ZipRecruiter

Log In

1

Insurance Prior Authorization Jobs in Texas (NOW HIRING)

Medix

Medical Authorization Specialist

Plano, TX · On-site

$23 - $26/hr

Prior Authorization Status Follow-Up: Proactively contact insurance companies via phone, portals, or fax to obtain real-time status updates on submitted prior authorization requests. * Documentation ...

Medix

Prior Auth Specialist/Pharmacy Technician

Plano, TX · On-site

$22 - $26/hr

Prior Authorization Status Follow-Up: Proactively contact insurance companies via phone, portals, or fax to obtain real-time status updates on submitted prior authorization requests and resolve ...

previous page

Showing results 41-60

All JobsInsurance Prior Authorization JobsInsurance Prior Authorization Jobs in Texas

Insurance Prior Authorization information

See Texas salary details

$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, 74% Full Time, 20% Part Time, and 5% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $61,164 per year, or $29.4 per hour.

Medical Authorization Specialist

Medix

Plano, TX • On-site

$23 - $26/hr

Full-time

Re-posted 2 days ago

Job description

The Authorization Support Specialist plays a critical role in supporting the Prior Authorization (PA) workflow by ensuring timely follow-up, accurate documentation, and effective communication with insurance payers and internal teams. This position is primarily responsible for contacting insurance companies to obtain status updates on submitted prior authorizations, entering approval and denial documentation into the electronic health record (EHR) system, and reviewing denial outcomes prior to escalation to the specialized clinical review team. The Authorization Support Specialist helps ensure continuity of care, reduces authorization delays, and supports compliance with payer and operational requirements.
Essential Duties and Responsibilities
Other duties may be assigned as necessary.
  • Prior Authorization Status Follow-Up: Proactively contact insurance companies via phone, portals, or fax to obtain real-time status updates on submitted prior authorization requests.
  • Documentation & Data Entry: Accurately enter PA approval letters, authorization numbers, effective dates, and related documentation into the organization's billing and healthcare software systems.
  • Denial Review & Routing: Review PA denial letters for completeness and clarity, ensuring all required documentation is captured before forwarding cases to the clinical review team for appeal determination.
  • Queue & Workflow Management: Monitor assigned PA work queues to ensure timely follow-up and prevent delays in patient therapy initiation or continuation.
  • Payer Communication & Tracking: Maintain detailed notes of payer interactions, including call outcomes, reference numbers, and next steps, in accordance with internal documentation standards.
  • Collaboration with Internal Teams: Communicate authorization outcomes and issues with pharmacy operations, clinical, and billing/revenue cycle teams to support coordinated patient care.
  • Compliance & Accuracy: Ensure all authorization activities comply with payer requirements, internal policies, and regulatory standards.
  • Continuous Improvement Support: Identify recurring payer issues, trends in denials, or process inefficiencies and escalate insights to leadership as appropriate.

Qualification Requirements
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
  • Detail Orientation: High level of accuracy in data entry and the ability to identify specific details within complex insurance documents.
  • Communication Skills: Strong verbal communication skills for professional interaction with insurance representatives and internal staff.
  • Technical Proficiency: Ability to navigate complex healthcare software systems and insurance portals; experience with industry-standard EHR/billing software is a significant advantage.
  • Time Management: Ability to manage a high volume of pending authorizations and prioritize follow-ups based on urgency and patient need.

Education and/or Experience
  • Educational Background: A High School Diploma or equivalent is required.
  • Experience: A minimum of 1-2 years of experience in healthcare administrative support, billing, or medical insurance verification.
  • Technical Experience: Previous experience working with Prior Authorizations (PA) and familiarity with medical terminology or pharmacy workflow is highly preferred.
  • Schedule: Monday - Friday 8:30 am to 5 pm fully onsite

* We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).
* As a job position within our Insurance division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing medical and confidential records, verifying financial information, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients
Medix Staffing Solutions logo

About Medix Staffing Solutions

Sourced by ZipRecruiter

Since 2001, we’ve been dedicated to helping you achieve your goals. Medix was created to become a leading provider of workforce solutions for clients and candidates across the healthcare and life sciences industries. Today, we are that leader. Headquartered in Chicago, we have 23 offices across the United States, and staff talent around the world. Medix is committed to fulfilling our core purpose as an organization: to positively impact the lives of our talent, clients, and teammates through employment, philanthropy, and opportunity. The combination of purpose and values has nurtured our thriving culture that encourages our internal team to excel at work and in everyday life.

Industry

Recruiting and staffing services

Company size

1,001 - 5,000 Employees

Headquarters location

Chicago, IL, US

View All Medix Staffing Solutions Jobs

Apply