ZipRecruiter

Log In

1

Prior Auth Jobs in Texas (NOW HIRING)

HealthCare Support

Prior Auth/Referrals

Houston, TX · On-site

$25 - $29/hr

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

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 ...

Spectraforce Technologies

Clinical Pharmacist 1

Houston, TX · On-site

$113K - $135K/yr

How many cases per day do they complete? ---this is crucial information if they are working in a prior auth role or have worked prior auth before Easily adaptable to frequent change Any previous ...

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 ...

Pharmacy Careers

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 ...

Apex Systems

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 ...

Source Medical, LLC.

Urology Physician

Beaumont, TX · On-site

... prior auth support Comp/Benefits: Competitive compensation + quality bonus Sign-on bonus and relocation assistance Malpractice provided (including tail) CME allowance Comprehensive health, dental ...

RemX

Be Seen First

Hiring Now | Remote | Healthcare Call Center Rep | $16/hr. | Irving

Irving, TX · On-site

$16/hr

Knowledge of medical benefits, Prior Auth, EOB's preferred but not required. * Comfortable meeting performance metrics (KPIs) * A quiet, distraction-free home office setup * High-speed wired internet ...

next page

Showing results 1-20

All JobsPrior Auth JobsPrior Auth Jobs in Texas

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, 79% Full Time, 15% Part Time, 1% Temporary, 3% Contract, and 1% Nights. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution.

Prior Auth/Referrals

Houston, TX • On-site

HealthCare Support
Recruiting and Staffing Services • 201 - 500 employees
Learn more about HealthCare Supportexternal

$25 - $29/hr

Other

Medical, Dental, Life

Re-posted 7 days ago

Job description

Utilization Review Care Coordinator LEAD
HealthCare Support is actively seeking a Utilization Review Care Coordinator LEAD to fill an opening in Houston, Texas.
Daily Responsibilities for Utilization Review Care Coordinator LEAD:
  • Assists in monitoring reports and refers to appropriate UM Nurse or Manager.
  • Responding and forwarding calls efficiently and in a timely and professional manner to appropriate nursing staff, medical staff, or other departments when appropriate.
  • Review and process fax and telephone requests to meet departmental key metrics and productivity standards, maintain established threshold for case data entry accuracy within compliance timeframes.
  • Actively contributes to achievement of departmental goals, as identified in Department's annual business plan, including specific departmental process improvement plans and other duties as assigned.
  • 4 days per week 7:30-18:00
Required Qualifications for Utilization Review Care Coordinator LEAD:
  • High School or equivalent; some years College, preferred
  • 5 years' experience in Referrals/Authorizations.
  • Insurance-related experience in a managed care environment or health plan experience.

Preferred Qualifications for Utilization Review Care Coordinator LEAD:
  • Optum are the preferred systems.
  • Epic, HealthEdge, Qnxt, and similar platforms may also be considered.
  • Remote

Benefits for Utilization Review Care Coordinator LEAD:
  • 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: $25 - $29/ 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 Reah.Tapong@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.
Healthcare Support logo

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

Social media

FacebookTwitter

View All Healthcare Support Jobs

Apply