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Remote Prior Authorization Rn Jobs in Champaign, IL

Carle Health

Lead Pre-Authorization Specialist

Champaign, IL · On-site +1

$16.75 - $22.50/hr

ResponsibilitiesMonitors daily activities of the Prior Authorization department to ensure quality ... nursing care. We offer opportunities in several communities throughout central Illinois with ...

Carle Health

RN - Patient Clinical Services

Champaign, IL · On-site +1

$33.11 - $53.88/hr

... prior authorization requests, and visit follow-up questions. Finds nurse led solutions to care and/or escalates patient care concerns when appropriate by expressing nursing judgement and clinical ...

Humana

Manager, Care Management

Champaign, IL · Remote

Active Registered Nurse (RN) license or Social Work (SW) license * 5+ years of professional ... This is a remote position that requires travel. * Travel: 50 - 75% field-based interactions ...

Humana

Manager, Care Management

Champaign, IL · Remote

Active Registered Nurse (RN) license or Social Work (SW) license * 5+ years of professional ... This is a remote position that requires travel. * Travel: 50 - 75% field-based interactions ...

Humana

Manager, Care Management

Champaign, IL · Remote

Active Registered Nurse (RN) license or Social Work (SW) license * 5+ years of professional ... This is a remote position that requires travel. * Travel: 50 - 75% field-based interactions ...

Carle Health

Neuroradiology (Remote) - Physician

Urbana, IL · On-site +1

$356K - $402K/yr

... nursing care. We offer opportunities in several communities throughout central Illinois with ... authorization. | For more information: human.resources@carle.com. Compensation and Benefits The ...

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Remote Prior Authorization Rn information

See Champaign, IL salary details

$7

$42

$72

How much do remote prior authorization rn jobs pay per hour?

As of Aug 24, 2026, the average hourly pay for remote prior authorization rn in Champaign, IL is $42.31, according to ZipRecruiter salary data. Most workers in this role earn between $31.54 and $50.10 per hour, depending on experience, location, and employer.

What is the difference between Remote Prior Authorization Rn vs Remote Medical Coder?

AspectRemote Prior Authorization RnRemote Medical Coder
CredentialsRN license, certification in case management or utilization reviewCertification in coding (CPC, CCS), high school diploma or equivalent
Work EnvironmentHealthcare facilities, insurance companies, telehealthMedical offices, insurance companies, remote coding platforms
Industry UsageUtilization review, patient authorization, insurance approvalMedical record review, billing, coding for insurance claims

Remote Prior Authorization Rns focus on reviewing patient information to approve treatments, while Remote Medical Coders translate medical records into codes for billing. Both roles require healthcare knowledge but serve different functions within the healthcare industry.

What are popular job titles related to Remote Prior Authorization Rn jobs in Champaign, IL?

For Remote Prior Authorization Rn jobs in Champaign, IL, the most frequently searched job titles are:

What job categories do people searching Remote Prior Authorization Rn jobs in Champaign, IL look for?

The top searched job categories for Remote Prior Authorization Rn jobs in Champaign, IL are:

What cities near Champaign, IL are hiring for Remote Prior Authorization Rn jobs?

Cities near Champaign, IL with the most Remote Prior Authorization Rn job openings:

Remote Prior Authorization Rn jobs near you
Infographic showing various Remote Prior Authorization Rn job openings in Champaign, IL as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 19% Part Time, 1% Temporary, and 3% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $87,996 per year, or $42.3 per hour.

