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Evening Remote Prior Authorization Jobs in Minnesota

Essentia Health

Access Coordinator

Duluth, MN · On-site +1

$20.20 - $30.09/hr

... prior authorizations, collections, and medical terminology Licensure/Certification Qualifications: FTE: 1 Possible Remote/Hybrid Option: Remote Shift Rotation: Day Rotation (United States of America ...

Essentia Health

Access Coordinator

Duluth, MN · On-site +1

$20.20 - $30.09/hr

... prior authorizations, collections, and medical terminology Licensure/CertificationQualifications: FTE: 1 Possible Remote/Hybrid Option: Remote Shift Rotation: Day Rotation (United States of America ...

Essentia Health

Access Coordinator

Duluth, MN · On-site +1

$20.20 - $30.09/hr

... prior authorizations, collections, and medical terminology Licensure/Certification Qualifications: FTE: 1 Possible Remote/Hybrid Option: Remote Shift Rotation: Day Rotation (United States of America ...

Essentia Health

Access Coordinator

Duluth, MN · On-site +1

$20.20 - $30.09/hr

... prior authorizations, collections, and medical terminology Licensure/CertificationQualifications: FTE: 1 Possible Remote/Hybrid Option: Remote Shift Rotation: Day Rotation (United States of America ...

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Evening Remote Prior Authorization information

What is an evening remote prior authorization specialist?

An Evening Remote Prior Authorization specialist is a healthcare professional who works outside traditional business hours to review and process prior authorization requests for medical procedures, medications, or services. They work remotely, usually from home, using electronic systems to communicate with healthcare providers, insurance companies, and patients. Their main responsibility is to ensure that the requested treatments meet the insurance provider's requirements for coverage before services are rendered. This role helps to expedite patient care and reduce delays in treatment by providing authorization decisions during evening hours.

What are the key skills and qualifications needed to thrive as an evening remote prior authorization specialist?

To thrive as an Evening Remote Prior Authorization Specialist, you need a strong understanding of healthcare insurance processes, medical terminology, and prior authorization protocols, usually backed by experience in medical billing or a related field. Familiarity with electronic health record (EHR) systems, payer portals, and insurance verification software is typically required. Excellent communication, attention to detail, and the ability to work independently during off-hours are vital soft skills in this role. These competencies ensure timely and accurate processing of authorizations, minimize claim denials, and support efficient patient care outside standard business hours.

What are the main challenges of working as an evening remote prior authorization specialist, and how can I prepare for them?

Working as an Evening Remote Prior Authorization specialist often involves handling urgent requests and communicating with healthcare providers outside of traditional business hours. This can mean managing a higher volume of time-sensitive cases and troubleshooting issues when fewer support staff are available. To prepare, it's helpful to be highly organized, comfortable with independent problem-solving, and proactive in seeking clarification from providers or supervisors as needed. Familiarity with electronic health record (EHR) systems and strong written communication skills are also valuable for effectively managing remote work and ensuring timely approvals.

What is the difference between Evening Remote Prior Authorization vs Evening Remote Medical Billing Specialist?

AspectEvening Remote Prior AuthorizationEvening Remote Medical Billing Specialist
CredentialsTypically requires healthcare-related certifications (e.g., CPC, CCA)Requires billing and coding certifications (e.g., CPC, CCS)
Work EnvironmentRemote, healthcare provider offices, insurance companiesRemote, healthcare clinics, billing companies
Industry UsageUsed in healthcare insurance and provider organizationsUsed in healthcare billing and revenue cycle management
Primary FocusSecuring prior authorization for treatments or proceduresProcessing and submitting medical claims for reimbursement

While both roles operate remotely within the healthcare industry, Evening Remote Prior Authorization focuses on obtaining approval for treatments, whereas Evening Remote Medical Billing Specialists handle claims processing. Understanding these differences helps job seekers identify the right position based on their skills and career goals.

