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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 ...

Reauthorization Specialist

Frisco, TX ยท Remote

$16.75 - $22.50/hr

This includes re-verifying client eligibility, monitor insurance lifetime caps and prior authorization periods. Schedule : Remote Mon-Fri 40 hours per week. >> We offer our team the best * Medical ...

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 ...

Remote Entry-Level Managing Agent

Arlington, TX ยท On-site +1

$14 - $18.75/hr

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 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 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 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 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 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, 81% Full Time, 13% Part Time, and 5% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution.

Benefits and Authorization Specialist - Remote

Option Care

Austin, TX โ€ข On-site, Remote

$17.75 - $23.75/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 2 days ago

New


Job description

Extraordinary Careers. Endless Possibilities.

With the nation's largest home infusion provider, there is no limit to the growth of your career.

Option Care Health, Inc. is the largest independent home and alternate site infusion services provider in the United States. With over 8,000 team members including 5,000 clinicians, we work compassionately to elevate standards of care for patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the infusion care experience for patients, customers and team members.

Join a company that is taking action to develop an inclusive, respectful, engaging and rewarding culture for all team members. At Option Care Health your voice is heard, your work is valued, and you're empowered to grow. Cultivating a team with a variety of talents, backgrounds and perspectives makes us stronger, innovative, and more impactful. Our organization requires extraordinary people to provide extraordinary care, so we are investing in a culture that attracts, hires and retains the best and brightest talent in healthcare.

Job Description Summary:

The Benefit Verification and Authorization Specialist supports patients referred to Option Care Health to receive specialty medications by completing benefit verification and authorization activities for new referrals with speed and accuracy to enable timely access to care. This role works directly with payers to understand benefit design, interpret medical policies, obtain required authorizations, and communicate coverage details and outcomes to Patient Access staff to support timely and accurate onboarding.

Job Description:

Job Responsibilities
  • Processes benefit verification or authorization for all new referrals with speed and accuracy.
  • Assist Supervisor and Manager with special assignments as needed.
Basic Education and/or Experience Requirements
  • High school diploma or equivalent is required.
  • Minimum of two years of experience in related experience.
Basic Qualifications
  • Ability to multi-task and support numerous referrals/priorities at one time.
  • Ability to work in a fast past environment.
  • High degree of self-discipline in maintaining productivity expectations.
  • Must be detail-oriented and have a high degree of quality focus.
Preferred Qualifications & InterestsHealthcare/medical billing experience preferred.
May perform other duties as assigned

Due to state pay transparency laws, the full range for the position is below:

Salary to be determined by the applicant's education, experience, knowledge, skills, and abilities, as well as internal equity and alignment with market data.

Benefits:

-Medical, Dental, & Vision Insurance

-Paid Time off

-Bonding Time Off

-401K Retirement Savings Plan with Company Match

-HSA Company Match

-Flexible Spending Accounts

-Tuition Reimbursement

-myFlexPay

-Family Support

-Mental Health Services

-Company Paid Life Insurance

-Award/Recognition Programs

Option Care Health subscribes to a policy of equal employment opportunity, making employment available without regard to race, color, religion, national origin, citizenship status according to the Immigration Reform and Control Act of 1986, sex, sexual orientation, gender identity, age, disability, veteran status, or genetic information.