Prior Authorization

Pipestone County Medical Center and Family Clinic is currently seeking to find a Clinic Prior Authorization employee to join our growing team.  We are committed to providing high quality services to our southwest Minnesota community. 

Job Duties:                             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.

Qualifications:                        Required Education:  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.

Experience: 2-3 years of experience working in a healthcare office. Familiarity with navigating an EMR. Experience with the Prior Authorization process preferred.

Certificates, Licenses, Registrations: 

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. 

The starting hourly pay for this position is $23.01 per hour for a Medical Assistant and $24.51 for a LPN.  Actual

hourly rate dependent upon experience.

We offer an excellent benefits package which includes:

• Health and Dental Insurance
• Employer Contribution to Health Savings Account (HSA)
• Paid Time Off and Extended Sick Leave
• Competitive wages
• Pension Plan with Substantial Employer Contribution
• Employee Wellness Program
• Various Employee Discounts
• Tuition Reimbursement for Career Development
• Employee Assistance Program
• Continuing Education Opportunities
• Employee Recognition Events
• Bereavement Leave
• Employer Paid Life Insurance