Medication Prior Auth Specialist

Cuyuna Regional Medical Center; Crosby Township (MN); Sur place; USD 45 000 - 62 000; Plein temps

Avantages offerts par ce poste

Medical insurance

Dental insurance

Vision insurance

Health savings accounts

Life insurance

401(k) retirement plan

Paid time off

Educational assistance

Employee assistance program

Gym membership

Résumé du poste

Cuyuna Regional Medical Center in Crosby, MN seeks a Medication Prior Authorization Specialist to ensure timely approval of medications. You will verify insurance, coordinate with providers, and gather documentation to support prior authorizations, while communicating with patients and staff to keep a smooth workflow.

Ideal candidates bring MN LPN or CMA/CCMA credentials, BLS, and experience with prior authorizations; strong customer service and EMR proficiency are essential.

Qualifications

• Current LPN license from Minnesota or CMA/CCMA certification within one year of hire.

Responsabilités

• Verify patient insurance and clinical information.
• Coordinate with healthcare providers to gather required documentation.
• Communicate with patients, healthcare staff, and insurers to maintain workflow.

Connaissances

Attention to detail

Multitasking

Problem solving

Communication

Customer service

Formation

LPN license MN

CMA/CCMA within 1 year

Outils

EMR systems

Description du poste

Ensure timely patient access to medications through skilled coordination.Join Our Team at Cuyuna Regional Medical CenterAt 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 SpecialistThe 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 DepartmentThe Center of Primary CareIn 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 terminologyIndependentStrong attention to detailMultitasking and prioritization skillsProblem-solving abilityCourteous and tactful communicationProficient in EMR systemsEducation and ExperienceRequiredCurrent LPN license from the State of Minnesota -OR- Graduate of a medical assistant program with CMA OR CCMA certification within one year of hireAmerican Heart Association BLS certification within 30 days of hireExcellent customer service and communication skillsExperience in Medication Prior AuthorizationCompensation and BenefitsThe pay range is listed above. Actual pay rate offered is determined based on experience in this role. Please be sure to include all applicable experience in your application.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.