior Authorization Specialist works under the direction of the Health Information Manager. This role ensures that payers are prepared to reimburse Mille Lacs Health System for scheduled services in accordance with payer-provider contracts. Responsibilities include requesting service authorizations, preparing, and submitting documentation, and managing appeals. The position requires strong communication, insurance knowledge, and the ability to work independently and collaboratively in a fast-paced healthcare environment.

Job Duties

The essential functions of this job are identified with an asterisk (*) at the end of the bullet point.

  • Receive and monitor prior authorization requests in accordance with MLHS standards. *
  • Review accuracy and completeness of documentation and ensure all supporting materials are present. *
  • Assist with medical necessity documentation to expedite approvals. *
  • Collaborate with departments and providers to obtain authorizations and support appeals. *
  • Write and submit appeals to insurance providers, including physician input when needed. *
  • Manage correspondence with insurance companies and document all interactions in the EMR. *
  • Record prior authorization details including approval dates, billing units, procedure codes, and authorization numbers. *
  • Review insurance denials and proactively submit appeals. *
  • Track and renew expiring authorizations. *
  • Work closely with other staff performing prior authorization functions. *
  • Secure patient demographics and medical information in compliance with HIPAA regulations. *
  • Complete all required duties, projects, and reports in a timely manner. *
  • Attend mandatory meetings and complete required training. *

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Employee will comply with all Mille Lacs Health System (MLHS) policies, including safety policies, procedures, and rules. All will be expected to report unsafe conditions to a member of management.


Required Education and Experience
  • Medical Assistant (MA) certification or Licensed Practical Nurse (LPN) licensure in the State of Minnesota
  • Minimum 1-2 years of prior authorization experience in a healthcare setting
  • Experience with medical terminology and insurance processes
  • Strong verbal and written communication skills
  • Proficient computer and business skills
  • Ability to manage multiple priorities and work independently or in a team
  • Knowledge of insurance eligibility and HIPAA compliance
Preferred Education and Experience
  • 5 years of prior authorization experience
  • 5 years of experience in a healthcare setting
Additional Eligibility Qualifications
  • Detail-oriented and self-directed
  • Ethical conduct and professionalism
  • Initiative and flexibility
  • Time management and stress management
  • Teamwork orientation and technical capacity
  • Quality and safety focused

Position Type/Expected Hours of Work

  • Full-time: 40 hours/week
  • Monday-Friday, 8:00 AM - 4:30 PM (training hours may vary)
  • No evenings or weekends

Supervisory Responsibility

None


Job Posted by ApplicantPro