Average salary: $115,335 /yearly
More statsGet new jobs by email
- ...preferred. A minimum of five years underwriting experience with authority A genuine excitement to not only meet, but exceed, our... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedLocal area
American Indemnity
San Antonio, TX2 days ago $125.5k - $149.2k
...upon company underwriting guidelines and granted underwriting authority. Determine whether to accept or modify terms and conditions... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedLocal areaArgonaut Management Services, Inc
San Antonio, TX2 days ago- ...UTHealth Houston Insurance Authorization And Verification Specialist What we do here changes the world. UTHealth Houston is Texas' resource... ...information and obtains Authorization/ Precertification, prior to the patient's visit or scheduled admission, or immediately...SuggestedFull timeContract workFor contractorsLive inImmediate startRemote work
Texas Medical Center
Houston, TX16 hours ago $22 - $24 per hour
...Job Description About the Company We are looking for pharmacy Techs to work as a prior authorization specialist in a call center environment. About the Role Must have current certification and 2 years of experience. Responsibilities...SuggestedFull timeRPC Company
Farmers Branch, TX9 days ago- ...medical billing firm in Dallas is seeking a Benefits Verification & Authorization Specialist for a contract-to-hire position. This role involves verifying patient insurance coverage, obtaining prior authorizations, and ensuring accurate billing processes. You will work...SuggestedContract workImmediate start
Imprimis
Dallas, TX4 days ago - ...Therapy ~ Duration: 18 weeks ~40 hours per week ~ Shift: 8 hours, days ~ Employment Type: Travel To provide prior authorization of outpatient and home physical and occupational therapy services requiring authorization. This process includes using clinical...SuggestedWork at officeShift work
Integrated Healthcare Services
Houston, TX28 days ago - ...Researches patient information to assist care providers with medication refills. Corresponds with insurance companies regarding prior authorizations for medications. Communicates with relevant personnel regarding medication distribution, keeping all patient information...SuggestedWork at officeLocal areaImmediate start
Baylor Scott & White Healthcare
Dallas, TX2 days ago - ...document patient interviews to obtain demographic, insurance and financial information for registration, insurance verification, prior authorization, and billing. Performing check-in procedures and knows patient flow processes. Verifies patient insurance eligibility...SuggestedFull timeCasual workAfternoon shift
Surgery Partners
Dallas, TX8 hours ago - .... Practice settings may include inpatient decentralized/unit-based care, ambulatory/specialty pharmacy, infusion services, prior authorization or medication access programs, and revenue integrity functions. ESSENTIAL JOB FUNCTIONS · Assess medication regimens...SuggestedFor contractorsLocal area
UTMB Health
Galveston, TX14 days ago - ...Verify patient insurance coverage for referred services, ensuring referrals are directed to in-network providers. Obtain prior authorizations for upcoming services provided in office (office visits, labs, and treatment). Serve as the liaison between patients,...SuggestedFull timeTemporary workWork experience placementWork at office
Oncology Consultants
Houston, TX4 days ago - ...Prior Authorization Representative The Prior Authorization Representative is responsible for verifying prior authorization requirements and obtaining authorization when required. Works directly with physician offices and payers to facilitate patient access to various...Suggested
Hire Talent
Mcallen, TX4 days ago - ...Associate Medical Director Job Details: • 13-week locum assignment with potential transition to permanent role • Reviews prior authorization and appeals requests based on medical necessity • Performs peer-to-peer calls to support utilization management processes...SuggestedHourly payWeekly payPermanent employmentLocumLocal area
BAS Healthcare
Dallas, TX1 day ago - ...Fri; 8a-5p Support Staff: Multidisciplinary teams within managed care and clinical operations Core Responsibilities: Review prior authorization & appeals for medical necessity Peer-to-peer provider reviews Clinical oversight for UM, disease management, and quality management...SuggestedWeekly payPermanent employmentLocumLocal areaImmediate startShift work
LocumJobsNetwork
Dallas, TX2 days ago - ...Duties include: Clinical utilization management oversight (authorizations, appeals, peer reviews, pharmacy, FWA) and clinical policy development... ...evaluation No call Need experience in managed care and prior authorization Active TX license, DEA, recent case logs...SuggestedHourly payPermanent employmentLocumImmediate startMonday to Friday
GO Staffing
Dallas, TX2 days ago - ...Summary: The clinical pharmacist is an operation based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical knowledge to plan approved criteria for prospective...Suggested
US Tech Solutions
