Prior Authorization Specialist (MA/LPN) – Healthcare Access

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

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.