Average salary: $94,919 /yearly
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$37.66 - $44.33 per hour
...Working under technical direction and within significant limits and authority,adjudicateworkers' compensation claims of higher technical... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedTemporary workLocal areaRemote workArgonaut Management Services, Inc
San Antonio, TX7 days ago- ...VitalCaring Group seeks an Insurance Verification and Authorization Specialist to handle insurance verification, prior authorizations, and maintain records for patients. This remote position requires a minimum of 2 years of experience in home health authorization and...SuggestedRemote work
VitalCaring Group
Dallas, TX7 days ago - ...Making phone calls to providers within the current Texas Medicaid provider community to provide them with education regarding Prior Authorizations. Maintaining records of all outreach activities. Performing independent thinking and organizational tasks as required. #J...SuggestedWork at office
$86k - $101.5k
...Working under technical direction and within significant limits and authority, adjudicate Garage Bodily Injury claims of higher technical... ...: Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedLocal areaArgo Group
Houston, TX3 days ago- ...and benefits for scheduled procedures and services. This role ensures accuracy in patient records and assists in obtaining prior authorizations, if needed, to facilitate timely reimbursement. The Insurance Verification Representative works closely with clinical and administrative...Suggested
Community Health Systems
Longview, TX3 days ago - ...Broughton Group is seeking an Insurance Authorization Coordinator in Plano, Texas. This role supports the prior authorization process, manages insurance follow-up activities, and ensures timely therapy access for patients while maintaining documentation accuracy. Key responsibilities...Suggested
Broughton Group
Plano, TX2 days ago $132.29k - $155.86k
...experience, including 4 years in a People Leadership capacity. Prior experience as a claims adjuster is helpful. Bachelor's degree... ...their independent discretion and, within broad limits and authority, be creative in developing solutions and treat each case as the...SuggestedFull timeWork at officeLocal areaArgonaut Management Services, Inc
Houston, TX7 days ago- ...and wound care management? If so, WoundCentrics is interested in helping you put your knowledge and expertise to use in our Prior Authorization and Referral Coordinator position.The Prior Authorization and Referral Coordinator is responsible for processing referrals and...SuggestedWork at officeMonday to Friday
WoundCentrics LLC
Idalou, TX5 days ago - ...agency. The actual posting represents a position at one of our clients. Job Summary Our client is seeking a Prior Authorization Specialist to join their team. The primary responsibilities include receiving fertility specialty prescriptions and managing...SuggestedTemporary workLocal areaShift work
Medix
Farmers Branch, TX6 days ago - Soleo Health Inc is seeking a Clinical Review Coordinator for a remote full-time position. You will ensure timely and accurate clinical reviews and approvals while collaborating with various departments. The ideal candidate should have experience in specialty infusion...SuggestedFull timeRemote work
Soleo Health
Frisco, TX5 days ago - ...Soleo Health Inc is hiring a Prior Authorization Coordinator to support its Specialty Infusion Pharmacy, working remotely from the USA. This position requires specialty infusion prior authorization experience, with responsibilities including managing prior authorizations...SuggestedRemote work
Soleo Health
Frisco, TX7 days ago $23 per hour
...Pharmacy Prior Authorization Specialist – CareMed Specialty Pharmacy Houston, TX | Full-Time | Starting at $23.00/hr and up Sign-On Bonus: $5,000 for employees starting before July 31, 2026. Join a mission-driven team making a difference in the lives of cancer patients...SuggestedFull timeTemporary workRemote workRelocation packageCareMed Specialty Pharmacy
Houston, TX6 days ago- ...Caremed-Specialty-Pharmacy in Houston, TX is looking for a Pharmacy Prior Authorization Specialist. This full-time position focuses on ensuring patients receive necessary medications by managing authorization requests and working with insurance carriers. Candidates should...SuggestedFull timeRemote workRelocation package
CareMed Specialty Pharmacy
Houston, TX5 days ago $37.58k
...Verification. This role involves ensuring patients are financially cleared for care by verifying insurance coverage and securing prior authorizations. Responsibilities include educating patients about their benefits, managing insurance verification and documentation, and...SuggestedUniversity of Texas at Austin
Austin, TX3 days ago$23 - $27 per hour
...responsible for preparation, submission, and follow up of payer authorization requests. Responsibilities include: Perform benefit... ...or company self-pay pricing Initiate, follow-up, and secure prior authorization, pre-determination, or medical review including...SuggestedFull timeContract workImmediate startRemote workMonday to FridaySoleo Health
Frisco, TX6 days ago- A national quality improvement organization is seeking a Remote Customer Service Representative to support their prior authorization process. This role involves handling customer inquiries, resolving issues while adhering to organizational policies, and maintaining a professional...Remote work
Arsenault
Houston, TX3 days ago - Pain Control of Texas PLLC is seeking a detail-oriented Insurance Authorization Specialist to join our team in Austin, Texas. This role involves obtaining and verifying insurance authorizations for medical services, ensuring compliance with insurance policies and procedures...
