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Prior Authorization Rn Jobs in Dallas, TX (NOW HIRING)

IVX Health

PRN Registered Nurse (RN)

Denton, TX · On-site

As a Registered Nurse at IVX Health, you'll be at the forefront of delivering personalized ... Support Operations and Training - Assist in inventory management, prior authorizations, and ...

2413

RN Program Coordinator

Dallas, TX · On-site

JOB SUMMARY The RN Program Coordinator provides comprehensive care coordination for patients with ... Obtains prior authorizations for infusions, program-specific clinical procedures and treatments ...

New

U5617

Transitions of Care Pharmacy Technician

Dallas, TX · On-site

$17.25 - $21/hr

... Registered Technician is required upon hire (BLS) BASIC LIFE SUPPORT course accredited by the ... Prior Authorization Activities may include: * Initiate and coordinate prior authorization requests ...

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All JobsPrior Authorization Rn JobsPrior Authorization Rn Jobs in Dallas, TX

Prior Authorization Rn information

See Dallas, TX salary details

$7

$41

$71

How much do prior authorization rn jobs pay per hour?

As of Jun 25, 2026, the average hourly pay for prior authorization rn in Dallas, TX is $41.79, according to ZipRecruiter salary data. Most workers in this role earn between $31.15 and $49.47 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
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Prior Authorization Rn jobs near you
Infographic showing various Prior Authorization Rn job openings in Dallas, TX as of June 2026, with employment types broken down into 2% As Needed, 82% Full Time, 10% Part Time, 2% Temporary, and 4% Contract. Highlights an 96% In-person, and 4% Remote job distribution, with an average salary of $86,922 per year, or $41.8 per hour.

Neurosurgery Authorization Specialist

Methodisthealthsystem

Dallas, TX • On-site

$17.75 - $23.75/hr

Full-time

Medical, Dental, Vision, Retirement

Posted 24 days ago

Job description

Hours of Work :

40

Days Of Week :

5

Work Shift :

Job Description :

Your Job:
The Medical Authorization Specialist professional responsible for verification of medical coverage, along with notification, prior authorization, and/or pre-determination of healthcare benefits for proposed medical services, to ensure reimbursement for rendered care. This position routinely works with physicians, clinic support staff, case managers, nurses, insurance utilization management staff, and patients to initiate pre-authorization and resolve issues that arise during the prior authorizations process. Supports and promotes the vision, mission, and strategic plans of Methodist Health System
Your Job Requirements:
High School Graduate or equivalent. Some college preferred
1 year of prior clinical and/or insurance experience.
Knowledge of billing practices and clinic policies and procedures.
Knowledge of ICD-9, ICD-10 and CPT codes for clinic operating policies.
Strong proficiency using Microsoft Office products
Strong oral and written communication skills
Detail oriented, logical, and methodological approach to problem solving
Your Job Responsibilities:
Communicate clearly and openly
Build relationships to promote a collaborative environment
Be accountable for your performance
Always look for ways to improve the patient experience
Take initiative for your professional growth
Be engaged and eager to build a winning team
Ability to interpret Payer Clinical Policies in reference to practice procedures.
Contacts Payer(s) in a timely manner to obtain, monitor, expedite, and track pre-authorization/pre-certification requests for planned services. Monitors changes in Authorization requests daily, to ensure a faster mode of notification retrieval.
Identifies and provides accurate CPT/ ICD codes on the authorization request.
Maintain appropriate logs or reports according to professional, state and federal requirements
Refers authorization requests that require clinical judgment to the Provider, and/or Billing Manager, when necessary.
Advises Manager of all patient complaints, and asks for assistance if problem resolution has not occurred with the patient
Adheres to patient and office confidentiality guidelines as outlined by the policies and procedures of the office and hospital system as well as HIPPA, red flag regulations, and any other polices that relate to compliance to federal program guidelines

Methodist Medical Group is the North Texas physician organization affiliated with Methodist Health System. Our fast-growing network of providers includes more than 92 MMG ambulatory clinics, an urgent care clinic, and a virtual care service known as MethodistNOW. Our employees enjoy not only competitive salaries but also the outstanding benefits package of Methodist Health System, which includes medical, dental, and vision insurance; a matched retirement plan; an employee wellness program; and more. The opportunities for career growth are equally generous. Our affiliation means being part of an award-winning workplace:

  • Newsweek's America's Most Admired Workplaces 2026

  • Glassdoor's Best-Led Companies 2025

  • Fortune's Best Workplaces in Health Care 2025

  • Great Place to Work Certified 2026-2026

  • Glassdoor's Best Places to Work 2025

  • TIME's Best Companies for Future Leaders 2025

  • Military Friendly - Gold Employer 2025

  • Newsweek's America's Greatest Workplaces for Mental Well-Being 2025

  • Becker's Healthcare Top Places to Work in Healthcare 2025

  • Newsweek's Greatest Workplaces 2025

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