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Insurance Prior Authorization Jobs in Texas (NOW HIRING)

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Insurance Prior Authorization information

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$23.8K

$61.2K

$77.8K

How much do insurance prior authorization jobs pay per year?

As of Aug 10, 2026, the average yearly pay for insurance prior authorization in Texas is $61,164.00, according to ZipRecruiter salary data. Most workers in this role earn between $56,800.00 and $71,700.00 per year, depending on experience, location, and employer.

What is insurance prior authorization?

Insurance prior authorization is a process where healthcare providers must obtain approval from a patient's insurance company before performing certain medical procedures, prescribing medications, or providing specific services. This ensures that the recommended treatment is covered under the patient's insurance plan and is deemed medically necessary. The process may involve submitting clinical information and waiting for a decision from the insurance provider. Prior authorization is intended to control costs and ensure appropriate care, but it can sometimes delay access to treatment.

Is insurance prior authorization a stressful job?

Insurance prior authorization is often considered a stressful job due to the need for accuracy, attention to detail, and managing multiple cases under tight deadlines. Employees frequently handle complex documentation, communicate with healthcare providers and insurers, and must stay updated on policy changes, which can contribute to job stress.

What are the key skills and qualifications needed to thrive in insurance prior authorization?

To thrive in Insurance Prior Authorization, you need a solid understanding of medical terminology, insurance policies, and healthcare regulations, often supported by experience in a healthcare or insurance setting. Familiarity with electronic health record (EHR) systems, insurance portals, and authorization management software is typically required. Attention to detail, strong organizational skills, and effective communication are critical soft skills for managing complex cases and coordinating with providers and payers. These competencies ensure timely approvals, reduce claim denials, and improve patient access to necessary medical treatments.

Are insurance prior authorization jobs in high demand?

Insurance prior authorization jobs are in steady demand due to the ongoing need for healthcare administrative support and insurance processing. These roles often require knowledge of insurance policies and familiarity with healthcare management systems, making them a stable career option in the healthcare industry.

How to become an insurance prior authorization specialist?

To become an insurance prior authorization specialist, candidates typically need a high school diploma or equivalent, along with knowledge of insurance policies and medical terminology. Relevant skills include attention to detail, communication, and familiarity with insurance claim processing software. Certification programs in medical billing and coding can enhance job prospects.

What are some common challenges faced in an insurance prior authorization role, and how can they be effectively managed?

One of the main challenges in Insurance Prior Authorization is navigating the varying requirements and documentation standards of different insurance providers. This often requires staying updated on policy changes and maintaining close attention to detail to prevent delays or denials. Effective communication with healthcare providers and insurance representatives is also essential, as misunderstandings or incomplete information can slow down the process. Building strong organizational skills and using robust tracking systems can help manage workloads and ensure timely approvals, ultimately supporting patient care.

What is the difference between Insurance Prior Authorization vs Insurance Claims Specialist?

AspectInsurance Prior AuthorizationInsurance Claims Specialist
Required CredentialsKnowledge of insurance policies, healthcare regulationsUnderstanding of claims processing, coding, documentation
Work EnvironmentHealthcare providers, insurance companies, hospitalsInsurance companies, healthcare organizations, billing departments
Employer & Industry UsageUsed to approve coverage before services are renderedHandles post-service claims, reimbursement processing
Search & Comparison IntentUnderstanding pre-authorization processClaims processing and reimbursement procedures

Insurance Prior Authorization involves obtaining approval from insurance companies before healthcare services are provided, ensuring coverage. In contrast, Insurance Claims Specialists process claims after services are rendered to secure payment. Both roles require knowledge of insurance policies but focus on different stages of the insurance process.

What are the most commonly searched types of Insurance Prior Authorization jobs in Texas? The most popular types of Insurance Prior Authorization jobs in Texas are:
What cities in Texas are hiring for Insurance Prior Authorization jobs? Cities in Texas with the most Insurance Prior Authorization job openings:
Insurance Prior Authorization jobs near you
Infographic showing various Insurance Prior Authorization job openings in Texas as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 18% Part Time, and 4% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $61,164 per year, or $29.4 per hour.

