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Prior Auth Jobs in Texas (NOW HIRING)

Prior Auth/Referrals

Houston, TX · On-site

$20 - $23/hr

Utilization Review Care Coordinator Remote Texas HealthCare Support is actively seeking a Utilization Review Care Coordinator Remote Texas to fill an opening in Houston, Texas. Daily Responsibilities ...

New

Prior Authorization Submission & Processing: Prepare and submit prior authorization requests through payer portals, fax, phone, or electronic systems, ensuring all required clinical and insurance ...

Therapists will be working with electronic patient records and performing prior auth reviews. * Conducts pre-service, concurrent/continued stay, retrospective, out of network and appropriateness of ...

Therapists will be working with electronic patient records and performing prior auth reviews. Conducts pre-service, concurrent/continued stay, retrospective, out of network and appropriateness of ...

Pharmacist

Austin, TX · On-site

$57.75 - $69.25/hr

Haw many Prior Auth cases have you handled in your last role? * Do you have experience in handling calls regarding prior authorization and appeals? About US Tech Solutions: US Tech Solutions is a ...

MTM Pharmacist (Remote / Hybrid)

Katy, TX · On-site

$53.50 - $64.25/hr

Competitive pay, benefits, and pathways into prior auth, clinical review, or leadership. About Us We partner with health plans and PBMs nationwide to deliver high-quality MTM services. Our ...

Pharmacy Technician

San Antonio, TX

$15.75 - $19.25/hr

... I Prior Auth takes in-bound calls from members, providers, etc providing professional phone assistance to all callers through the criteria based prior authorization process. Maintains complete ...

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Showing results 1-20

Prior Auth information

What is the difference between Prior Auth vs Medical Billing Specialist?

AspectPrior AuthMedical Billing Specialist
Required CredentialsKnowledge of insurance policies, certifications varyCertification often preferred, knowledge of billing codes
Work EnvironmentHealthcare offices, insurance companiesMedical offices, billing companies
Employer & Industry UsageUsed in healthcare to authorize proceduresUsed to process and submit medical claims
Common Search & ComparisonYesYes

Prior Auth involves obtaining approval from insurance companies before procedures, while Medical Billing Specialists handle the billing process after services are provided. Both roles are essential in healthcare administration but focus on different stages of patient care and reimbursement.

What cities in Texas are hiring for Prior Auth jobs? Cities in Texas with the most Prior Auth job openings:
Infographic showing various Prior Auth job openings in Texas as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 18% Part Time, 1% Temporary, and 2% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution.

Prior Auth/Referrals

HealthCare Support

Houston, TX • On-site

$20 - $23/hr

Other

Medical, Dental, Life

Posted 3 days ago

New


Job description

Utilization Review Care Coordinator Remote Texas
HealthCare Support is actively seeking a Utilization Review Care Coordinator Remote Texas to fill an opening in Houston, Texas.
Daily Responsibilities for Utilization Review Care Coordinator Remote Texas:
  • Responds to calls from the provider hotline for referral/authorization initiation and questions. Answers in a timely and professional manner. Forwards calls to appropriate nursing or medical staff as required or needed. Forwards calls efficiently to other departments when appropriate. Responsible for ensuring that provider hotline calls are answered within established regulatory time standards to minimize hold time and avoid abandoned calls. Meets required call handling standards and quality reviews.
  • Assists in monitoring reports and refers to appropriate UM Nurse or Manager.
  • Data entry and processing of fax and telephone requests to meet performance and quality standards while maintaining regulatory timeframes.
  • Monday to Friday 8-5 or 9-6
Required Qualifications for Utilization Review Care Coordinator Remote Texas:
  • High School or equivalent; some years College, preferred
  • 2 years' experience in Referrals/Authorizations.
  • At least 2-4-year insurance-related experience in a managed care environment or health plan experience.
  • Experience in Medical coding preferred
  • Microsoft Office (Word, Excel, Outlook)
Benefits for Pharmacy Technician:
  • Health Insurance
  • Dental Insurance
  • Life Insurance
  • Employee Assistance Program (EAP)
  • Access to Investment Accounts
  • Career and educational tools within our Ingenovis ACT (advocacy) Program
Pay Details: $20 - $23/ Hour
Interested in Being Considered?
If you are interested in applying to this position, please click Apply Now for immediate consideration.
For additional questions, you may contact us at Ryan.Chojnacki@healthcaresupport.com. Please include your phone number, Job Title, and location and our recruiters will reach out.
Healthcare Support Staffing, LLC is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.

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About Healthcare Support

Sourced by ZipRecruiter

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Maitland, FL, US

Year founded

2003

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