Prior Authorization Nurse
job description

Job Title: Prior Authorization Nurse

Are you an experienced registered nurse looking for a change of scenery? Do you have a keen eye for detail and the ability to thrive in a fast-paced office environment? We are currently seeking a proficient Prior Authorization Nurse to join our dynamic healthcare team.

As a Prior Authorization Nurse, you'll have the crucial responsibility of assessing, approving, and documenting all medical procedures and treatments. We need someone with uncompromising professionalism, a solid clinical background, and exceptional interpersonal skills to ensure smooth and efficient procedural approvals. This essential role contributes to our organization's commitment to enhance patient care quality.

Key Responsibilities:

Your chief responsibilities as a Prior Authorization Nurse will include evaluating medical documentation, liaising with healthcare providers, and aligning patient needs with insurance coverage criteria. Your keen attention to detail will be instrumental in validating medical necessity for all procedural requests and assisting our patients in navigating their insurance options.

Qualifications:

The ideal candidate for the Prior Authorization Nurse role has a current, unencumbered Registered Nurse (RN) license and a minimum of two years' clinical nursing experience. Familiarity with insurance approval procedures, medical coding, and patient advocacy is highly favored. Strong computer and communication skills along with an ability to work independently are critical for this role.

Key Skills:

- Detailed knowledge of healthcare procedures and terms
- Proficient in understanding and applying medical criteria and guidelines
- Strong analytical and problem-solving skills
- Excellent communication and interpersonal skills
- Proficient in using computer systems and software

This role provides the opportunity to bring your nursing expertise into an office setting while still actively contributing to patient wellness. We provide a supportive work environment, competitive pay, and comprehensive benefits to our Prior Authorization Nurses. Beyond this, our company believes in growing our employees' careers and offers professional development opportunities.

We view patient care as our topmost priority and are committed to improving healthcare access. If patient advocacy, medical analysis, and administrative duties sound like your forte, this could be the ideal opportunity for you!

Are you ready to join us in our mission and excel in a rewarding career in healthcare? Don't delay—apply for the Prior Authorization Nurse role today!