Top 33 Prior authorization specialist Jobs in Minneapolis Mn

Medication Access Specialist - Pacific Standard Time
Visante Consulting LLC —Saint Paul, MN
- Full-time
- Remote
- Mid-level
- 3 years
- High school diploma or GED
Quick Apply
ASC Billing & Denial Specialist - Revo Health
Revo Health —Bloomington, MN
- $19.65 - $29.86 an hour
- Full-time
- Remote
- OSHA
- HIPAA
- Mid-level
- Profit sharing
- Dental insurance
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8d
Supervisor, Medication Access Specialist - Pacific Standard Time/ Mountain Standard Time
Visante Consulting LLC —Saint Paul, MN
- Full-time
- Remote
- Mid-level
- 3 years
- High school diploma or GED
Quick Apply
Insurance Verification Specialist
ActivStyle —Saint Paul, MN
- $18 - $21 an hour
- On call
- Remote
- Writing skills
- HIPAA
- Administrative experience
- Paid holidays
- Health insurance
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8d
Spec, Reimbursement
Baxter —Saint Paul, MN
- $51,200 - $70,400 a year
- Full-time
- Hybrid work
- Mid-level
- Office
- US work authorization
- Paid parental leave
- Employee stock purchase plan
Insurance Denials Specialist for Coding Denial Management
RAYUS Radiology —Saint Louis Park, MN
- $20.70 - $29.93 an hour
- Full-time
- Remote
- Microsoft Outlook
- Computer literacy
- Mid-level
- Paid holidays
- Disability insurance
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Revenue Cycle Billing & Denials Specialist
ACCRA Management Group LLC —Minnetonka, MN
- $24 - $29 an hour
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Health savings account
- Health insurance
7d
Billing Specialist
Alixa Rx LLC —Eden Prairie, MN
- $23.50 - $24.50 an hour
- Full-time
- High school diploma or GED
- Continuous improvement
- In-person
- Health insurance
- Dental insurance
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Patient Collections Specialist
Corner Home Medical —Minneapolis, MN
- $19 - $20 an hour
- Full-time
- Office
- High school diploma or GED
- Continuous improvement
Quick Apply
2d
Medical Billing Specialist
Tareen Dermatology PA —Roseville, MN
- $19 - $27 an hour
- Full-time
- Background check
- OSHA
- Computer literacy
- Health savings account
- Paid holidays
Quick Apply
Pharmacy Operations - Access Specialist
Fairview Health Services —Minneapolis, MN
- $27.34 - $38.59 an hour
- Bachelor of Science
- Research
- Mid-level
SUD IOP Authorization and Back Up Residential Cycle Specialist
Sagent Behavioral Health —Saint Paul, MN
- $23 - $25 an hour
- 8 hour shift
- HIPAA
- Research
- Mid-level
- Disability insurance
- Health insurance
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Revenue Cycle Specialist
Behavioral Health Group —Brooklyn Park, MN
- $23 - $27 an hour
- No nights
- Hybrid work
- Word processing
- Computer literacy
- Basic math
- Paid holidays
- Health insurance
Quick Apply
Billing and Payer Relations Specialist
St. David's —Minneapolis, MN
- $21.44 - $25.19 an hour
- Full-time
- Mid-level
- Office
- 3 years
- Health savings account
- Paid holidays
Revenue Cycle Specialist (Medical Biller – Behavioral Health)
TNT Healthcare Billing Solutions —Rosemount, MN
- $22 - $26 an hour
- Full-time
- Remote
- Mid-level
- Organizational skills
Quick Apply
Billing & Revenue Cycle Specialist
ABRIA DETOX —Burnsville, MN
- $20 - $28 an hour
- Full-time
- Hybrid work
- HIPAA
- Mid-level
- High school diploma or GED
- Health insurance
- Dental insurance
Quick Apply
9d
Patient Check-in / Pre-Visit Specialist
Minneapolis Clinic Of Neurology, Ltd —Coon Rapids, MN
- $20.20 - $26.26 an hour
- Microsoft Outlook
- Writing skills
- High school diploma or GED
Quick Apply
Research Business Services Specialist-Medical Billing and Coding
Minneapolis Heart Institute Foundation —Minneapolis, MN
- $65,000 - $75,000 a year
- Customer service
- 5 years
- HIPAA
- Health savings account
- Paid holidays
Quick Apply
Customer Support Representative - Hybrid MN
TSI Incorporated —Shoreview, MN
- $48,000 - $54,000 a year
- High school diploma or GED
- Continuous improvement
- US work authorization
- Paid holidays
- Health insurance
Orthotic and Prosthetic Department Assistant
Park Nicollet Clinics —Saint Louis Park, MN
- $20.13 - $30.19 an hour
- Full-time
- Nursing
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance

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Medication Access Specialist - Pacific Standard Time

Visante Consulting LLC
Saint Paul, MN

Quick Apply

Job Details

Full-time

Qualifications

Retail pharmacy experience
Confidential information handling
Customer relationship building
Client rapport building
High school diploma or GED
Documentation tools
Pre-authorization review for utilization management
Patient interaction
Productivity software
Community pharmacy

Full Job Description

Description:

ABOUT VISANTE
We are relentless in solving the most complex challenges in health system pharmacy—designing pharmacy footprints that meet our clients where they are today and position them to win tomorrow. Our work delivers measurable financial gains, operational excellence, and an elevated patient experience.

