57 prior authorization specialist jobs at 30 companies in Texas

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Prior Authorization Specialist - Weekend Only
Temple or Austin or Dallas or Fort Worth
RemotePart Time
Select Medical
Select MedicalNYSE: SEM: Provides specialty inpatient and outpatient rehabilitative healthcare services.
2+ YOEActive RN or LPN licensure, 2 years third-party reimbursement experience, prior authorization workflow experience, strong communication and payer relations skills.
Microsoft Excel
2w
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Pharmacy Prior Authorization Specialist
Houston, Texas, United States
$23/hr HybridFull Time
Onco360
Onco360: Specialty pharmacy focused on oncology medication and clinical care.
1+ YOEHigh school diploma/GED, 1+ year pharmacy/prior authorization experience, Board of Pharmacy registration as required by state law, knowledge of pharmacy insurance claims, Medicare/Medicaid, NCPDP, and CoverMyMeds.
CoverMyMeds, NCPDP
3w
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Prior Authorization Specialist - Weekend Only
Lakeway, Texas, United States
OnsitePart Time
Select Medical
Select MedicalNYSE: SEM: Provides specialized inpatient and outpatient rehabilitation and recovery healthcare.
2+ YOELicensure as RN or LVN/LPN, minimum 2 years direct third-party reimbursement experience; rehab setting experience preferred; familiarity with Excel and databases.
Microsoft Excel
3d
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Prior Authorization Specialist II Pharmacy Services CFHP
San Antonio, Texas, United States
$20-$31/hr OnsiteFull Time
University Health
University Health: Provides comprehensive public healthcare and specialized hospital services.
5+ YOEHigh school diploma/GED and five years of pharmacy experience required. Requires Texas pharmacy board registration and CPhT certification; Microsoft Office, internet, coding, and prior authorization experience preferred.
Microsoft Office, InterQual, DRG, ICD-10, CPT
2w
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Authorization Specialist
Amarillo, Texas, United States
OnsiteFull Time
BSA Health System
BSA Health SystemNYSE: ARDT: Provides multi-specialty hospital and clinical healthcare services in Texas.
High school diploma/GED, prior customer service experience, knowledge of Microsoft Office/Excel, prior authorization or scheduling experience preferred.
Microsoft Office, Microsoft Excel, Electronic health record
2w
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Authorization Specialist
Amarillo, Texas, United States
OnsiteFull Time
Ardent Health
Ardent HealthNYSE: ARDT: Operates hospitals and healthcare facilities across the United States.
High school/GED required, prior customer service experience, knowledge of Microsoft Office including Excel; prior authorization or scheduling experience preferred.
Microsoft Office, Microsoft Excel, Electronic health record
2w
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FT - Patient Access and Authorization Specialist
Muenster, Texas, United States
OnsiteFull Time
Muenster Hospital District
Muenster Hospital District: Provides critical access hospital and primary healthcare services.
1+ YOEObtain and track prior authorizations and referrals, review clinical and insurance documentation, support utilization review and patient access tasks; high school diploma and 1+ year medical office or patient access experience preferred.
Electronic Health Records (EHR), Microsoft Office
1mo
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Surgical Authorziation Specialist
San Antonio, Texas, United States
OnsiteFull Time
Sports Medicine Associates of San Antonio
Sports Medicine Associates of San Antonio: Providing specialized orthopedic surgery and sports medicine healthcare services.
2+ YOE2 years prior authorization/verification and 2 years medical-related experience required; high school/GED, knowledge of payer portals/insurance plans, NextGen EHR (preferred), MS Office, strong phone/customer service and prioritization skills.
NextGen EHR, Microsoft Office
2w
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Referral Specialist
Abilene, Texas, United States
OnsiteFull Time
Hendrick Health
Hendrick Health: Provides regional hospital services and comprehensive healthcare in Texas.
0.5+ YOE6 months scheduling experience preferred; knowledge of scheduling systems, insurance/prior authorization, customer service, and effective communication with clinicians.
3w
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Insurance Specialist
Addison, Texas, United States
OnsiteFull Time
Medix Infusion
Medix Infusion: Provides home and clinic-based infusion therapy for chronic conditions.
2+ YOE2+ years healthcare/pharmacy/medical claims experience, knowledge of Medicare/Medicaid/commercial payer policies, prior authorization and appeals experience, high school diploma or equivalent, strong communication and attention to detail.
