MA/LPN Prior Authorization - Clinic

Sioux Center Health; Pipestone (MN); On-site; USD 30,000 - 54,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

HSA contribution

Paid time off

Extended sick leave

Competitive wages

Pension plan

Wellness program

Employee discounts

Tuition reimbursement

EAP

Job summary

Pipestone County Medical Center and Family Clinic is seeking a prior authorization representative to join our team. You will coordinate patient-specific financial aspects of care and work with patients, families, and care teams to ensure access to needed services.

Ideal candidates have a Medical Assistant or LPN background, appropriate national certifications, and 2–3 years in a healthcare office. A valid driver’s license and CPR within one week of hire are required.

Qualifications

• 2-3 years of experience in a healthcare office.
• Familiarity with navigating an EMR.
• Experience with the prior authorization process preferred.

Responsibilities

• Coordinate and clarify patient-specific financial aspects of care related to prior authorizations.
• Communicate with patients, families, care teams and providers to assess care plans.
• Help facilitate access to and continuity of care as part of the team.

Skills

EMR navigation

Prior authorization knowledge

Education

Medical Assistant program

LPN program

Tools

EMR systems

Job description

Location: Pipestone, MN

Worker Type: Regular

Work 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 Highlights

Summary: 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.

Pay Range

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.

Benefits Package

• Health and Dental Insurance
• Employer Contribution to Health Savings Account (HSA)
• Paid Time Off and Extended Sick Leave
• Competitive wages
• Pension Plan with Substantial Employer Contribution
• Employee Wellness Program
• Various Employee Discounts
• Tuition Reimbursement for Career Development
• Employee Assistance Program
• Continuing Education Opportunities
• Employee Recognition Events
• Bereavement Leave
• Employer Paid Life Insurance