Verify that charges are in accordance with the services ordered and authorized. * Initiate ... Requirements * RN (or LPN) with active professional license or equivalent within states of ...
Verify that charges are in accordance with the services ordered and authorized. * Initiate ... Requirements * RN (or LPN) with active professional license or equivalent within states of ...
Verify that charges are in accordance with the services ordered and authorized. * Initiate ... Requirements * RN (or LPN) with active professional license or equivalent within states of ...
Quick apply
Verify that charges are in accordance with the services ordered and authorized. * Initiate ... Requirements * RN (or LPN) with active professional license or equivalent within states of ...
Hormone Health Provider (Nurse Practitioner)
Chicago, IL · On-site +1
$130K/yr
Must have (or be able to obtain) an IL APRN and IL DEA licenses and any remote location determined * Ideally full-time, but must be able to work at least 16-20 hours per week (including 1-2 evening ...
Hormone Health Provider (Nurse Practitioner)
Chicago, IL · On-site +1
$130K/yr
Must have (or be able to obtain) an IL APRN and IL DEA licenses and any remote location determined * Ideally full-time, but must be able to work at least 16-20 hours per week (including 1-2 evening ...
Hormone Health Provider (Nurse Practitioner)
Chicago, IL · On-site +1
$130K/yr
Must have (or be able to obtain) an IL APRN and IL DEA licenses and any remote location determined * Ideally full-time, but must be able to work at least 16-20 hours per week (including 1-2 evening ...
Hormone Health Provider (Nurse Practitioner)
Chicago, IL · On-site +1
$130K/yr
Must have (or be able to obtain) an IL APRN and IL DEA licenses and any remote location determined * Ideally full-time, but must be able to work at least 16-20 hours per week (including 1-2 evening ...
RN Field Case Manager
Merrillville, IN · Remote
$76K - $97K/yr
... Insurance RN Field Case Manager This Field Case Manager will cover our Chicago, IL/Northwest ... remote work environment that allows face to face interaction with injured workers and medical ...
RN Field Case Manager
Merrillville, IN · Remote
$76K - $97K/yr
... Insurance RN Field Case Manager This Field Case Manager will cover our Chicago, IL/Northwest ... remote work environment that allows face to face interaction with injured workers and medical ...
RN Field Case Manager
Naperville, IL · Remote
$77K - $98K/yr
... Insurance RN Field Case Manager This Field Case Manager will cover our Chicago, IL/Northwest ... remote work environment that allows face to face interaction with injured workers and medical ...
RN Field Case Manager
Naperville, IL · Remote
$77K - $98K/yr
... Insurance RN Field Case Manager This Field Case Manager will cover our Chicago, IL/Northwest ... remote work environment that allows face to face interaction with injured workers and medical ...
RN Field Case Manager
Oak Brook, IL · Remote
$78K - $99K/yr
... Insurance RN Field Case Manager This Field Case Manager will cover our Chicago, IL/Northwest ... remote work environment that allows face to face interaction with injured workers and medical ...
RN Field Case Manager
Oak Brook, IL · Remote
$78K - $99K/yr
... Insurance RN Field Case Manager This Field Case Manager will cover our Chicago, IL/Northwest ... remote work environment that allows face to face interaction with injured workers and medical ...
RN Field Case Manager
Naperville, IL · Remote
$77K - $98K/yr
... Insurance RN Field Case Manager This Field Case Manager will cover our Chicago, IL/Northwest ... remote work environment that allows face to face interaction with injured workers and medical ...
RN Field Case Manager
Naperville, IL · Remote
$77K - $98K/yr
... Insurance RN Field Case Manager This Field Case Manager will cover our Chicago, IL/Northwest ... remote work environment that allows face to face interaction with injured workers and medical ...
RN Field Case Manager
Oak Brook, IL · Remote
$78K - $99K/yr
... Insurance RN Field Case Manager This Field Case Manager will cover our Chicago, IL/Northwest ... remote work environment that allows face to face interaction with injured workers and medical ...
RN Field Case Manager
Oak Brook, IL · Remote
$78K - $99K/yr
... Insurance RN Field Case Manager This Field Case Manager will cover our Chicago, IL/Northwest ... remote work environment that allows face to face interaction with injured workers and medical ...
RN Field Case Manager
Gary, IN · Remote
$77K - $98K/yr
... Insurance RN Field Case Manager This Field Case Manager will cover our Chicago, IL/Northwest ... remote work environment that allows face to face interaction with injured workers and medical ...
