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Full Time Remote Healthcare Operations Jobs in Texas

YO AI Labs

Healthcare Attorney - Remote

Houston, TX · Remote

$140 - $400/hr

Remote (United States Only) Job Overview We are seeking experienced Healthcare Attorneys to ... Familiarity with healthcare operations, risk management, or clinical environments. * Excellent ...

YO AI Labs

Healthcare Attorney - Remote

Dallas, TX · Remote

$140 - $400/hr

Remote (United States Only) Job Overview We are seeking experienced Healthcare Attorneys to ... Familiarity with healthcare operations, risk management, or clinical environments. * Excellent ...

Medix

Remote Call Center Representative

Pearland, TX · On-site +1

$15 - $16.80/hr

Healthcare Call Center Representative Fully Remote | Full-Time | Contract-to-Hire Employment Type ... Gain valuable experience in patient access and healthcare operations * We will consider for ...

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All JobsHealthcare Operations JobsFull Time Remote Healthcare Operations JobsFull Time Remote Healthcare Operations Jobs in Texas

Full Time Remote Healthcare Operations information

What is the difference between Full Time Remote Healthcare Operations vs Full Time Remote Healthcare Data Analyst?

AspectFull Time Remote Healthcare OperationsFull Time Remote Healthcare Data Analyst
Required CredentialsHealthcare-related certifications, experience in operationsData analysis certifications, proficiency in analytics tools
Work EnvironmentRemote, collaborative with healthcare teamsRemote, focused on data interpretation and reporting
Employer & Industry UsageHospitals, clinics, healthcare organizationsHealthcare providers, insurance companies, research firms
Common Search & Comparison IntentUnderstanding roles in healthcare operationsComparing data analysis roles in healthcare

Full Time Remote Healthcare Operations roles focus on managing healthcare processes, compliance, and patient flow, requiring healthcare certifications. In contrast, Healthcare Data Analysts analyze healthcare data to inform decisions, requiring analytics skills. Both roles are remote and vital in healthcare but differ in focus and skill set.

What are the most commonly searched types of Remote Healthcare Operations jobs in Texas?

The most popular types of Remote Healthcare Operations jobs in Texas are:

What cities in Texas are hiring for Full Time Remote Healthcare Operations jobs?

Cities in Texas with the most Full Time Remote Healthcare Operations job openings:

Full Time Remote Healthcare Operations jobs near you

Clinical Admin Coordinator

Allmed Staffing Inc

Pearland, TX • Remote

$13.50/hr

Full-time

Medical, Dental, Vision, Retirement

Posted 9 days ago

Job description

Referral Navigator Representative

Job Type: Full-Time / Remote
Work Location: Remote
Schedule: 8:00 AM–7:00 PM scheduling window; specific shift assigned based on business needs
Contract: 08/17/2026 to 12/31/2026
Pay Rate: $13.50/hr (Paid Weekly)
Allmed Benefits: Vision, Health, Dental Insurance and 401(k)
Interview Process: One video interview

Position Overview

We are seeking a Referral Navigator Representative to support authorization and referral operations in a remote healthcare environment. This position is responsible for coordinating fax-based documentation and supporting the authorization process to ensure referrals and prior authorization requests are processed accurately, efficiently, and within established timelines.

The ideal candidate will have experience in healthcare administration, prior authorizations, referrals, or health plan operations, with a strong understanding of payer requirements and healthcare workflows.

Key Responsibilities

  • Coordinate incoming and outgoing faxes related to referrals and prior authorizations.
  • Review referral and authorization documentation for completeness and accuracy.
  • Process and route documentation to the appropriate departments, providers, or health plan representatives.
  • Track authorization and referral requests and follow up on outstanding documentation.
  • Work with provider offices, insurance plans, and internal teams to obtain required information.
  • Ensure requests are processed according to established payer guidelines and turnaround times.
  • Maintain accurate records and documentation within applicable systems.
  • Identify missing or incomplete information and take appropriate action to resolve issues.
  • Protect confidential patient information and maintain compliance with HIPAA and applicable healthcare regulations.
  • Support utilization management and authorization workflows as assigned.

Required Qualifications

  • 2–4+ years of experience in prior authorization processing, referral coordination, healthcare administration, or healthcare operations.
  • Knowledge of insurance plans, payer guidelines, and authorization requirements.
  • Understanding of basic medical terminology.
  • Strong attention to detail and organizational skills.
  • Excellent written and verbal communication skills.
  • Ability to manage multiple tasks and prioritize work in a fast-paced environment.
  • Strong computer skills and ability to navigate multiple systems.
  • Ability to work independently in a remote environment.

Preferred Qualifications

  • Experience working with managed care organizations, health plans, or provider offices.
  • Familiarity with utilization management workflows.
  • Experience with compliance standards and audit processes.
  • Previous experience coordinating referrals and authorizations through fax-based workflows.

Apply