EMR
1mo
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Insurance Verification Specialist
Austin, Texas, United States
OnsiteFull Time
Austin Retina Associates
Austin Retina Associates: Provides specialized medical and surgical care for retinal disorders.
Verify patient insurance, pre-authorize treatments, track referrals, communicate coverage and update patient charts; prior medical office/insurance/administration experience and strong computer skills required.
Google, Microsoft Office, Microsoft Teams, EMR/EHR, AMD, MDI, Practice Plus
2w
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Field Reimbursement Specialist
Utah or Lubbock or Wyoming or Moses Lake or Spokane or Oklahoma or Yakima or El Paso or New Mexico or Idaho or Colorado or Amarillo
$94k-$187k/yr FieldFull Time
Cencora
CencoraNYSE: COR: Distributes pharmaceuticals and provides global healthcare supply chain solutions.
Expertise in pharmacy benefit reimbursement, prior authorizations, appeals, and specialty pharmacy; HS diploma required; bachelor\u0002s preferred; willingness to travel up to 80% and obtain PACS within six months.
Microsoft Word, Microsoft PowerPoint, Microsoft Excel, Microsoft Outlook
3w
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Financial Clearance Specialist III - Revenue Cycle
Houston, Texas, United States
RemoteFull Time
UTHealth Houston
UTHealth Houston: Provides medical education, biomedical research, and clinical healthcare services.
5+ YOEAdvanced insurance verification and authorization, prior authorizations, Epic documentation, payer communication, training juniors, HIPAA compliance; high school diploma required; associate degree preferred; 5+ years in insurance authorization preferred.
Epic, UT Payor Tool
2w
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Child Nutrition - Specialist 2 (Food Service)
Victoria, Texas, United States
$13-$17/hr OnsiteFull Time
Region 3 Education Service Center
Region 3 Education Service Center: Provides support and training services to Texas school districts.
0+ YOEPrepare and serve food, maintain sanitation and safety; high school/GED preferred; Food Handlers and TASN level 2 certifications; no prior experience required; work authorization required.
2w
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Field Safety Specialist
Texas City, Texas, United States
FieldFull Time
INEOS
INEOS: Global manufacturer of chemicals, specialty materials and oil products.
5+ YOEHigh school diploma/GED, 5+ years chemical manufacturing experience, TWIC prior to start, valid US driver license, US work authorization, 2+ years safety/industrial hygiene experience or 3+ years safety-relevant experience; ability to obtain fire extinguisher technician and competent person training.
Microsoft Office
2mo
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Medical Front Office Specialist (2494)
Richardson, Texas, United States
OnsiteFull Time
US Heart and Vascular
US Heart and Vascular: National provider of management services to cardiovascular physician practices.
1+ YOE1 year medical front desk/customer service; 6 months EMR; 6 months prior authorization
ECW, Athena, EMR
2mo
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Benefit Verification Specialist - DFW
Arlington, Texas, United States
OnsiteFull Time
US Specialists Management
US Specialists Management: Physician-owned management services for specialty healthcare practices.
1+ YOE1+ year medical office experience preferred; requires medical terminology, CPT-9/ICD-10 familiarity, insurance verification, prior authorization, customer service, and ability to handle patient financial counseling.
Electronic Medical Records, CPT-9, ICD-10
1mo
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Acute Clearance Specialist - Intake Coordinator - Remote
Frisco or United States
$23-$27/hr RemoteFull Time
Soleo Health
Soleo Health: Provides specialty pharmacy and home infusion therapy services.
Acute home infusion experience required; benefit verification and prior authorization experience; high school diploma; knowledge of Medicare/Medicaid reimbursement, HIPAA, and basic Microsoft Excel/Word; CPR preferred.
Microsoft Excel, Microsoft Word
1w
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Customer Service Specialist
Bay City, Texas, United States
$16/hr OnsitePart Time
Sherwin-Williams
Sherwin-WilliamsNYSE: SHW: Global manufacturer and distributor of paints and protective coatings.
Must be 18+, legally authorized to work without sponsorship, hold an unrestricted driver's license, lift up to 70 pounds, and work scheduled hours. Retail or delivery experience preferred.
HireVue
1w
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Soft Line Merchandising Specialist
Houston, Texas, United States
OnsiteFull Time
Goodwill Houston
Goodwill Houston: Provides job training and employment services to individuals with barriers.
English communication skills, customer service ability, flexible schedule, reliable transportation, and legal US work authorization without current or future sponsorship. High school diploma and retail experience preferred.
donation tablet, tagging equipment

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