MA / LPN - Remote Prior Authorization

Position Title: Prior Authorization Specialist

Pay Rate: $25.00 - $28.00 / hour (based on experience)

Position Type: 3 to 6-Month Contract (Potential for Extension)

Location: Remote (Candidate must reside in the Central Time Zone (CST) and within ~50 miles of Bloomington, MN for equipment pickup)

Schedule: Monday - Friday, 8:00 AM - 5:00 PM CST

We are seeking self-motivated, technology-savvy healthcare professionals to join our team as Prior Authorization Specialists. In this remote role, you will focus on supporting medication prior authorizations-including high-volume specialty therapies like GLP-1s-to ensure timely access to vital patient treatments.

Note: While day-to-day work is 100% remote, candidates must reside within ~50 miles of Bloomington, MN to pick up company-provided equipment during the week of Labor Day.

• Documentation & Submission: Gather clinical progress notes, laboratory results, and patient charts from EPIC; complete and submit prior authorization (PA) requests accurately via insurance portals.

• Coverage & Eligibility Verification: Investigate health plan requirements, determine which medications mandate prior authorization, check specific coverage policies, and verify patient eligibility.

• Tracking & Follow-Up: Proactively monitor the status of submitted requests, managing timelines and responding promptly to requests for additional clinical information.

• Denials & Appeals Support: Initiate the appeals process for denied medication authorizations, partnering closely with prescribing physicians to gather necessary clinical justification.

• Multidisciplinary Coordination: Communicate effectively with prescribing providers, clinic staff, pharmacists, and patients to resolve coverage bottlenecks and expedite approvals.

Professional Credentials (Must possess AT LEAST ONE of the following):

• Active Certified Medical Assistant (CMA) credential through the AAMA.

• Active, unencumbered LPN License.

• Medical Assistant Diploma from an accredited program verified by CAAHEP or ABHES.

Experience & Technical Skills:

• EPIC Proficiency: Minimum 1 year of hands-on experience navigating and documenting within EPIC EHR.

• Prior Authorization Experience: Minimum 1 year of dedicated experience processing medication prior authorizations.

• Location & Equipment: Must reside in Central Standard Time (CST) within ~50 miles of the client site to pick up equipment in person the week of Labor Day. Must own a personal smartphone for dual-factor authentication.

• Professional Attributes: Self-motivated, tech-savvy, detail-oriented, and able to thrive in a fast-paced environment.

• 2+ years of experience managing complex medication prior authorizations.

• Direct experience handling GLP-1 prior authorization requests and appeals.

• Background working in high-volume clinic or health system environments.

• Work-from-Home Convenience: 100% remote day-to-day workflow following initial local equipment pickup.

• Consistent Schedule: Enjoy steady, predictable daytime hours with weekends off.

• Impactful Work: Help patients navigate complex insurance landscapes to obtain the critical medications they need.

For California Applicants:

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).

This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. 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.

Here at Medix, we are dedicated to providing workforce solutions to clients throughout multiple industries. We have been named among the Best and Brightest Companies to Work For in the Nation for two consecutive years. Medix has also been ranked as one of the fastest growing companies by Inc. Magazine.

Our commitment to our core purpose of positively impacting 20,000 lives affects not only the way we interact with our clients and talent, but also with our co-workers! The goal is lofty, but it is made attainable through the hard work and dedication of our teams and their willingness to lock arms together. Are you ready to lock arms with us?