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Remote Prior Authorization Rn Jobs in Dallas, TX

Evaluates prior authorization requests and determines coverage eligibility based on plan guidelines and clinical criteria. * Collaborates with healthcare providers and pharmacies to obtain necessary ...

Pharmacy Technician

Irving, TX · Remote

$16.75 - $20.25/hr

Large managed care company is looking for Pharmacy Technicians to complete prior authorization ... FULLY REMOTE PAY: $12.00 CONTRACT DATES: CONTRACT TO HIRE HOURS: M-F, 8:30am - 5:30pm CST ...

Pharmacy Technician

Irving, TX · Remote

$16.75 - $20.25/hr

Large managed care company is looking for Pharmacy Technicians to complete prior authorization ... FULLY REMOTE PAY: $12.00 CONTRACT DATES: CONTRACT TO HIRE HOURS: M-F, 8:30am - 5:30pm CST ...

Pharmacy Technician

Irving, TX · Remote

$16.75 - $20.25/hr

Large managed care company is looking for Pharmacy Technicians to complete prior authorization ... FULLY REMOTE PAY: $12.00 CONTRACT DATES: CONTRACT TO HIRE HOURS: M-F, 8:30am - 5:30pm CST ...

Pharmacy Technician

Irving, TX · Remote

$16.75 - $20.50/hr

FULLY REMOTE PAY: $12.00 CONTRACT DATES: CONTRACT TO HIRE HOURS: M-F, 8:30am - 5:30pm CST ... Complete prior authorization questions within EMR and external websites for providers. * Review ...

Reauthorization Specialist

Frisco, TX · 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 ...

Specialty home infusion benefit verification and prior authorization experience required. Soleo Health Perks: * Competitive Wages * 401(k) with a Match * Referral Bonus * Paid Time Off * Great ...

^Remote Work **Must be authorized to work in USA. We are seeking an experienced Epic Tapestry ... , RN) or strong experience partnering with clinical reviewers and Medical Directors. • Prior ...

Be Seen First

Communicates selected prior authorization criteria, pharmacy benefit coverage and formulary alternatives to physicians, physician`s office staff, medical management staff and/or pharmacists.

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Remote Prior Authorization Rn information

See Dallas, TX salary details

$7

$41

$71

How much do remote prior authorization rn jobs pay per hour?

As of Jul 22, 2026, the average hourly pay for remote prior authorization rn in Dallas, TX is $41.79, according to ZipRecruiter salary data. Most workers in this role earn between $31.15 and $49.47 per hour, depending on experience, location, and employer.

What is the difference between Remote Prior Authorization Rn vs Remote Medical Coder?

AspectRemote Prior Authorization RnRemote Medical Coder
CredentialsRN license, certification in case management or utilization reviewCertification in coding (CPC, CCS), high school diploma or equivalent
Work EnvironmentHealthcare facilities, insurance companies, telehealthMedical offices, insurance companies, remote coding platforms
Industry UsageUtilization review, patient authorization, insurance approvalMedical record review, billing, coding for insurance claims

Remote Prior Authorization Rns focus on reviewing patient information to approve treatments, while Remote Medical Coders translate medical records into codes for billing. Both roles require healthcare knowledge but serve different functions within the healthcare industry.

What are the most commonly searched types of Prior Authorization Rn jobs in Dallas, TX? The most popular types of Prior Authorization Rn jobs in Dallas, TX are:
What are popular job titles related to Remote Prior Authorization Rn jobs in Dallas, TX? For Remote Prior Authorization Rn jobs in Dallas, TX, the most frequently searched job titles are:
What job categories do people searching Remote Prior Authorization Rn jobs in Dallas, TX look for? The top searched job categories for Remote Prior Authorization Rn jobs in Dallas, TX are:
What cities near Dallas, TX are hiring for Remote Prior Authorization Rn jobs? Cities near Dallas, TX with the most Remote Prior Authorization Rn job openings:
Infographic showing various Remote Prior Authorization Rn job openings in Dallas, TX as of July 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $86,922 per year, or $41.8 per hour.
Remote Prior Authorization Pharmacy Tech

Remote Prior Authorization Pharmacy Tech

Medix

Dallas, TX • On-site, Remote

$20 - $23/hr

Full-time

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


Job description

Job Responsibilities:

To perform this job successfully, an individual must be able to perform each essential function satisfactorily.

  • Evaluates prior authorization requests and determines coverage eligibility based on plan guidelines and clinical criteria.
  • Collaborates with healthcare providers and pharmacies to obtain necessary documentation, clarify prescription needs, and support accurate review.
  • Initiates prior authorization renewals and conducts ongoing outreach to obtain required information.
  • Communicates prior authorization decisions-including approvals, denials, and follow-up needs-to providers, pharmacies, and members.
  • Maintains accurate records of request status, documentation, determinations, and follow-up actions in internal systems.
  • Assists with appeals, reconsiderations, and additional review processes as needed.
  • Identifies workflow or process improvement opportunities to enhance efficiency and service quality.
  • Ensures compliance with all regulatory requirements, plan policies, and internal procedures related to prior authorization operations.
  • Supports internal clinical and operational teams by providing timely updates, information, and administrative support related to PA workflows.
  • Performs other duties as assigned or requested. Any one position may not include all the duties listed; these duties represent the key responsibilities typically associated with this role.

Required Experience:

  • Experience in PBM, PBM Adjacent, Health Plan or pharmacy-related setting.
  • Knowledge of prior authorization processes and insurance benefit guidelines.
  • Strong attention to detail, organizational skills, and accuracy in documentation.
  • Excellent communication and problem-solving abilities.
  • Ability to manage multiple priorities and deadlines in a fast-paced environment.
  • Active pharmacy technician license

Preferred Qualifications:

  • Familiarity with pharmacy claims processing, PA platforms, and formulary structures.
  • Demonstrated ability to collaborate effectively with internal and external stakeholders.
  • Pharmacy Technician Certification

For California Applicants:

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA).

This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.

Company Description

Here at Medix, we are dedicated to providing workforce solutions to clients throughout multiple industries. We have been named among the Best and Brightest Companies to Work For in the Nation for two consecutive years. Medix has also been ranked as one of the fastest growing companies by Inc. Magazine.
Our commitment to our core purpose of positively impacting 20,000 lives affects not only the way we interact with our clients and talent, but also with our co-workers! The goal is lofty, but it is made attainable through the hard work and dedication of our teams and their willingness to lock arms together. Are you ready to lock arms with us?

Medix Staffing Solutions logo

About Medix Staffing Solutions

Sourced by ZipRecruiter

Since 2001, we’ve been dedicated to helping you achieve your goals. Medix was created to become a leading provider of workforce solutions for clients and candidates across the healthcare and life sciences industries. Today, we are that leader. Headquartered in Chicago, we have 23 offices across the United States, and staff talent around the world. Medix is committed to fulfilling our core purpose as an organization: to positively impact the lives of our talent, clients, and teammates through employment, philanthropy, and opportunity. The combination of purpose and values has nurtured our thriving culture that encourages our internal team to excel at work and in everyday life.

Industry

Recruiting and staffing services

Company size

1,001 - 5,000 Employees

Headquarters location

Chicago, IL, US