ZipRecruiter

Log In

1

Prior Authorization Jobs in Texas (NOW HIRING)

W3R

Prior Authorization Therapist

Austin, TX · On-site

Prior Authorization experience. * 1 year of customer service or call-center experience, preferred. * Claim reviews/audit experience, preferred. * Data entry experience, preferred. * Knowledge of ...

SGS Consulting

Tech I - Prior Authorization

Richardson, TX · On-site

$16 - $19.25/hr

This position takes in-coming calls from members, providers, etc. providing professional phone assistance to all callers through the criteria based prior authorization process. * Maintains complete ...

SGS Consulting

Tech I - Prior Authorization

Richardson, TX · On-site

$16 - $19.25/hr

This position takes in-coming calls from members, providers, etc. providing professional phone assistance to all callers through the criteria based prior authorization process. * Maintains complete ...

previous pagenext page

Showing results 21-40

All JobsPrior Authorization JobsPrior Authorization Jobs in Texas

Prior Authorization information

See Texas salary details

$12

$19

$30

How much do prior authorization jobs pay per hour?

As of Aug 12, 2026, the average hourly pay for prior authorization in Texas is $19.47, according to ZipRecruiter salary data. Most workers in this role earn between $16.11 and $21.49 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a prior authorization specialist, and why are they important?

To thrive as a Prior Authorization Specialist, you need strong knowledge of medical terminology, insurance processes, and healthcare regulations, typically supported by a high school diploma or associate degree in a healthcare-related field. Familiarity with electronic medical records (EMR) systems, insurance portals, and authorization management software is essential. Attention to detail, effective communication, and problem-solving abilities help you navigate complex cases and collaborate with providers and payers. These skills ensure accurate and timely processing of authorizations, minimizing delays in patient care and reducing administrative errors.

What are some common challenges faced by prior authorization specialists, and how can applicants prepare for them?

Prior Authorization specialists often encounter challenges such as navigating complex insurance policies, managing high volumes of requests, and communicating effectively with both healthcare providers and insurance representatives. To prepare for these challenges, applicants should develop strong organizational skills, attention to detail, and a good understanding of medical terminology and insurance guidelines. Familiarity with electronic health records (EHR) systems and the ability to multitask in a fast-paced environment are also valuable assets in this role.

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

AspectPrior AuthorizationMedical Billing Specialist
CredentialsTypically requires knowledge of insurance policies, healthcare regulations, and sometimes certifications like NCQA or AHIPRequires knowledge of coding, billing procedures, and often certifications like CPC or CCS
Work EnvironmentHealthcare provider offices, insurance companies, or hospitalsMedical offices, billing companies, or healthcare facilities
Employer & Industry UsageUsed by healthcare providers and insurers to approve treatments or proceduresUsed by healthcare providers and billing companies to process claims and payments

While both roles are essential in healthcare administration, Prior Authorization focuses on obtaining approval for treatments, whereas Medical Billing Specialists handle the financial aspects of claims processing. Understanding their differences helps clarify their distinct responsibilities within the healthcare system.

How do I become a prior authorization specialist?

To become a prior authorization specialist, you typically need a high school diploma or equivalent and gain experience in healthcare or insurance billing. Relevant skills include knowledge of medical terminology, insurance policies, and proficiency with electronic health record (EHR) systems; certifications such as Certified Medical Administrative Assistant (CMAA) can also enhance job prospects.

What is a prior authorization job?

A prior authorization job involves reviewing and processing requests from healthcare providers to approve specific medical treatments, medications, or procedures before they are administered. The role requires knowledge of insurance policies, medical terminology, and attention to detail, often utilizing electronic health record systems. It is essential for ensuring that treatments meet insurance criteria and are covered under the patient's plan.

What are the career paths in prior authorization?

Careers in prior authorization typically include roles such as prior authorization specialists, medical reviewers, and healthcare administrators. Advancement can lead to supervisory or managerial positions, and professionals often develop skills in healthcare regulations, insurance policies, and medical coding. Certifications in medical billing and coding can enhance career growth in this field.

