Medication Prior Auth Specialist

Cuyuna Regional Medical Center; Crosby (MS); On-site; USD 30,000 - 43,000; Part time

Job summary

Cuyuna Regional Medical Center in Crosby, MN is seeking a Part-time Medication Prior Authorization Specialist to ensure timely access to medications through skilled coordination. The role requires verification of patient insurance and clinical information, effective communication with providers and payers, and careful adherence to prior authorization processes.

Experience with medication authorization and EMR systems is preferred.

Qualifications

• Familiar with medical terminology and prior authorization processes.
• Independent with strong attention to detail and multitasking.
• Excellent communication with patients, staff and payers.

Responsibilities

• Manage the prior authorization process for medications with insurers.
• Coordinate documentation and approvals to avoid delays in patient access to meds.
• Verify patient insurance and clinical information and interact with providers.

Skills

Medical terminology

Independent

Attention to detail

Multitasking

Communication

EMR systems

Education

LPN license (MN)

MA CMA/CCMA certification

BLS certification

Tools

EMR systems

Job description

Job Details: Job Location: Main Campus - Crosby, MN 56441, Position Type: Part-time (.6 FTE, 48 hours/pay period), Salary Range: $22.48 - $31.59, Travel Percentage: None, Job Shift: 8-hour Day Shift, Job Category: No weekends, Ensure timely patient access to medications through skilled coordination.

Join Our Team at Cuyuna Regional Medical Center

At Cuyuna Regional Medical Center (CRMC), we're more than just a healthcare organization - we're a community dedicated to making a meaningful impact. For more than 60 years, we've been providing compassionate, high-quality care in the Greater Brainerd Lakes Area and beyond. Our team is driven by a shared commitment to excellence, innovation, and putting people first - both our patients and our employees. Whether you're on the front lines of patient care or supporting operations behind the scenes, you'll find a culture of collaboration, growth, and respect. If you're looking for a career where your work truly matters, we invite you to join us at CRMC and be part of something bigger.

A Day in the Life of a Medication Prior Auth Specialist

The Medication Prior Authorization Specialist plays a crucial role in managing the approval process for patient medications, ensuring that all necessary documentation and authorizations are accurately processed with insurance providers. This position requires diligent verification of patient insurance and clinical information, and effective coordination with healthcare providers to gather required documentation. Challenges include navigating complex payer requirements and promptly addressing any issues to avoid delays in medication access. The role demands frequent communication with patients, healthcare staff, and insurance representatives to maintain a smooth workflow. Flexibility in multitasking and prioritizing tasks is essential to meet varying daily demands effectively.

About the Clinic Nursing Department

The Center of Primary Care

In Clinic Nursing at CRMC, we see patients across all walks of life, often building lasting connections over time. Our work requires efficiency, adaptability, and a deep commitment to patient-centered care. If you’re looking for a nursing career where your skills are valued and your patients appreciate you, Clinic Nursing is where you belong. Here, you’ll have the opportunity to practice a wide range of nursing skills, collaborate with a dedicated healthcare team, and be a trusted resource for your patients. Whether you’re triaging symptoms, coordinating care, or providing education, your work will have a direct and lasting impact on the health of our community. If you’re ready to be at the center of patient care, join us in Clinic Nursing at CRMC.

Ideal Candidate (What will make you a great fit!)

• Familiar with medical terminology
• Independent
• Strong attention to detail
• Multitasking and prioritization skills
• Problem-solving ability
• Courteous and tactful communication
• Proficient in EMR systems

Qualifications: Education and Experience

Required

• Current LPN license from the State of Minnesota -OR- Graduate of a medical assistant program with CMA OR CCMA certification within one year of hire
• American Heart Association BLS certification within 30 days of hire
• Excellent customer service and communication skills
• Experience in Medication Prior Authorization

Compensation and Benefits

The pay range is listed above. Actual pay rate offered is determined based on experience in this role.

Cuyuna Regional Medical Center offers a comprehensive benefits package designed to support the health, financial security, and overall well-being of our employees. Eligible employees receive medical insurance, dental insurance, and vision insurance, health savings accounts, life insurance, and employer contributions to a 401(k) retirement plan. Additional benefits include paid time off, participation in 401(k) and 457(b) plans, educational assistance and reimbursement, an employee assistance program, work-life balance support, gym membership and other discounts, and employee recognition programs.

A full job description is provided when an interview is scheduled. If needed, you may request a copy earlier by emailing us at [e-mail]. CRMC is an Equal Opportunity/Affirmative Action Employer (M/F/Disability/Veteran). If you need an accommodation during the application process, please call 218-546-4415 or email [e-mail] for assistance.