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Remote Prior Authorization Rn Jobs in Fort Worth, TX

Janus Health

Business Analyst

Dallas, TX · On-site +1

Responsibilities * Analyze prior authorization and claim status datasets to identify trends ... Physical Demands This job is operated in a professional remote or in-office environment. This job ...

CVS Health

Case Manager Registered Nurse

Dallas, TX · Remote

$54K - $129K/yr

Case Manager RN (100% Remote - Nationwide) FullTime | Work from Anywhere Nationwide | No Travel Required We're seeking a compassionate and resultsdriven Case Manager RN to support members through ...

CVS Health

Case Manager Registered Nurse

Fort Worth, TX · Remote

$54K - $129K/yr

Case Manager RN (100% Remote - Nationwide) FullTime | Work from Anywhere Nationwide | No Travel Required We're seeking a compassionate and resultsdriven Case Manager RN to support members through ...

CVS Health

Case Manager Registered Nurse

Fort Worth, TX · Remote

$54K - $129K/yr

Case Manager RN (100% Remote - Nationwide) FullTime | Work from Anywhere Nationwide | No Travel Required We're seeking a compassionate and resultsdriven Case Manager RN to support members through ...

CVS Health

Case Manager Registered Nurse

Dallas, TX · Remote

$54K - $129K/yr

Case Manager RN (100% Remote - Nationwide) FullTime | Work from Anywhere Nationwide | No Travel Required We're seeking a compassionate and resultsdriven Case Manager RN to support members through ...

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All JobsPrior Authorization Rn JobsRemote Prior Authorization Rn JobsRemote Prior Authorization Rn Jobs in Fort Worth, TX

Remote Prior Authorization Rn information

See Fort Worth, TX salary details

$7

$40

$69

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

As of Aug 11, 2026, the average hourly pay for remote prior authorization rn in Fort Worth, TX is $40.49, according to ZipRecruiter salary data. Most workers in this role earn between $30.19 and $47.93 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 popular job titles related to Remote Prior Authorization Rn jobs in Fort Worth, TX? For Remote Prior Authorization Rn jobs in Fort Worth, TX, the most frequently searched job titles are:
What job categories do people searching Remote Prior Authorization Rn jobs in Fort Worth, TX look for? The top searched job categories for Remote Prior Authorization Rn jobs in Fort Worth, TX are:
What cities near Fort Worth, TX are hiring for Remote Prior Authorization Rn jobs? Cities near Fort Worth, TX with the most Remote Prior Authorization Rn job openings:
Remote Prior Authorization Rn jobs near you
Infographic showing various Remote Prior Authorization Rn job openings in Fort Worth, TX as of August 2026, with employment types broken down into 80% Full Time, 15% Part Time, and 5% Contract. Highlights an 100% Remote job distribution, with an average salary of $84,212 per year, or $40.5 per hour.

