Prior Auth Jobs in Minnesota (NOW HIRING)

ontract Length: 6 months with the potential for extension. 

What is the work environment?  The average is 2 days a month on site, the rest remote.  

Does the training period differ: Training will be onsite every day for the first 2-4 weeks
Search Info:  

They don't necessarily have to have experience specifically with submitting prior authorizations like the prior auth specialist role. The coordinator is gathering data from the insurance company or gathering decisions from the insurance company and providing those details back to the specialists for specialists to review. They don't have to interpret the information, they're just gathering it. This is largely independent administrative role, but requires someone who has high productivity, attention to detail and is very phone competent because we need them to be willing and comfortable to call insurance companies and speak the language of prior authorization and medical terminology.

Overview

The Prior Authorization Coordinator manages specific processes within the patient order. This position is responsible for checking status of authorizations/appeals with payers and contacting clinicians to obtain appropriate sign off to progress the patient’s order towards fulfillment.

Responsibilities

• Follow up on the status of authorization requests, including initial submissions and any subsequent prior authorization appeals.
• Review clinician documentation for completeness and appropriate signatures and partner with clinics to obtain required information.
• Serve as a liaison between the company, clinicians, healthcare teams, and patients to support order progression from intake to shipment.
• Maintain accurate patient records, payer portal registrations, and internal databases in compliance with policies and regulations.
• Meet departmental service levels, including turnaround time, while participating in team trainings and meetings.
• Support team collaboration and continuous process improvement with a focus on accuracy, efficiency, and patient experience.
• Other duties as assigned.

Qualifications

Education & Experience

Required:

• High school diploma or equivalent and relevant work experience
• 1+ years’ experience in a medical device, customer service, or call center type role.

Preferred:

• Previous experience in working with patients, clinicians, and payers.
• Previous experience working with Filemaker or Parachute.
• Previous medical device (outpatient DME), insurance, revenue cycle management, reimbursement, or customer service experience.

Knowledge & Skills

• Ability to accurately enter and review patient order information to ensure data integrity and compliance with established protocols.
• Capacity to effectively prioritize tasks and manage workload to meet deadlines and productivity targets in a fast-paced environment.
• Clear and concise verbal and written communication skills to interact with team members, healthcare professionals, and patients professionally and with empathy.
• Flexibility to adjust to changing priorities, processes, and procedures required to support the needs of the department and organization.
• Willingness to work collaboratively with colleagues to achieve common goals and provide support as needed to ensure the smooth functioning of the team.
• Ability to identify and resolve routine issues or escalate them appropriately to ensure timely resolution and minimize disruption to order processing workflows.
• Dedication to delivering high-quality service to internal and external customers by addressing inquiries, concerns, and requests promptly and courteously.
• Proficiency in using computer systems and software applications relevant to order management tasks, with a willingness to learn and adapt to new technologies as needed.
• Understanding of and commitment to adhering to relevant regulations, policies, and procedures governing patient order management activities.
• Demonstrated professionalism and integrity in handling confidential patient information and representing the organization positively in all interactions.