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
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.
PACS, EHR, CPT, ICD-10
1w
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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
1mo
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Insurance Specialist (Prior Authorization Coordinator)
Austin, Texas, United States
OnsiteFull Time
Hedgecock Dental
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.
EMR/EHR, practice management systems
4d
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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
1mo
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Pharmacy Prior Authorization Coordinator I
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/hr RemoteFull Time
Sentara Health
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.
1w
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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
2w
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Prior Authorization Representative (Work from Home)
Texas, United States
$17-$28/hr RemoteFull Time
CVS Health
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.
1d
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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
1d
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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
3w
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Authorization Specialist
Houston, Texas, United States
OnsiteFull Time
Inception Fertility
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.
Electronic Medical Record (EMR), Microsoft Office
1mo
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Medical Authorization 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.
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
3w
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Pharmacy Technician - Prior Authorization Specialist
Farmers Branch, Texas, United States
OnsiteFull Time
Cloud Rx
Cloud Rx: Specialty pharmacy hub streamlining prescription insurance and medication access.
Texas CPhT required, knowledge of pharmaceuticals and prior authorization processes, strong communication, organizational skills, ability to manage clinic chats and documentation, availability within 8:30 AM–7:00 PM CST.
1mo
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Insurance Authorization Specialist
Plano, Texas, United States
$17-$20/hr OnsiteFull Time
Plano Orthopedic & Sports Medicine Center
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.
7h
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HPSC-Home Health Intake & Authorization Coordinator
Longview, Texas, United States
OnsiteFull Time
Frontpoint Health
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.
Homecare Homebase, EMR, Microsoft Office
1d
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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
3w
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Referral & Authorization Care Coordinator
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/yr RemoteFull Time
Oshi Health
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.
EMR, EHR, Zoom, Slack, Microsoft Office
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High School - Administrative Clerk
North Richland Hills, Texas, United States
$16-$22/hr OnsiteFull Time
Birdville Independent School District
Birdville Independent School District: Provides public K-12 education and student support services.
Must have citizenship, residency, or valid work authorization; no prior experience required.
3w
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GENERAL INTEREST
Gainesville, Texas, United States
OnsiteFull Time
Casey’s Tire & Brake
Casey’s Tire & Brake: Local automotive repair shop providing tire and maintenance services.
No prior industry experience required; willing to train. Valid driver's license preferred and must be authorized to work in the U.S.
1mo
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Smoothie King Teammate PM Afternoon / Evenings / Weekends
Round Rock, Texas, United States
$14-$15/hr OnsitePart Time
Smoothie King
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.
3w
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Team Member
Austin, Texas, United States
$13/hr OnsiteFull Time
Krispy Kreme
Krispy KremeNASDAQ: DNUT: Produces and sells fresh glazed doughnuts and coffee.
No prior experience required; must be 16+, open availability, authorized to work in the US, strong customer service and cash-handling ability.