MA / LPN - Remote Prior Authorization

Medix; Minnesota; Remote; USD 34,000 - 39,000; Part time

Benefits offered by this job

Health

Vision

Dental

Weekly Pay

401k

Job summary

Medix seeks a Prior Authorization Specialist for a 3–6 month contract. This remote role requires CST residency within ~50 miles of Bloomington, MN for equipment pickup and collaboration with the local team.

In this high‑volume position you will handle medication prior authorizations, including GLP‑1 therapies, using EPIC and insurer portals to secure timely patient access. Schedule is Monday–Friday, 8:00 AM–5:00 PM CST, with day‑to‑day remote work after initial setup.

Qualifications

• EPIC proficiency required with at least 1 year in EPIC EHR.
• Minimum 1 year of prior authorization experience.
• Credentials: CMA, LPN, or MA diploma.

Responsibilities

• Gather clinical notes and charts; submit PA requests via insurance portals.
• Verify coverage requirements and patient eligibility for medications.
• Monitor PA status and provide additional information as needed.
• Initiate appeals with clinical justification for denials.
• Coordinate with providers, staff, pharmacists, and patients.

Skills

EPIC Proficiency

Prior Authorization Experience

Detail oriented

Education

Certified Medical Assistant (CMA)

LPN License

Medical Assistant Diploma (CAAHEP/ABHES)

Job description

Salary: USD25 - USD28 per hour

• Health
• Vision
• Dental
• Weekly Pay
• 401k

Prior Authorization Specialist (LPN /MA / Certified Medical Assistant)

Position Title: Prior Authorization Specialist

Pay Rate: $25.00 – $28.00 / hour (based on experience)

Position Type: 3 to 6-Month Contract (Potential for Extension)

Location: Remote (Candidate must reside in the Central Time Zone (CST) and within ~50 miles of Bloomington, MN for equipment pickup)

Schedule: Monday – Friday, 8:00 AM – 5:00 PM CST

Position Overview

We are seeking self‑motivated, technology‑savvy healthcare professionals to join our team as Prior Authorization Specialists. In this remote role, you will focus on supporting medication prior authorizations—including high‑volume specialty therapies like GLP‑1s—to ensure timely access to vital patient treatments.

Note: While day‑to‑day work is 100% remote, candidates must reside within ~50 miles ofBloomington, MN to pick up company‑provided equipment during the week of Labor Day.

Key Responsibilities

• Documentation & Submission: Gather clinical progress notes, laboratory results, and patient charts from EPIC; complete and submit prior authorization (PA) requests accurately via insurance portals.
• Coverage & Eligibility Verification: Investigate health plan requirements, determine which medications mandate prior authorization, check specific coverage policies, and verify patient eligibility.
• Tracking & Follow‑Up: Proactively monitor the status of submitted requests, managing timelines and responding promptly to requests for additional clinical information.
• Denials & Appeals Support: Initiate the appeals process for denied medication authorizations, partnering closely with prescribing physicians to gather necessary clinical justification.
• Multidisciplinary Coordination: Communicate effectively with prescribing providers, clinic staff, pharmacists, and patients to resolve coverage bottlenecks and expedite approvals.

Position Requirements

• Professional Credentials (Must possess AT LEAST ONE of the following):
• Active Certified Medical Assistant (CMA) credential through the AAMA.
• Active, unencumbered LPN License.
• Medical Assistant Diploma from an accredited program verified by CAAHEP or ABHES.
• Experience & Technical Skills:
• EPIC Proficiency: Minimum 1 year of hands‑on experience navigating and documenting within EPIC EHR.
• Prior Authorization Experience: Minimum 1 year of dedicated experience processing medication prior authorizations.
• Location & Equipment: Must reside in Central Standard Time (CST) within ~50 miles of the client site to pick up equipment in person the week of Labor Day. Must own a personal smartphone for dual‑factor authentication.
• Professional Attributes: Self‑motivated, tech‑savvy, detail‑oriented, and able to thrive in a fast‑paced environment.

Preferred Qualifications

• 2+ years of experience managing complex medication prior authorizations.
• Direct experience handling GLP‑1 prior authorization requests and appeals.
• Background working in high‑volume clinic or health system environments.

Why You’ll Love Working Here

• Work‑from‑Home Convenience: 100% remote day‑to‑day workflow following initial local equipment pickup.
• Consistent Schedule: Enjoy steady, predictable daytime hours with weekends off.
• Impactful Work: Help patients navigate complex insurance landscapes to obtain the critical medications they need.