San Antonio, TX2 days ago - ...evidence-based care, value-based outcomes, and process improvement Key Responsibilities Review and determine prior authorizations, appeals, and medical necessity Conduct peer-to-peer discussions to support utilization management Provide...Weekly payPermanent employmentTemporary workLocumInterim roleLocal areaImmediate startRemote work
Locum Jobs Online
San Antonio, TX1 day ago - ...with LVNs and Medical Assistants for comprehensive clinical support. Our schedulers proficiently manage surgery scheduling and prior authorizations for various procedures. Clinic Setting: Located within the hospital's Outpatient Pavilion, enjoy onsite laboratory and...Full timeRelocation package
CHRISTUS Health
Beaumont, TX8 hours ago - ...successful candidate will join a growing pharmacy team responsible for providing medication therapy management, assisting with prior authorizations, promoting cost-effective care and providing patient education. Competitive salary and excellent benefits through the UTMB...For contractorsLocal area
UTMB Health
Angleton, TX26 days ago - ...regulations. Other duties as assigned based on business operational needs. Optician Verify insurance and determine if prior authorizations or referrals are required for upcoming appointments. Respond to patient's telephone inquiries and voicemails regarding...Work at office
Houston Eye Associates
Houston, TX3 days ago $174.07k - $374.92k
...precertification, concurrent review, and appeal request. This position is primarily responsible for Utilization Management, including prior authorization as well as concurrent review. Cases could focus on inpatient or outpatient services, acute and post acute services, pharmacy,...Hourly payFull timeTemporary workLocal areaWork from homeFlexible hoursWeekend workCVS Health
Austin, TX2 days ago$21.65 - $28.82 per hour
...guidelines, and Centers for Medicare and Medicaid Services (CMS) standards. • Provides coordination and processing of pharmacy prior authorization requests and/or appeals. • Explains point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any...Hourly payWork experience placementWork at officeShift workMolina Healthcare
San Antonio, TX2 days ago$60 - $68 per hour
...needs, health equity that ensures access to care for all, price transparency to make healthcare more affordable, streamlined prior authorizations for medications, the availability of therapeutic alternatives, health literacy to promote informed decision-making, reduced...Hourly payRemote workShift work- ...locum assignment with the hope that the provider will transition into a permanent role. Responsibilities: ~ Reviews prior authorization and appeals request for approval or denial of claims payment based on medical necessity. ~ Performs peer to peer...Permanent employmentLocumLocal areaRemote workWeekend work
Med Ninjas
Dallas, TX3 days ago - ...Coverage Period: 13 weeks Coverage Type: Clinical only Shift Schedule: Mon-Fri; 8a-5p Core Responsibilities: - Review prior authorization & appeals for medical necessity - Peer-to-peer provider reviews - Clinical oversight for UM, disease management, and quality...Weekly payPermanent employmentTemporary workLocumLocal areaImmediate startRemote workShift work
Locum Jobs Online
Dallas, TX4 days ago - ...Collects, reviews and analyzes data and prepares reports, charts, budgets, and other presentation materials. Responds to or routes routine inquiries from external or inter Administrative Assistant, Authorization, Administrative, Admin Assistant, Healthcare, Technology...
Baylor Scott & White Health
Dallas, TX2 days ago - ...care coordination Team Environment: Collaborative, mission-driven, community-centered Key Responsibilities Review prior authorizations, appeals, and medical necessity determinations Conduct peer-to-peer provider consultations Provide clinical oversight...Full timeLocumVisa sponsorshipFlexible hours
LanceSoft
Dallas, TX3 days ago - ...businesses/agencies are required to contact GSK's commercial and general procurement/human resources department to obtain prior written authorization before referring any candidates to GSK. The obtaining of prior written authorization is a condition precedent to any...Local areaRemote work
GSK LLP
Texas City, TX2 days ago $106.9k - $147k
...technical orchestrator for new client partnerships. You will not author detailed technical designs, but you must deeply understand... ...understanding of pharmacy operations, PBM models, benefits coordination, prior authorization workflows, and specialty care dynamics...Full timeTemporary workApprenticeshipRemote workWork from homeHome officeAustin Staffing
Austin, TX8 hours ago- ...under the direction of a physician and or registered nurse. Clerical duties may include scheduling appointments, obtaining prior authorizations, and maintaining medical records. Clinical duties may include taking and recording vital signs and medical histories,...Full timeWork at officeDay shift
BSA Health System of Amarillo, LLC
Amarillo, TX4 days ago - ...by Provider Run outstanding order reports for clinic follow-up Prepare medication refills for the Provider Obtain prior authorizations for medications when requested Assist in maintaining the medical inventory and placing orders for new materials as needed...Full timeTemporary workAfternoon shift
Pain Specialist of America LLC
Woodway, TX1 day ago
