Prior Authorization Nurse - RN/LPN
About The Position
The Prior Authorization Nurse plays an important role in supporting patients and providers by coordinating insurance authorizations and ensuring patients have timely access to medically necessary services, medications, procedures, and treatments. This position offers a hybrid work arrangement, combining remote work from an approved location within the State of North Dakota with onsite work from CCCHC Beulah Clinic location. The Prior Authorization Nurse is responsible for coordinating and obtaining insurance prior authorization for medical services, medications, procedures, durable medical equipment (DME), specialty referrals, and insurance payers, this position ensures timely access to medically necessary care while minimizing delays in treatment.
Requirements
- Licensed Registered Nurse (RN) or Licensed Practical Nurse (LPN)
- Minimum of 3-5 years of clinical nursing experience
- Proficiency in using EMR (EPIC) and Microsoft Office
- Strong organizational skills
- Excellent written and verbal communication skills
- Ability to work independently and collaboratively while meeting deadlines
Nice To Haves
- Prior authorization experience
- Experience with Medicare, Medicaid, and commercial insurance
Responsibilities
- Coordinating and obtaining insurance prior authorization for medical services, medications, procedures, durable medical equipment (DME), specialty referrals, and hospital services.
- Working collaboratively with providers, clinical staff, and insurance payers to ensure timely access to medically necessary care while minimizing delays in treatment.
Benefits
- health, dental, and vision insurance
- 401(k)
- Paid Time Off
- Extended Sick Time
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
