1,321 prior authorization jobs at 357 companies in Texas
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Prior Authorization Specialist
El Paso, Texas, United States
OnsiteFull Time
Texas Tech University Health Sciences Center El Paso: Public health sciences university providing education and patient care.
1+ YOEVerify insurance eligibility, obtain pre-authorizations, manage denials and appeals, maintain EHR work queues; associate's degree or relevant certification or equivalent experience required.
Hedgecock Dental: Provides comprehensive family and cosmetic dental care services.
1+ YOEHigh school diploma, 1+ years prior authorization or revenue cycle experience, knowledge of Medicare and commercial plans, EMR/EHR and practice management proficiency, strong communication and attention to detail; occasional travel between offices.
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.
Virginia Beach or Alabama or Delaware or Florida or Georgia or Idaho or Indiana or Kansas or Louisiana or Maine or Maryland or Minnesota or Nebraska or Nevada or New Hampshire or North Carolina or North Dakota or Ohio or Oklahoma or Pennsylvania or South Carolina or South Dakota or Tennessee or Texas or Utah or Washington or West Virginia or Wisconsin or Wyoming
$19-$32/hrRemoteFull Time
Sentara Health: Operates hospitals and provides health insurance and medical services
1+ YOE1 year healthcare experience; HS/GED preferred. Processes pharmacy prior authorizations, verifies member eligibility, communicates with members/providers/pharmacies, documents PA decisions, and meets required turnaround times.
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.
Prior Authorization Representative (Work from Home)
Texas, United States
$17-$28/hrRemoteFull Time
CVS HealthNYSE: CVS: Provides retail pharmacy, health insurance, and pharmacy benefit management services.
1+ YOE1+ year customer service/call center experience, proficiency with medical terminology and drug names, ability to navigate multiple software systems and type, high school diploma or GED required; pharmacy experience preferred.
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
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
Inception Fertility: Operates a network of clinics providing comprehensive fertility services.
1+ YOECheck patient eligibility, initiate and manage prior authorizations, review medical records; 1+ year healthcare experience; high school diploma or equivalent; knowledge of CPT/DX, medical terminology, and insurance procedures.
Sports Medicine Associates of San Antonio: Providing specialized orthopedic surgery and sports medicine healthcare services.
3+ YOE3-4 years prior authorization/verification experience, 1+ year medical billing/coding, high school diploma/GED, knowledge of payer portals, EMR and scheduling systems, Microsoft Office, medical terminology.
NextGen EHR, Electronic Medical Records (EMR), Microsoft Office
Plano Orthopedic & Sports Medicine Center: A medical practice providing orthopedic and sports medicine services focused on patient care and surgical coordination.
Verifying insurance coverage and precertification, managing medical records in compliance with HIPAA, coordinating authorizations and peer-to-peer calls, communicating with patients/providers/insurers, and maintaining surgery and denial worklists.
HPSC-Home Health Intake & Authorization Coordinator
Longview, Texas, United States
OnsiteFull Time
Frontpoint Health: Provides home-based clinical care and hospice services.
2+ YOEHigh school/GED required; 2 years home health intake/authorization or medical office experience preferred; knowledge of Medicare/Medicare Advantage and prior authorizations; experience with Homecare Homebase and Microsoft Office; strong communication and organizational skills.
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.
Arizona or Delaware or Florida or Georgia or Idaho or Indiana or Louisiana or Missouri or New Hampshire or North Carolina or South Carolina or Tennessee or Texas or Vermont or Virginia
$45k-$52k/yrRemoteFull Time
Oshi Health: Virtual clinic specializing in gastrointestinal and digestive health care.
2+ YOE2+ years healthcare coordination experience in digital/remote settings; completed degree in a health or science field; EMR/EHR charting, Zoom/Slack/Microsoft Office proficiency; insurance and prior authorization knowledge.
Smoothie King Teammate PM Afternoon / Evenings / Weekends
Round Rock, Texas, United States
$14-$15/hrOnsitePart Time
Smoothie King: Sells blended fruit smoothies and health-focused nutritional products.
0+ YOEMust be 16+, available evenings and weekends, reliable transportation/communication, authorized to work in the U.S.; no prior experience required — training provided.