What are popular job titles related to Evening Remote Prior Authorization jobs in Minnesota?

For Evening Remote Prior Authorization jobs in Minnesota, the most frequently searched job titles are:

What job categories do people searching Evening Remote Prior Authorization jobs in Minnesota look for?

The top searched job categories for Evening Remote Prior Authorization jobs in Minnesota are:

What cities in Minnesota are hiring for Evening Remote Prior Authorization jobs?

Cities in Minnesota with the most Evening Remote Prior Authorization job openings:

Evening Remote Prior Authorization jobs near you
Infographic showing various Evening Remote Prior Authorization job openings in Minnesota as of August 2026, with employment types broken down into 90% Full Time, 5% Part Time, 2% Temporary, and 3% Contract. Highlights an 100% Remote job distribution.

MA / LPN - Remote Prior Authorizations

Bloomington, MN • On-site, Remote

Medix
Recruiting and Staffing Services • 1 - 5K employees
Learn more about Medixexternal

$25 - $28/hr

Full-time

Medical, Dental, Vision, Retirement

Posted 4 days ago

Job description

You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.
Job Summary
Our client is seeking a skilled Prior Authorization Nurse to assist with medication prior authorizations. The primary responsibilities include gathering and submitting clinical documentation, investigating coverage, tracking requests, handling denials/appeals, and coordinating with healthcare professionals to expedite approvals.
Key Responsibilities
  • Submitting Documentation: Gather clinical notes, lab results, and patient info, then fill out and submit PA forms to insurance companies, using electronic portals.
  • Investigating Coverage: Determine which treatments require authorization, check the insurer's specific requirements, and verify patient eligibility.
  • Tracking and Follow-Up: Actively monitor the status of submitted requests, responding to requests for additional information within designated timeframes.
  • Handling Denials/Appeals: Initiate the appeal process for denied medications, which may involve gathering additional supporting documentation from the physician.
  • Coordination: Communicate with pharmacists, prescribing physicians, and patients to resolve issues and expedite approval.

Qualifications
  • Must have one of the following: CMA from the AAMA, Active LPN license, or MA Diploma from an accredited program verified by the CAAHEP or ABHES.
  • 1 year of EPIC experience.
  • 1 or more years working on prior authorizations.

Preferred Skills
  • 2+ years of prior authorization experience.
  • Experience working in a fast-paced setting.
  • Experience with GLP1 prior authorization.

Schedule/Shift
Monday to Friday, 8 AM to 5 PM CST. Must be located in CST time zone.
Benefits
  • Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
  • Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
  • 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
  • Short Term Disability Insurance.
  • Term Life Insurance Plan.

The role is remote and offers the convenience of working from home.
Required Employment / Compliance Language
In accordance with federal and state disability laws, Medix will be available to discuss any necessary reasonable adjustments required to enable participation in this process.
* We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).
Medix Overview:
With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we're dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.
Any required state or Joint Commission training is compensated at the state or local minimum wage rate.
* As a job position within our Allied division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: providing direct patient care, accessing medical and confidential records, accessing and administering prescription medication or other drugs, working within a clinical setting, handling sharp instruments, conducting medical procedures, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.
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About Medix Staffing Solutions

Sourced by ZipRecruiter

Since 2001, we’ve been dedicated to helping you achieve your goals. Medix was created to become a leading provider of workforce solutions for clients and candidates across the healthcare and life sciences industries. Today, we are that leader. Headquartered in Chicago, we have 23 offices across the United States, and staff talent around the world. Medix is committed to fulfilling our core purpose as an organization: to positively impact the lives of our talent, clients, and teammates through employment, philanthropy, and opportunity. The combination of purpose and values has nurtured our thriving culture that encourages our internal team to excel at work and in everyday life.

Industry

Recruiting and staffing services

Company size

1,001 - 5,000 Employees

Headquarters location

Chicago, IL, US

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