RN Field Case Manager
Gary, IN · Remote
$77K - $98K/yr
... Insurance RN Field Case Manager This Field Case Manager will cover our Chicago, IL/Northwest ... remote work environment that allows face to face interaction with injured workers and medical ...
RN Field Case Manager
Merrillville, IN · Remote
$76K - $97K/yr
... Insurance RN Field Case Manager This Field Case Manager will cover our Chicago, IL/Northwest ... remote work environment that allows face to face interaction with injured workers and medical ...
RN Field Case Manager
Merrillville, IN · Remote
$76K - $97K/yr
... Insurance RN Field Case Manager This Field Case Manager will cover our Chicago, IL/Northwest ... remote work environment that allows face to face interaction with injured workers and medical ...
RN Field Case Manager
Chicago, IL · Remote
$80K - $102K/yr
... Insurance RN Field Case Manager This Field Case Manager will cover our Chicago, IL/Northwest ... remote work environment that allows face to face interaction with injured workers and medical ...
RN Field Case Manager
Chicago, IL · Remote
$80K - $102K/yr
... Insurance RN Field Case Manager This Field Case Manager will cover our Chicago, IL/Northwest ... remote work environment that allows face to face interaction with injured workers and medical ...
RN Field Case Manager
Chicago, IL · Remote
$80K - $102K/yr
... Insurance RN Field Case Manager This Field Case Manager will cover our Chicago, IL/Northwest ... remote work environment that allows face to face interaction with injured workers and medical ...
RN Field Case Manager
Chicago, IL · Remote
$80K - $102K/yr
... Insurance RN Field Case Manager This Field Case Manager will cover our Chicago, IL/Northwest ... remote work environment that allows face to face interaction with injured workers and medical ...
RN Field Case Manager
Gary, IN · Remote
$77K - $98K/yr
... Insurance RN Field Case Manager This Field Case Manager will cover our Chicago, IL/Northwest ... remote work environment that allows face to face interaction with injured workers and medical ...
RN Field Case Manager
Gary, IN · Remote
$77K - $98K/yr
... Insurance RN Field Case Manager This Field Case Manager will cover our Chicago, IL/Northwest ... remote work environment that allows face to face interaction with injured workers and medical ...
RN - Infection Preventionist Consultant
Hines, IL · On-site +1
$80K - $149K/yr
Not Authorized Permanent Change of Station (PCS) : Not Authorized Requirements Help Conditions of ... prior to appointment. Applicants who refuse to be tested will be denied employment with VA.
RN - Infection Preventionist Consultant
Hines, IL · On-site +1
$80K - $149K/yr
Not Authorized Permanent Change of Station (PCS) : Not Authorized Requirements Help Conditions of ... prior to appointment. Applicants who refuse to be tested will be denied employment with VA.
Oncology RN Case Manager - Remote
Schaumburg, IL · Remote
$60K - $107K/yr
As a Telephonic Oncology Case Manager RN, you'll support our Oncology member population with education, advocacy, and connections to the resources they need to feel better and get well. Instead of ...
Oncology RN Case Manager - Remote
Schaumburg, IL · Remote
$60K - $107K/yr
As a Telephonic Oncology Case Manager RN, you'll support our Oncology member population with education, advocacy, and connections to the resources they need to feel better and get well. Instead of ...
Field Case Manager - RN - Home Health
Bartlett, IL · On-site +1
$76K - $94K/yr
The agency's Registered Nurse (RN) provides skilled nursing care services by planning, organizing ... Develops individual nursing care plan reflects current client needs prior to case conference;
Field Case Manager - RN - Home Health
Bartlett, IL · On-site +1
$76K - $94K/yr
The agency's Registered Nurse (RN) provides skilled nursing care services by planning, organizing ... Develops individual nursing care plan reflects current client needs prior to case conference;
Psychiatric Nurse Practitioner (Remote)
Chicago, IL · Remote
$160K - $170K/yr
... nursing care, and ongoing aftercare. Most of our patients being provided medication receive ... Complete prescription refills, prior authorizations, and other required clinical documentation to ...
Quick apply
Psychiatric Nurse Practitioner (Remote)
Chicago, IL · Remote
$160K - $170K/yr
... nursing care, and ongoing aftercare. Most of our patients being provided medication receive ... Complete prescription refills, prior authorizations, and other required clinical documentation to ...
