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Remote Medical Authorization Jobs in Texas (NOW HIRING)

Pharmacy Prior Authorization Specialist

Houston, TX ยท On-site +1

$19.50 - $25.25/hr

Remote work possible after initial on-site training. Why Join Us? * A career with purpose: Help ... Medical; Dental; Vision * 401k with a match * Paid Time Off and Paid Holidays * Tuition ...

1099 - Medical

Fort Worth, TX ยท Remote

$35/hr

We offer a remote work environment. Work from home criteria includes but is not limited to ... S. work authorization to join us as we are not able to offer sponsorship at this time. TimelyCare ...

$14 - $18/hr

Pay $11.25 Monolingual, $11.75 bilingual Weekly Pay & Benefits Day Shift, Remote Member Service ... Medical and Dental terminology preferred. * Authorization and claims preferred. * 3-6 Months call ...

Medical reimbursement program for qualifying representatives * Company-supported life insurance ... Must be legally authorized to work in the United States * Must be physically located within the ...

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Remote Medical Authorization information

What is a remote medical authorization specialist?

A Remote Medical Authorization specialist is a professional who reviews and processes medical authorization requests from healthcare providers, typically working from a remote location. Their main responsibility is to ensure that medical procedures, treatments, or medications meet specific criteria for insurance coverage or regulatory compliance before approval. They communicate with providers, insurance companies, and sometimes patients to gather necessary information and make informed decisions. This role requires a strong understanding of medical terminology, insurance policies, and healthcare regulations. Remote Medical Authorization specialists play a crucial role in streamlining healthcare access while managing cost and compliance.

What are the key skills and qualifications needed to thrive as a remote medical authorization specialist?

To thrive as a Remote Medical Authorization Specialist, you need a solid understanding of medical terminology, insurance procedures, and prior authorization processes, usually backed by experience in healthcare administration or a related field. Familiarity with electronic health records (EHR) systems, insurance portals, and authorization management software is typically required. Strong attention to detail, effective communication, and organizational skills are crucial for handling complex cases and collaborating across teams. These competencies are vital for ensuring timely, accurate authorizations that support patient care and optimize reimbursement.

What are some common challenges faced by professionals in a remote medical authorization role, and how can they be effectively managed?

Professionals in a Remote Medical Authorization role often encounter challenges such as coordinating with multiple healthcare providers, managing a high volume of authorization requests, and ensuring compliance with complex insurance policies. Effective communication skills, attention to detail, and strong organizational abilities are essential for managing these demands. Utilizing digital tools and maintaining up-to-date knowledge of payer guidelines can help streamline workflows and reduce errors. Building strong relationships with both clinical teams and insurance representatives also supports smoother case resolution.

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

AspectRemote Medical AuthorizationRemote Medical Billing Specialist
Required CredentialsMedical license, certification in medical authorization or prior authorizationMedical billing certification, knowledge of coding and insurance
Work EnvironmentHealthcare providers, insurance companies, remoteMedical offices, insurance companies, remote
Industry UsageUsed to obtain prior approvals for treatments or proceduresHandles billing, coding, and insurance claims processing

Remote Medical Authorization focuses on obtaining prior approvals for medical procedures, requiring medical credentials. Remote Medical Billing Specialists handle billing and coding tasks, often requiring billing certifications. Both roles are essential in healthcare but serve different functions within the industry.

What cities in Texas are hiring for Remote Medical Authorization jobs?

Cities in Texas with the most Remote Medical Authorization job openings:

Infographic showing various Remote Medical Authorization job openings in Texas as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 14% Part Time, and 6% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution.

Remote Ambulatory Surgery MRT Coder

Fidelity Partners

Cleveland, TX โ€ข Remote

$35.21/hr

Full-time

Posted 3 days ago

New


Job description

Ambulatory Surgery MRT Coder

VA Northeast Ohio Healthcare System – Cleveland, Ohio

This Position Is Contingent Upon Bid Award

Work Location

Department of Veterans Affairs

VA Northeast Ohio Healthcare System / Cleveland VA Medical Center

Wade Park Campus

10701 East Boulevard

Cleveland, OH 44106

Citizenship / Access Requirements: U.S. citizenship is required. Personnel must satisfy all VA suitability, background-investigation, PIV, privacy, information-security, and system-access requirements.

Security Requirements: No classified clearance is specified. Favorable VA screening, National Agency Check initiation, PIV eligibility, and applicable ADP-sensitive access requirements apply.

Type of Employment: Full-Time Contractor Position with W-2 employment through Fidelity Partners.

Estimated Compensation: $35.21 per hour.

Paid Sick Leave: Up to 56 hours per year, accrued in accordance with Fidelity Partners policy and applicable requirements.

Working Hours: Work must be staffed within the Monday-through-Friday service window of 6:00 AM–6:00 PM local facility time. Individual schedules will be assigned based on operational needs; off-hours work requires prior approval.

Work Arrangement: Remote work is authorized through an approved VA VPN. Work is normally performed at the contractor facility or another approved location within a U.S. jurisdiction unless otherwise agreed.

Period of Performance: November 1, 2026 through October 31, 2028, including one option year, with a potential extension of services of up to six months.

Summary of Services

The Ambulatory Surgery MRT Coder will code and validate ambulatory surgery encounters and related diagnostic, procedural, anesthesia, and pathology services. The role ensures that CPT, ICD-10-CM, HCPCS, modifiers, and supporting documentation accurately reflect the care provided.

Mandatory Qualifications

U.S. citizenship and fluency in spoken and written English.

Current acceptable AHIMA or AAPC credential, such as RHIT, RHIA, CCS, CCS-P, CPC, COC, or CIC, maintained throughout performance.

At least two years of continuous professional coding experience in a comparable VA Level 1A healthcare environment or equivalent complex healthcare setting.

Proficiency with ICD-10-CM, ICD-10-PCS, CPT, HCPCS, E/M coding, modifiers, and compliant provider queries as applicable to assigned work.

Proficiency with Oracle Health coding workflows; familiarity with Solventum CRS, VistA, CPRS, and VIRR is preferred or required for assigned duties.

Ability to meet VA productivity, timeliness, data-security, privacy, quality, and coding-accuracy requirements.

Duties and Responsibilities

Review ambulatory surgery records and assign accurate ICD-10-CM, CPT, HCPCS, and modifier information.

Code surgical procedures and related anesthesia, pathology, diagnostic, and professional services as assigned.

Validate operative documentation, medical necessity, bundling edits, and code sequencing.

Submit compliant provider queries when operative or supporting documentation requires clarification.

Correct coding edits, rejections, audit findings, and identified documentation deficiencies.

Meet contract standards for accuracy, productivity, timeliness, and data integrity.

Use Oracle Health, Solventum CRS, CPRS, VistA, VIRR, and other authorized VA systems as required.

Protect patient information and comply with HIPAA, the Privacy Act, VA security requirements, and applicable coding standards.

Required Candidate Submission Documents

Current resume documenting qualifying education, credentials, systems proficiency, and at least two years of relevant coding experience.

Copy of a current qualifying AHIMA or AAPC certification.

About Us

Fidelity Partners is an Inc. 5000 USA company that provides medical, technical, logistical, and administrative services to the federal government and commercial clients across the country. Fidelity offers competitive salaries and benefits packages.

Qualified applicants are encouraged to learn more about us at www.fidelitypartners.org, call us at (210) 822-4005, or visit our careers page to join our team.

Fidelity Partners provides equal employment opportunities without regard to race, color, religion, sex, national origin, age, disability, or any other status protected in accordance with applicable federal, state, and local laws (EOE).