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Prior Auth Jobs in Texas (NOW HIRING)

Medix

Prior Auth Specialist/Pharmacy Technician

Plano, TX · On-site

$22 - $26/hr

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

W3R

Prior Authorization Therapist

Austin, TX · On-site

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 ...

W3R

PRIOR AUTHORIZATION THERAPIST

Austin, TX · On-site

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 ...

US Tech Solutions

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 ...

Apex Systems

Pharmacy Technician

San Antonio, TX · On-site

$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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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.

Are prior authorization jobs in high demand?

Prior authorization jobs are in steady demand due to the increasing complexity of healthcare billing and insurance requirements. These roles often require knowledge of medical policies and the use of authorization software, making skilled professionals valuable in healthcare administration. The demand is expected to grow as healthcare providers seek to streamline approval processes and reduce claim denials.

How do I become a prior authorization specialist?

To become a prior authorization specialist, candidates typically need a high school diploma or equivalent, along with experience in healthcare or insurance. Relevant skills include knowledge of medical billing, coding, and insurance policies, and certifications such as Certified Medical Administrative Assistant (CMAA) or Certified Coding Associate (CCA) can enhance job prospects. On-the-job training is common, and strong communication and organizational skills are essential for success in this role.

Is prior authorization a stressful job?

Prior authorization jobs can be stressful due to the need for accuracy, attention to detail, and managing tight deadlines to secure approvals quickly. The role often involves handling complex insurance policies and communicating with healthcare providers, which can contribute to workload pressure. However, stress levels vary depending on the work environment and individual coping strategies.

What are popular job titles related to Prior Auth jobs in Texas?

For Prior Auth jobs in Texas, the most frequently searched job titles are:

What job categories do people searching Prior Auth jobs in Texas look for?

The top searched job categories for Prior Auth jobs in Texas are:

What cities in Texas are hiring for Prior Auth jobs?

Cities in Texas with the most Prior Auth job openings:

Prior Auth jobs near you
Infographic showing various Prior Auth job openings in Texas as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 15% Part Time, 1% Temporary, and 2% Contract. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution.

Prior Auth Specialist/Pharmacy Technician

Medix

Plano, TX • On-site

$22 - $26/hr

Full-time

Medical, Dental, Vision, Retirement

Re-posted 19 days ago

Job description

You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.
Job Summary
Our client is seeking a skilled Prior Authorization Specialist to join their team. The primary responsibility of this role is to manage and process prior authorization requests to ensure timely patient care and compliance with applicable policies and procedures.
Schedule
Monday - Friday, 8:30 a.m. - 5:00 p.m., ONSITE
Requirements:
  • MUST have at least 2 years of experince managing the full prior authorization lifecycle including benefit investigation, document collection, PA submission, follow-up, appeals etc
  • Experince with CoverMyMeds highly preferred
  • Licensed Pharmacy Tech with retail experience preferred

Duties:
  • Prior Authorization Submission & Processing: Prepare and submit prior authorization requests through payer portals, fax, phone, or electronic systems, ensuring all required clinical and insurance documentation is included and submitted accurately and timely.
  • 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 pending issues to prevent delays in patient therapy.
  • Reject Code Review & Resolution: Interpret and work insurance reject codes, payer edits, and claim rejections to identify root causes, determine required next steps, and coordinate appropriate resolution or escalation.
  • Documentation & Data Entry: Accurately enter PA approval letters, authorization numbers, effective dates, denial documentation, and payer communications into CareTend and other applicable systems.
  • Denial Review & Routing: Review PA denial letters for completeness and clarity, ensuring all required documentation is captured before forwarding cases to the Clinical Utilization Team for clinical review and appeal determination.
  • Queue & Workflow Management: Monitor assigned PA work queues to ensure timely follow-up, proper prioritization, and prevention of delays in therapy initiation or continuation.
  • Payer Communication & Tracking: Maintain detailed and accurate notes of payer interactions, including call outcomes, reference numbers, authorization status, reject details, and next steps in accordance with internal documentation standards.

Benefits
  • Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
  • Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
  • 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
  • Short Term Disability Insurance.
  • Term Life Insurance Plan.

* 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 Allied 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: providing direct patient care, accessing medical and confidential records, accessing and administering prescription medication or other drugs, working within a clinical setting, handling sharp instruments, conducting medical procedures, 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.
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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

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