Registered Nurse
Chillicothe, OH · On-site
Bellefontaine, OH · On-site
$70K - $80K/yr
$24 - $32.75/hr
If you are interested in a job related to Remote Prior Authorization Rn, here are some popular related job searches with the most open positions on ZipRecruiter.

Salary range: $61,500 - $90,000
As a prior authorization nurse, you review requests for authorization for specific medications, treatments, or surgeries. Your duties include reviewing medical records and documents related to the application. You consider each prior authorization request and collect evidence and patient information to support your decision. You communicate with the insurance provider to obtain additional information if needed. Your responsibilities in this position also involve ensuring the authorization meets regulations and requirements and contractual obligations of all parties involved. Your job can also require coordinating with administrators and healthcare providers to gain necessary information and ensure that patients receive authorized care.
Salary range: $36,000 - $48,000
Prior authorization is a check done by insurance companies and other third-party payers to determine whether or not they should pay for a medical procedure or specific medication. Factors that can trigger prior authorization requests include things like age, the availability of alternative medicines, or the need to check for drug interactions. If they reject the prior authorization, payers often require doctors to attempt the insurance company's preferred procedure and verify unsuccessful results before accepting an alternative treatment plan. Pre-authorization requests can take up to 30 days, though insurance companies and healthcare providers are continuing to work on ways to cut this time down.
Salary range: $36,000 - $48,000
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Salary range: $37,500 - $47,500
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