Lead Pre-Authorization Specialist

Carle Health

Champaign, IL • On-site, Remote

$16.75 - $22.50/hr

Full-time

Re-posted 14 days ago

Carle Health rating

7.5

Company rating: 7.5 out of 10

Based on 213 frontline employees who took The Breakroom Quiz

239th of 893 rated healthcare providers

Job description

OverviewAssists in leading the daily activities of the Revenue Cycle Pre-Authorization to ensure high quality customer service and improve revenue cycle activities for prior authorizations, predeterminations, documentation, billing and claims. Understands regulatory and third party payer guidelines for various authorizations including but not limited to diagnostic testing, imaging, medications, and outpatient services, and billing. Reviews daily schedules to ensure that all areas of Pre-Authorization are appropriately staffed for volumes and activities. Assists with training and education of Pre Auth for new and existing staff members. Promotes cross training and assists with scheduling with other Patient Access leadership to accomplish cross training to enhance job function and responsibilities so that maximum flexibility within Patient Access is achieved. Assists as needed with Department Supervisor and Manager to coordinate and communicate process updates and flows with internal departments at Carle, and external departments when necessary, to ensure that Prior Authorizations are in place by the patient's service date to increase patient satisfaction, reimbursement to the organization, and problem resolution. Understands the organization's denials reduction efforts and goals, authorization claim error resolution, and serves as a SME (Subject Matter Expert) for Revenue Cycle operations for authorizations. Assists Supervisor and Manager on administrative tasks as assigned.ResponsibilitiesMonitors daily activities of the Prior Authorization department to ensure quality and quantity of work is maintained, and information with ordering and performing departments regarding patient authorizations is properly communicated in a timely mannerHas full knowledge of department authorization scope and Patient Care leadership contacts, systems contacts, and can effectively communicate with themAssists supervisor or manager with properly orienting and training new and existing staff in operations and equipment, including operational or payer changes to authorization requirementsWith the sign off of the supervisor or manager, completes payroll edits to ensure accuracy of labor hours.Assists performing department audits to identify authorization errors and provides audit information to supervisor or managerAssigns and delegates tasks as needed in the absence of employees so workflow is maintainedPerforms high level of patient service and confidentiality from all areas of responsibility.Monitor day to day scheduling and functions of Prior Authorization department to ensure staff are assigned appropriately to ensure timely scheduling and/or authorization of patient services Assists supervisor or manager by modeling the way for The Carle Experience with accountability of expectations by mentoring, coaching, discipline, etc. Assists supervisor or manager in performing audits to identify authorization errors while providing feedback to employees (i.e. WQ audits, documentation audits, Voicecert/Pixcert audits) Assists with onboarding and training of new and existing staff in Prior Authorizations Adhere to all leadership expectations of the Carle ExperienceQualifications

Education: High School Diploma or G.E.D ,

Work Experience: 

  • 1 year experience in Customer Service, preferred in Front Line Healthcare
Carle Health Company Overview

Find it here.

Discover the job, the career, the purpose you were meant for. At Carle Health, we're committed to fostering a workplace where every team member feels valued, respected and empowered, where passion and purpose come together to positively impact the lives of our patients and our communities. Find it all at Carle Health.

Our nearly 17,000 team members and providers work together to support patient care across central and southeastern Illinois.  We've grown to include eight, award-winning hospitals and a multispecialty provider group with more than 1,500 doctors and advanced practice providers. We're developing the next generation of providers and healthcare professionals through Carle Illinois College of Medicine, the world's first engineering-based medical school, and Methodist College. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet designations, the nation's highest honor for nursing care. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: human.resources@carle.com.

Salary RangeThe compensation range for this position is $23.05per hour - $38.49per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate's experience, qualifications, location, training, licenses, shifts worked and compensation model. Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org/benefits.Employment Type: FULL_TIME

What Carle Health employees say

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About Carle

Sourced by ZipRecruiter

Each and every employee at Carle makes us better and stronger, so we can take care of our patients and our community. From clinical to professional and technical careers – our team of employees help us change lives. Carle is proud to be named a Great Place to Work®. Alongside Carle BroMenn Medical Center, Carle Health Methodist Hospital, and Carle Health Proctor Hospital, the Carle Foundation Hospital holds Magnet® designation, the nation’s highest honor for nursing care.

Industry

Health care and social assistance, hospitals and outpatient health care

Company size

10,000+ Employees

Headquarters location

Urbana, IL, US

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