Psychiatric Nurse Practitioner (Remote)
Joliet, IL · Remote
$160K - $170K/yr
... nursing care, and ongoing aftercare. Most of our patients being provided medication receive ... Complete prescription refills, prior authorizations, and other required clinical documentation to ...
Quick apply
Psychiatric Nurse Practitioner (Remote)
Joliet, IL · Remote
$160K - $170K/yr
... nursing care, and ongoing aftercare. Most of our patients being provided medication receive ... Complete prescription refills, prior authorizations, and other required clinical documentation to ...
Virtual Functional Medicine - Nurse Practitioner
Chicago, IL · On-site +1
$130K/yr
Must have (or be able to obtain) an IL APRN license and any remote location determined * Strong oral and written communication skills with the ability to collaborate and interact effectively with ...
Virtual Functional Medicine - Nurse Practitioner
Chicago, IL · On-site +1
$130K/yr
Must have (or be able to obtain) an IL APRN license and any remote location determined * Strong oral and written communication skills with the ability to collaborate and interact effectively with ...
Remote Prior Authorization Rn information
See Chicago, IL salary details
$7.68 - $13.73
0% of jobs
$13.73 - $19.79
0% of jobs
$19.79 - $25.84
4% of jobs
$25.84 - $31.90
18% of jobs
$32.70 is the 25th percentile. Wages below this are outliers.
$31.90 - $37.96
20% of jobs
The median wage is $40.45 / hr.
$37.96 - $44.01
18% of jobs
$49.46 is the 75th percentile. Wages above this are outliers.
$44.01 - $50.07
16% of jobs
$50.07 - $56.12
10% of jobs
$56.12 - $62.18
6% of jobs
$62.18 - $68.23
4% of jobs
$68.23 - $74.29
3% of jobs
$7
$43
$74
How much do remote prior authorization rn jobs pay per hour?
What is the difference between Remote Prior Authorization Rn vs Remote Medical Coder?
| Aspect | Remote Prior Authorization Rn | Remote Medical Coder |
|---|---|---|
| Credentials | RN license, certification in case management or utilization review | Certification in coding (CPC, CCS), high school diploma or equivalent |
| Work Environment | Healthcare facilities, insurance companies, telehealth | Medical offices, insurance companies, remote coding platforms |
| Industry Usage | Utilization review, patient authorization, insurance approval | Medical 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.

Full-time
Medical, Retirement, PTO
Posted 23 days ago
Job description
Join our team and maximize client savings by reviewing medical bills from a nurse perspective, including appropriate billing, coding and treatment, fee schedule compliance, over-utilization, and erroneous charges. We pride ourselves on outstanding customer service and work hard to keep our impeccable reputation in the industry.
In this role, you'll be a part of our mission by giving clients the information they need to determine case value based on evaluation of medical records and medical billing statements, and will:
- Audit medical and billing records to determine if services provided are reasonable, appropriate and necessary.
- Clinically identify and evaluate any charges not related to the occurrence.
- Verify that charges are in accordance with the services ordered and authorized.
- Initiate appropriate contacts with clients and medical providers as appropriate and necessary.
- Negotiate bills and conduct re-evaluation reviews as required
All while maintaining a human touch, demonstrating sensitivity to culturally-diverse people and situations.
Requirements
- RN (or LPN) with active professional license or equivalent within states of operation
- CPC and/or CPC-H certification(s) strongly desired
- Specialized training in hospital coding, ortho, neuro, rehab, or ER procedures
- 3-5 years of clinical experience in acute care, surgery and/or orthopedic
- Workers' Compensation medical bill review experience a major plus
- Understanding of CPT and ICD-10 codes and Medicare guidelines
- Ability to apply knowledge to state fee schedules
- A customer service orientation, including strong communication skills
- Experience in any deposition or litigation cases a plus
Benefits
- Competitive benefits package, including health insurance, 401(k) with company match, paid time off, paid holidays, and more.
- Flexible hybrid schedule with in-office days reserved for training and collaborative meetings
- Employment within a firm committed to core values, staff development, emerging technology, private ownership, and controlled growth/reinvestment in the future - we frequently promote from within!
- Opportunity to make a difference in reducing health care costs and increasing the value of health care to individuals and their employers.
- A relaxed, yet upbeat work environment
- And for those in the office: casual dress code with unlimited coffee!
About Rising Medical Solutions
Sourced by ZipRecruiter
Industry
Insurance services
Company size
201 - 500 Employees
Headquarters location
Chicago, IL, US
Year founded
1999