MA/LPN Prior Authorization - Clinic

Avera•Pipestone, MN

12d•Onsite

About The Position

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.

Requirements

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.
2-3 years of experience working in a healthcare office.
Familiarity with navigating an EMR.
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.

Nice To Haves

Experience with the prior authorization process

Responsibilities

Coordinate and clarify patient-specific financial aspects of care as it relates to prior authorizations for Pipestone Family Clinic, the Edgerton Family Clinic, and Pipestone Specialty Clinics.
Communicate with patients, families, care teams, and providers to assess care plans.
Facilitate access to and continuity of care in a compassionate and tactful manner.
Process prior authorizations for medications, procedures, diagnostic tests or studies, lab tests, therapies, referrals to other specialty areas, and workman’s compensation.