We set ambitious goals, move with urgency, and create extraordinary value. Obsessed with client impact, we thrive in a collaborative, innovative culture where deep expertise turns insight into action. We’re proud of the results we deliver and the trust we earn—fueling sustained growth and exceptional client satisfaction.

Our mission is to transform healthcare through pharmacy, and our vision is to reimagine pharmacy to improve lives.

ABOUT THE ROLE (Remote, work from home)

The Medication Access Specialist plays a vital role in Visante’s managed services team, providing integrated remote support to patients, pharmacists, and providers. Responsibilities for this position include streamlining patient intake processes, navigating insurance requirements, enhancing medication access, conducting patient outreach, and reducing the financial burden of high cost prescriptions. Acting as a liaison among pharmacies, clinic staff, and insurance providers, the specialist optimizes treatment initiation and improves patient satisfaction by conducting benefits investigations, handling medication authorizations, managing insurance denials, and identifying assistance programs. The specialist communicates medication options and financial resources to patients while monitoring insurance status and reporting access issues to the treatment team. Emphasizing collaboration and efficiency, this position contributes to Visante’s mission of ensuring patients receive the medications they need and improving patient outcomes

Principal Duties and Responsibilities

Lead the medication intake process, serving as a liaison among clinic providers, clinic staff, pharmacies, and patients.
Conduct benefits investigations to determine patient coverage, out-of-pocket costs, and available financial assistance.
Identify and recommend patient assistance programs, copay cards, grants, or funds to reduce financial burdens.
Gather and review necessary documentation for prior authorization submissions, escalating appeals for coverage denials.
Coordinate next steps for insurance denials to clinic staff for review and decision-making regarding appeals process.
Communicate directly with clinics to obtain additional information and guidance related to prior authorization submission.
Conduct patient outreach to discuss medication coverage and financial assistance options, providing pharmacy recommendations.
Communicate coverage determinations and coordinate follow up with patients on behalf of the client clinic.
Ensure timely and accurate documentation in client EMR systems and Visante tracking tools for workflow efficiency.
Assist with onboarding and training of client-employed medication access specialists and contribute to process improvements.
Collaborate with Visante team members and leadership to provide insight and constructive feedback into day-to-day operations.
Complete other duties as assigned.

Requirements:

Education

Required: High school diploma or equivalent

Experience

Required: Minimum of three years of pharmacy experience in healthcare or with pharmacy providers focused on medication access

Preferred: Two years of healthcare revenue cycle experience, including medication authorizations and preadmission/precertification processes. Expertise in retail pharmacy PBM adjudication, ensuring accurate claim processing and reimbursement. Proficient in utilizing CoverMyMeds® for prior authorization submissions, streamlining medication access.

Licensure

Required: State Board of Pharmacy Technician registration obtained within 2 months of start date, if applicable based on state requirements

Preferred: Active CPhT certification through either PTCB or NHA

Skills and Abilities

Demonstrate strong judgment and decision-making, effectively managing competing demands while prioritizing tasks and meeting deadlines with urgency.
Cultivates strong client relationships, exhibiting excellent interpersonal and team collaboration skills while communicating professionally and concisely in both verbal and written forms.
Possesses extensive expertise in medication reimbursement, prior authorization, and healthcare coding, utilizing analytical and creative problem-solving abilities to diagnose and resolve issues.
Maintains confidentiality and ensures accuracy, leveraging proficiency in Office Suite (Word, Excel, PowerPoint) to analyze and disseminate critical information effectively.

Compensation and Benefits: We offer competitive salary and benefits for this full-time salaried, non-exempt role.

Equal Opportunity Statement: Visante is an equal opportunity employer. Visante’s people are its greatest asset and provide the resources that have made the company what it is today. Visante is, therefore, committed to maintaining an environment free of discrimination, harassment, and violence. This means there can be no deference because of age, religion or creed, gender, gender identity or expression, race, color, sexual orientation, national origin, disability, veteran status, or any other characteristic protected by applicable laws and regulations

Quick Apply

Refine Your Search

prior authorization specialist jobs in minneapolis mn

Medication Access Specialist - Pacific Standard Time

ASC Billing & Denial Specialist - Revo Health

Supervisor, Medication Access Specialist - Pacific Standard Time/ Mountain Standard Time

Insurance Verification Specialist

Spec, Reimbursement

Insurance Denials Specialist for Coding Denial Management

Revenue Cycle Billing & Denials Specialist

Billing Specialist

Patient Collections Specialist

Medical Billing Specialist

Pharmacy Operations - Access Specialist

SUD IOP Authorization and Back Up Residential Cycle Specialist

Revenue Cycle Specialist

Billing and Payer Relations Specialist

Revenue Cycle Specialist (Medical Biller – Behavioral Health)

Billing & Revenue Cycle Specialist

Patient Check-in / Pre-Visit Specialist

Research Business Services Specialist-Medical Billing and Coding

Customer Support Representative - Hybrid MN

Orthotic and Prosthetic Department Assistant

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