What is prior authorization?

Prior authorization is a process used by health insurance companies to determine if they will cover a prescribed procedure, service, or medication. Before the provider delivers the service, they must receive approval from the insurer. This process helps control costs and ensures that the service or medication is medically necessary. It often involves submitting documentation and waiting for a decision, which can sometimes delay patient care. Patients and providers should check with insurance companies to understand which services require prior authorization.
More about Prior Authorization jobs
What are the most commonly searched types of Prior Authorization jobs in Texas? The most popular types of Prior Authorization jobs in Texas are:
What are popular job titles related to Prior Authorization jobs in Texas? For Prior Authorization jobs in Texas, the most frequently searched job titles are:
What job categories do people searching Prior Authorization jobs in Texas look for? The top searched job categories for Prior Authorization jobs in Texas are:
What cities in Texas are hiring for Prior Authorization jobs? Cities in Texas with the most Prior Authorization job openings:
Prior Authorization jobs near you
Infographic showing various Prior Authorization job openings in Texas as of August 2026, with employment types broken down into 87% Full Time, and 13% Contract. Highlights an 87% In-person, and 13% Remote job distribution, with an average salary of $40,489 per year, or $19.5 per hour.

Prior Authorization Therapist

W3R

Austin, TX • On-site

Part-time

Re-posted 25 days ago

Job description

Company Description

Established in 1995 and headquartered out of Southfield, MI, w3r Consulting is a national leader in technology consulting. We work tirelessly as a staffing firm to connect top talent to premier organizations across America while simultaneously helping corporations identify and maximize their business objectives and processes to ensure optimal success.


Operating out of 5 states currently, and expanding our consultant and client base daily, we realize building relationships are critical to the success of w3r. We value our relationships with our clients as much as we do with our employees and our business partners. These relationships are based on mutual interest, and create added value for all parties involved. Our low turnover, combined with our long-lasting relationships serve as a true testament of our strengths.


- See more at: http://www.w3r.com/about-us/#sthash.QEZKFTo8.dpuf

Job Description
  • Conducts pre-service, concurrent/continued stay, retrospective, out of network and appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts. 
  • Service requests may be from electronic transmission, inbound calls and facsimile. 
  • Outbound calls to the provider may be required to gather additional information that may be needed.

  • Conducts review activities which require the review of clinical information against client specific criteria, but excludes denial determinations.
  • Ensures member access to medical necessary, quality healthcare in a cost effective setting according to contract.
  • Consults with clinical reviewers and/or medical directors regarding members diagnosis, strengths and deficits, current functioning at home, at work and in the community to ensure medically appropriate, high quality, cost effective care throughout the medical management process.
  • Collaborates with providers to assess members, needs for early identification of and proactive planning for therapy.

Basic Qualifications:


Must meet Texas State licensure requirements for practicing in related field(s) and possess current and unrestricted PT, OT, or ST license from the State of Texas.

Minimum of two (2) years post licensure experience in area of licensure in a hospital, clinic or agency.

Bachelors degree (or higher) in Physical, Occupational, Speech Therapy from an approved / accredited school in related field (APTA, NBCOT, ASHA).


Preferred Qualifications:


Prior Authorization experience.

  • 1 year of customer service or call-center experience, preferred.
  • Claim reviews/audit experience, preferred.
  • Data entry experience, preferred.
  • Knowledge of utilization management process and ability to interpret and apply member contracts, and member benefits, preferred.
  • Strong customer service focus, preferred:
  • Ability to empathize,
  • Demonstrated ability to effectively and sensitively interact with people from different cultural groups.
  • Excellent interpersonal and communication skills.
  • Basic computer knowledge with the ability to learn additional computer programs, required.
  • Proficient analysis and problem solving capabilities.
  • Proficient critical clinical thinking skills.
  • Must be able to communicate in English (verbal/ and written).




Apply