- ...manages and coordinates surgical procedures, verifies insurance and authorizations, ensures required documentation is complete, and communicates... ..., and hospitals. Verify insurance benefits and obtain prior authorizations as needed. Maintain records of pre-certifications...Work at office
Stridecare
Mesquite, TX7 days ago $23 - $27 per hour
...out‑of‑pocket costs. Prepare, submit, and follow up on payer authorization requests. Perform benefit verification of all patient... ...company self‑pay pricing. Initiate, follow up, and secure prior authorization, pre‑determination, or medical review, including...Hourly payFull timeContract workImmediate startRemote workMonday to FridaySoleo Health
Frisco, TX12 days ago- ...seeking a Utilization Review Specialist (LVN) to conduct medical reviews and assess medical necessity for services requiring prior authorization. This role involves liaising with providers and completing denial letters in accordance with guidelines. Ideal candidates...Hourly payRemote work
Crains Cleveland
Pearland, TX4 days ago - ...Insurance Authorization Coordinator The Insurance Authorization Coordinator supports the prior authorization process by managing insurance follow-up activities, maintaining accurate documentation, and partnering with internal teams to help prevent delays in patient care...Work at office
Broughton Group
Plano, TX2 days ago - ...~ A high school diploma (or equivalent) and 3 years' prior relevant work experience; or ~ A vocational or technical... ...exercise their independent discretion and, within broad limits and authority, be creative in developing solutions and treat each case as the...Full timeWork experience placementLocal areaImmediate start
Argonaut Management Services, Inc
Houston, TX6 days ago - ...specifically using Availity Essentials and similar payer portals. You'll manage eligibility verification, claims processing, prior authorizations, and payment posting. The ideal candidate will have at least 2 years of relevant experience and a background in revenue...Remote work
Mercor Inc
Pflugerville, TX8 days ago $100k
...broadmanagementdirection,adjudicate construction defect claims at the highest authority limits on assignments reflecting the highest degree of... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...Full timeLocal areaRemote workArgonaut Management Services, Inc
San Antonio, TX4 days ago$1,150 - $1,450 per month
...expertise in areas such as commercial group and individual plans, government programs (Medicare, Medicaid, ACA marketplace), prior authorization workflows, and insurance regulation to evaluate and enhance AI performance on health insurance‑specific tasks. This is a project...Hourly pay- ...Authorization Coordinator Baylor Scott & White Medical Center - Trophy Club is hiring a Full Time Authorization Coordinator! Welcome... ...starts here! Authorization and Referrals Obtain necessary prior authorizations for the procedure. Track and follow up on...Full timeTemporary workWork at officeLocal areaFlexible hours
USPI, INC.
Roanoke, TX8 days ago $74k - $90k
...providing appropriate clinical information to obtain initial authorization and continuing stay authorization, as necessary. Communicate with... ...clinical care coordinator as needed. Actively participates in prior authorizations and utilization review for TMS, Spravato, and...Full timeMonday to FridayAnew Era TMS
Allen, TX2 days ago- ...A health insurance startup is looking for an experienced Medical Director to oversee utilization reviews and prior authorizations. This remote position demands a strong clinical background with a doctorate in medicine and board certification. The ideal candidate will...Remote workFlexible hours
VALID8 Financial
Austin, TX6 days ago $37.58k
...Verification (HAP) ensures patients are financially and administratively cleared for care by verifying insurance coverage and securing prior authorizations. This role collaborates with patients, providers, and payers to prevent delays, educates patients on benefits and financial...For contractorsWork at officeImmediate startUniversity of Texas at Austin
Austin, TX5 days ago- Baylor Scott & White Health is seeking an Insurance Verification Specialist 2 in Duncanville, Texas. This role provides critical insurance benefit information to patients and ensures timely financial clearance, directly impacting organizational reimbursement. The ideal ...Work at officeImmediate start
