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Remote Prior Authorization Analyst Jobs in Minnesota

Essentia Health

RN Pre-Service Authorization

Duluth, MN · On-site +1

$70K - $105K/yr

... referral, prior authorization/precertification processes, using and revising Essentia Health ... Remote Shift Rotation: Day Rotation (United States of America) Shift Start Time: 0800 Shift End ...

MCKESSON

Field Reimbursement Manager

Rochester, MN · On-site +1

... Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer landscape and services available through both remote interaction and on-site training. This position is client ...

New

MCKESSON

Field Reimbursement Manager

Saint Paul, MN · On-site +1

... Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer landscape and services available through both remote interaction and on-site training. This position is client ...

New

MCKESSON

Field Reimbursement Manager

Andover, MN · On-site +1

... Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer landscape and services available through both remote interaction and on-site training. This position is client ...

New

MCKESSON

Field Reimbursement Manager

Minneapolis, MN · On-site +1

... Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer landscape and services available through both remote interaction and on-site training. This position is client ...

New

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Remote Prior Authorization Analyst information

What is the difference between Remote Prior Authorization Analyst vs Remote Claims Processor?

AspectRemote Prior Authorization AnalystRemote Claims Processor
Required CredentialsHealthcare certifications, knowledge of insurance policiesBasic insurance knowledge, data entry skills
Work EnvironmentHome office, healthcare or insurance companiesHome office, insurance companies or third-party administrators
Employer & IndustryHospitals, insurance providers, healthcare organizationsInsurance companies, third-party claims firms
Common Search/ComparisonYesYes

The Remote Prior Authorization Analyst and Remote Claims Processor roles both operate in the healthcare insurance industry and often require knowledge of insurance policies. However, the analyst focuses on obtaining prior approvals for treatments, while the claims processor handles the processing of insurance claims after services are rendered. Both roles are typically remote, involve working within healthcare or insurance organizations, and are frequently compared by job seekers seeking similar positions in the industry.

What are the most commonly searched types of Prior Authorization Analyst jobs in Minnesota?

The most popular types of Prior Authorization Analyst jobs in Minnesota are:

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

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

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

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

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

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

Remote Prior Authorization Analyst jobs near you
Infographic showing various Remote Prior Authorization Analyst job openings in Minnesota as of September 2026, with employment types broken down into 1% As Needed, 76% Full Time, 20% Part Time, 1% Temporary, and 2% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% 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 19 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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