MA/LPN Prior Authorization - Clinic

Pipestone County Medical Center; Minnesota; On-site; USD 46,000 - 82,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Paid time off

Pension plan

Employer contributions to HSA

Employee wellness program

Tuition reimbursement

Employee assistance program

Bereavement leave

Job summary

Pipestone County Medical Center and Family Clinic in Pipestone, MN is seeking a Prior Authorization Representative to coordinate patient-specific financial aspects of care across multiple clinic sites and work with care teams to facilitate access to services.

Ideal candidates have MA or LPN training, CMA/RMA/CCMA certifications, and 2–3 years in a healthcare office; familiarity with EMR systems and prior authorization processes is preferred.

Qualifications

• Successful completion of a Medical Assistant program or graduate of an LPN program.
• MA applicants: CMA, RMA, or CCMA certifications required.
• LPN applicants: Minnesota Practical Nurse license or eligible for licensure.
• Experience: 2–3 years in a healthcare office; familiarity with EMR.
• Prior authorization experience preferred.

Responsibilities

• Coordinate and clarify patient-specific financial aspects of care related to prior authorizations across Pipestone Family Clinic, Edgerton Family Clinic, and Pipestone Specialty Clinics.
• Communicate with patients, families, care teams and providers to assess care plans with compassionate, tactful approach.
• Assist with prior authorization processes for medications, procedures, diagnostic tests, lab tests, therapies, referrals, and workers' compensation.

Skills

Communication

EMR navigation

Education

Medical Assistant program

Licensed Practical Nurse (MN)

Certified Medical Assistant (CMA)

Registered Medical Assistant (RMA)

Certified Clinical Medical Assistant (CCMA)

Tools

EMR systems

Job description

Location:Pipestone, MNWorker Type:RegularWork Shift:Day Shift (United States of America)Pipestone County Medical Center and Family Clinic is currently seeking to find qualified individuals to join our growing team. We are committed to providing high quality services to our southwest Minnesota community.Position HighlightsSummary: The prior authorization representative works in collaboration with appropriate interdisciplinary team members, is responsible for coordinating and clarifying patient-specific financial aspects of care as it relates to prior authorizations for Pipestone Family Clinic, the Edgerton Family Clinic, and Pipestone Specialty Clinics. Will communicate with patients, families, care teams, and providers to assess care plans and work in a compassionate and tactful manner to help facilitate access to and continuity of care. Prior authorizations may include, but is not limited to medications, procedures, diagnostic tests or studies, lab tests, therapies, referrals to other specialty areas, and workman’s compensation.Required Education: Successful completion of a Medical Assistant program of training, or graduate of an LPN program of study.MA applicants: National Certification as a Certified Medical Assistant (CMA) through the American Association of Medical Assistants (AAMA) or National Registration as a Registered Medical Assistant (RMA) through the American Medical Technologist (AMT) or National Certification as a Certified Clinical Medical Assistant (CCMA) through the National Health Career Association required.LPN applicants: Licensed as a Practical Nurse in Minnesota required, or eligible for licensure.Experience: 2-3 years of experience working in a healthcare office. Familiarity with navigating an EMR. Experience with the prior authorization process preferred.Certificates, Licenses, Registrations:Valid Driver’s License when required to perform essential duties at the satellite clinic sites. CPR certified or must be obtained within 1 week of hire.The pay range for MA position is $22.09 - $34.24 and LPN position is $25.39 - $39.36. Actual hourly rate dependent upon experience.We offer an excellent benefits package which includes:Health and Dental InsuranceEmployer Contribution to Health Savings Account (HSA)Paid Time Off and Extended Sick LeaveCompetitive wagesPension Plan with Substantial Employer ContributionEmployee Wellness ProgramVarious Employee DiscountsTuition Reimbursement for Career DevelopmentEmployee Assistance ProgramContinuing Education OpportunitiesEmployee Recognition EventsBereavement LeaveEmployer Paid Life Insurance