ZipRecruiter

Log In

1

Prior Auth Jobs in Texas (NOW HIRING)

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 ...

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

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

next page

Showing results 1-20

All JobsPrior Auth JobsPrior Auth Jobs in Texas

Prior Auth information

What career paths follow prior authorization?

A career in prior authorization typically leads to roles in healthcare administration, medical billing, and insurance coordination. Professionals in this field often advance to supervisory or managerial positions, or specialize in compliance and policy development, utilizing skills in healthcare regulations and documentation systems.

Is prior auth going away?

Prior authorization jobs involve reviewing insurance requests for medical procedures or medications. While some healthcare policies aim to streamline or reduce prior auth requirements, the process is still widely used and not expected to disappear entirely in the near future, making it a relevant role for those with attention to detail and knowledge of insurance protocols.

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 for medical procedures or medications. The role often involves handling complex documentation, communicating with healthcare providers, and navigating insurance policies, which can contribute to workplace pressure. However, stress levels vary depending on the work environment and individual coping skills.

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 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
Prior Authorization Pharmacy Case Manager - Remote {172256}

Prior Authorization Pharmacy Case Manager - Remote {172256}

A-Line Staffing Solutions

Lewisville, TX • On-site

$20/hr

Full-time

Medical, Dental, Vision, Life, Retirement

This job post has expired today. Applications are no longer accepted.

Job description

Prior Authorization Pharmacy Case Manager (Remote)

A-Line Staffing is hiring a Prior Authorization Pharmacy Case Manager to support patients in accessing specialty medications through a high-touch patient support program. This is a full-time (40 hrs/week), W2 contract role and is remote (equipment provided).

Pay

  • $20.00/hr (W2)

Schedule

  • Full-time, 40 hours/week
  • Must be flexible to work shifts within Monday–Friday, 7:00 AM–8:00 PM Central

Mandatory Training (Central Time)

  • Training: October 5, 2026 – November 6, 2026, 8:00 AM – 5:00 PM CT (mandatory attendance)
  • Go-live: November 9, 2026

Remote / Home Office Requirements

  • Dedicated, quiet, private workspace (distraction-free)
  • Hardwired internet required (no Wi-Fi, satellite, or cellular)
  • Minimum internet specs:
    • Download: 15 Mbps
    • Upload: 5 Mbps
    • Ping: max 30 ms
  • Company provides computer/technology; you provide qualifying internet service

Key Responsibilities

  • Handle inbound/outbound calls with patients, provider offices, specialty pharmacies, and other stakeholders (goal: one-call resolution when possible)
  • Manage the patient journey end-to-end: benefit investigation/verification → prior auth/appeals support → medication access/delivery
  • Coordinate with insurance companies, providers, and pharmacies to ensure timely access to therapy
  • Help patients understand coverage and out-of-pocket costs and explain appeal processes when needed
  • Process enrollments via fax/phone/electronic submissions
  • Review documentation thoroughly and ensure accurate case updates/data entry

Qualifications (Preferred)

  • 2–4 years patient-facing / high-touch customer interaction experience
  • Prior hub services / patient support experience strongly preferred
  • Knowledge of Medicare/Medicaid/commercial payers and coverage guidelines preferred
  • Strong computer skills (data entry, MS Office) and excellent communication/problem-solving skills
  • Empathy, persistence, flexibility, and the ability to manage multiple cases efficiently

Interested?

Reply with your resume and the best time/number to reach you.

Austin Faris
A-Line Staffing Solutions
Phone (call/text): 5867107941

A-Line Staffing Solutions logo

About A-Line Staffing Solutions

Sourced by ZipRecruiter

A-Line Staffing Solutions is an established full-service recruiting and staffing provider that operates in the industry of human resources and recruitment. Based in Utica, Michigan, A-Line Staffing Solutions has been committed to its mission of providing innovative and effective workforce solutions since its foundation. The company specializes in providing high-quality staffing solutions for a range of disciplines, including Information Technology, Professional, Administrative, Healthcare, and more. A-Line prides itself on its ability to offer comprehensive and tailored staffing solutions in line with the varying needs of different businesses, which has played a crucial role in the company's growth and success.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Utica, MI, US

Year founded

2004

Social media

FacebookTwitter

View All A-Line Staffing Solutions Jobs