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Prior Auth Jobs in Minnesota (NOW HIRING)

Senior Authentication Services Engineer

Maplewood, MN · On-site

$107K - $146K/yr

... auth) * Develop, test, and maintain Conditional Access policies in alignment with security ... High School Diploma (verified and completed prior to start) and 8 years of experience in ...

Senior Authentication Services Engineer

Maplewood, MN · On-site

$107K - $146K/yr

... auth) * Develop, test, and maintain Conditional Access policies in alignment with security ... High School Diploma (verified and completed prior to start) and 8 years of experience in ...

Prior Auth information

What is the difference between Prior Auth vs Medical Billing Specialist?

AspectPrior AuthMedical Billing Specialist
Required CredentialsKnowledge of insurance policies, certifications varyCertification often preferred, knowledge of billing codes
Work EnvironmentHealthcare offices, insurance companiesMedical offices, billing companies
Employer & Industry UsageUsed in healthcare to authorize proceduresUsed to process and submit medical claims
Common Search & ComparisonYesYes

Prior Auth involves obtaining approval from insurance companies before procedures, while Medical Billing Specialists handle the billing process after services are provided. Both roles are essential in healthcare administration but focus on different stages of patient care and reimbursement.

Are prior authorization jobs in high demand?

Prior authorization jobs are in steady demand due to the increasing complexity of healthcare billing and insurance requirements. These roles often require knowledge of medical policies and the use of authorization software, making skilled professionals valuable in healthcare administration. The demand is expected to grow as healthcare providers seek to streamline approval processes and reduce claim denials.

How do I become a prior authorization specialist?

To become a prior authorization specialist, candidates typically need a high school diploma or equivalent, along with experience in healthcare or insurance. Relevant skills include knowledge of medical billing, coding, and insurance policies, and certifications such as Certified Medical Administrative Assistant (CMAA) or Certified Coding Associate (CCA) can enhance job prospects. On-the-job training is common, and strong communication and organizational skills are essential for success in this role.

Is prior authorization a stressful job?

Prior authorization jobs can be stressful due to the need for accuracy, attention to detail, and managing tight deadlines to secure approvals quickly. The role often involves handling complex insurance policies and communicating with healthcare providers, which can contribute to workload pressure. However, stress levels vary depending on the work environment and individual coping strategies.

What are popular job titles related to Prior Auth jobs in Minnesota?

For Prior Auth jobs in Minnesota, the most frequently searched job titles are:

What cities in Minnesota are hiring for Prior Auth jobs?

Cities in Minnesota with the most Prior Auth job openings:

Infographic showing various Prior Auth job openings in Minnesota as of August 2026, with employment types broken down into 100% Full Time. Highlights an 50% In-person, 17% Hybrid, and 33% Remote job distribution.

SUD Insurance Specialist

Arden Hills, MN • On-site, Remote

Nystrom & Associates
Offices of Mental Health Practitioners • 1 - 5K employees

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 25 days ago


Nystrom & Associates rating

7.4

Company rating: 7.4 out of 10

Based on 22 frontline employees who took The Breakroom Quiz


Job description

Location:Arden Hills, MN

Working Model:Remote

Employee Type:1.0

Schedule: Flexible 8 hour shift worked between 6:00 AM and 6:00 PM

At Sagent Behavioral Health, we believe profound change is possible. As one of the largest behavioral health organizations in the Midwest-with 2,000+ team members across 80+ locations in five states-we offer the stability and resources to help you thrive.

Backed by more than 100 years of combined behavioral health experience, Sagent brings together the trusted legacies of Ellie Mental Health, LifeWorks, Nystrom & Associates, Psychiatric Associates, Sandhill Counseling & Consultation, and Vantage Point.

Here, you'll find a supportive, inclusive culture where you can hone your skills, collaborate with a fantastic team, and build a rewarding career focused on what matters most: helping others find hope. Guided by our HOPE values-Humility, Optimism, People-Centered, and Ethical Practice-we provide manageable caseloads, flexible schedules, and compensation options that work for you-from salary to production-based models.

We are currently seeking a full-time Insurance Specialist to join our Arden Hills, MN Business office. In this role you will execute the fast-paced task of verifying insurance eligibility for patients. This role ensures all insurance benefits are verified, provider eligibility is verified per insurance carrier, and authorization requirements are received in a timely manner to ensure optimal reimbursements.

Full Time Benefits:

  • Medical, Dental, Vision
  • 401k, Long Term Disability, Short Term Disability and Life Insurance
  • Paid Time Off, and Holidays

Responsibilities:

  • Verification of Insurance Eligibility/Benefits for OP, ARMHS \\& CTSS services.
  • Initiate necessary Authorizations/Referrals as needed.
  • Completing the auth process as applicable.
  • Appointments are flagged accordingly.
  • Field/Resolve provider/clinic inquiries via Email or Task.
  • Inquiries are followed up within 24 hours of creation.
  • Attend and participate in biweekly staff meetings and any other meetings and/or training sessions as indicated.
  • All other duties as assigned by Management.

Requirements:

  • High School Diploma or equivalent
  • Ability to work on dual monitors.
  • Ability to work in multiple software programs- Experience with Excel is preferred.
  • Minimum of two years working in health care facilities preferred, particularly with insurance verification and knowledge of prior authorization process.
  • Familiarity with insurance company guidelines and HIPAA regulations.

Actual compensation may be determined by various factors such as licensure, experience, skillset, internal equity, schedule and/or location. Estimates are factored on a 1.0 FTE.

Sagent Behavioral Health is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.


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