Prior Authorization Specialist - Weekend Only

Baylor Scott & White Institute for Rehabilitation - Outpatient

Temple, TX

$14.50 - $19.25/hr

Full-time, Part-time, Per diem

Life, Retirement

Posted 19 days ago

Job description

Overview

Baylor Scott & White Institute for Rehabilitation

*A joint venture with Select Medical & Baylor Scott & White*

Prior Authorization Specialist  - Part-Time Weekends

This position will work every Saturday and Sunday, 8 hours each day

This is primarily a work-from-home position, but to be considered, candidates must live within driving distance of Austin, TX, Temple, TX, or the DFW area.

 

Responsibilities

Job Responsibilities

Using discretion and independent judgment, the Payor Relations Specialist manages the pre-certification and prior authorization of referrals scheduled for admission to the Acute Inpatient Rehabilitation Hospital.

  • Follows the Select Workflow Process for initiating and completing patient authorizations. Takes full responsibility for following the "Workflow Process" and ensures each referral follows the process, from taking the initial referral until final disposition, acceptance or denial. As appropriate, submits the preadmission assessments completed by clinical liaisons to the insurance company.
  • Ensures documentation meets standards and expectations by working and mentoring team as needed. Obtains timely authorization of all patients requiring pre-certification and is accountable for conversion percentage and results.
  • Ensures all policies governing commercial pre-certification and authorization are followed to minimize financial risk. Develops relationships that increase and stabilize conversion as well as generates referrals both locally and regionally. This may include identifying relationship opportunities for self and others within Select Medical to include but not limited to CEO, DBD, CLs, Admissions Coordinator and Case Management team that may help grow relationships and impact results.
  • Maintains profiles on each payer to include case managers and medical directors, P2P and appeal info.
  • Identifies by payor communication preference and utilizes to maximize results.
  • Encourages and models teamwork, communication and collaboration with other departments to include but not limited to the transition of patients into the critical illness recovery hospital or acute inpatient rehabilitation hospital.
  • Serves as a resource to the Business Development Team educating them on payor preference to promote exceptional customer service and efficient processes
  • Maintains and further develops relationships with customers which may include but are not limited to surveying for satisfaction with the work of Select Medical and off-site meetings with the customer.
  • Evaluates Non-Medicare benefits as verified by the Central Business Office or Rehab Admissions Coordinator. Reviews benefits with Admissions Coordinator for possible risk and applies/completes written guidelines as necessary to reduce or manage risk.
  • Answers phone with appropriate behavior and ensures back-up when not available or out of the office.
  • Works closely with Admissions Coordinator to apply correct accommodation code per contract as well as billing/reimbursement requirements.
  • Tracks approval and denials through TOC.
  • Ensure outstanding customer service for all customers.
  • Performs other duties as requested.
    • Qualifications

    Minimum Qualifications

    • 2 years of direct experience in third-party reimbursement 

    Preferred Experience

    • Previous Experience within a physical rehabilitation setting preferred
    • Experience working with Excel and databases
    • Licensure as a Registered Nurse or LVN/LPN 
    Additional Data

    Why Join Us:

    • Start Strong: Extensive orientation program to ensure a smooth transition into our setting.
    • Opportunity for Advancement: Demonstrate your skills and dedication, which could lead to potential full-time opportunities
    • Foster Well-being: We offer benefits that support the financial, work/life, and emotional well-being of you and your family members.  Part time/Per Diem positions are eligible for 401k based on reaching 1,000 hours within their first anniversary or subsequent calendar year. We also offer our employee assistance program to part-time employees.
    • Your Impact Matters: Join a team of over 44,000 committed to providing exceptional patient care

    Equal Opportunity Employer, including Disabled/Veterans

    Employment Type: OTHER

    Apply