Business Analyst

Janus Health

Dallas, TX • On-site, Remote

Full-time

Re-posted 9 days ago

Job description

At Janus, we believe in a world where healthcare functions efficiently. Join us on our mission to improve the lives of administrative workers and fundamentally change the way work is done. Our team is building a world-class process improvement platform to help healthcare providers generate more cash with less resources.
Our employees are our greatest asset, and we are passionate about creating strong culture with deep purpose. We are entrepreneurial and focused, yet humble, empathetic and inclusive. We value the individual and tackle problems as a team. The best idea wins, and teams celebrate together.
Summary
We are seeking a motivated and analytically driven Business Analyst with a strong foundation in healthcare revenue cycle management to join our Prior Authorization and Enriched Claim Status Automation Product Team. In this role, you will partner closely with product managers to analyze complex datasets, identify growth opportunities, and drive the evolution of our automation solutions. Your work will be instrumental in delivering products that streamline revenue cycle operations and create measurable value for our healthcare clients. The ideal candidate brings 1-3 years of hands-on experience in healthcare revenue cycle environments, with demonstrated knowledge of prior authorization, admission notification workflows, and claim status processes from both provider and payer perspectives. You should have a solid understanding of the healthcare data landscape, including patient encounter data and standard EDI transaction sets (278 inquiry/response, 835/837, 276/277, 270/271, etc.), along with exposure to FHIR APIs and modern interoperability standards. Success in this role requires strong analytical capabilities, technical aptitude, and a customer-centric mindset-you must be comfortable translating data insights into actionable recommendations while keeping client needs at the forefront.
Responsibilities
  • Analyze prior authorization and claim status datasets to identify trends, performance metrics, and improvement opportunities
  • Conduct root cause analysis on process inefficiencies, claim denials, and authorization delays
  • Research and analyze payer clinical policies, medical necessity criteria, and prior auth submission requirements
  • Monitor customer feedback and product performance to identify enhancement opportunities
  • Maintain current knowledge of industry standards, payer requirements, and regulatory changes affecting prior authorization workflows and claims processes
  • Document and map complex healthcare workflows and identify pain points and automation opportunities
  • Gather business requirements and create detailed user stories, process flows, and functional specifications
  • Develop and maintain documentation of workflows, data specifications, and product features
  • Partner with product managers to define and prioritize features based on data insights and customer needs
  • Participate in product discovery sessions and contribute analytical perspectives
  • Collaborate with implementation and support teams to identify, document, and resolve product issues and defects
  • Communicate complex technical and analytical concepts effectively to both technical and non-technical audiences

Please note that this job description is not intended to be an exhaustive list of all responsibilities, expected outcomes, or qualifications associated with the role. Janus reserves the right to make changes and/or assign additional responsibilities of a role within reason at any time, with or without notice.
Qualifications
  • Bachelor's degree in Business Administration, Computer Science, Healthcare Administration, or related field
  • 1-3 years of experience working with prior authorization and admission notification workflow and claim status processes on the provider and payer sides
  • Experience working with provider organizations, EHR systems, and RCM platforms; familiarity with EPIC is a plus
  • Hands-on experience with AI applications, Payer Guidelines, and Clinical Documentation initiatives
  • Strong critical thinking skills to address complex healthcare business challenges
  • Strong data analytical skills, strong SQL and Excel proficiency preferred
  • Comfortable creating and using process diagrams and flowcharts (MS Visio, Draw IO, etc.)
  • Excellent written and verbal communication skills
  • Ability to thrive in a fast-paced, dynamic environment with shifting priorities
  • Knowledge of healthcare EDI transactions, including 278 X215/216/217, 837, 835, 276/277, and 270/271 EDI transactions
  • Must be located in the United States; no sponsorship is available at this time

Travel Requirements
This role does occasionally require domestic travel. These travel expectations will be communicated by the department manager or executive. Janus is committed to providing as much flexibility and advanced notice as possible related to scheduling travel.
Physical Demands
This job is operated in a professional remote or in-office environment. This job uses standard office equipment. This job is largely a sedentary role; however, the employee has the flexibility to move as needed. Constantly operates a computer, phone, keyboard, mouse, and other office equipment. The employee frequently communicates with internal and/or external people. Must be able to exchange accurate information in a timely manner. Must be able to recognize objects from short and long distances.
Equal Opportunity Statement
Janus is an equal opportunity employer. We hire great people from a wide variety of backgrounds and appreciate our differences. We welcome the unique contributions that you can bring in terms of your education, opinions, culture, ethnicity, race, ancestry, sex, gender identity and expression, national origin, citizenship, marital status, age, languages spoken, veteran status, color, religion, disability, sexual orientation, and beliefs.
We consider qualified applicants regardless of criminal histories, consistent with legal requirements. Further, consistent with applicable federal and state law, Janus provides reasonable accommodation when requested by qualified applicants or employees with disabilities, unless doing so would cause an undue hardship. Janus' policy regarding requests for reasonable accommodation applies to all aspects of employment, including the application process. If you require reasonable accommodation, please contact the Operations Team.

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