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Remote Prior Authorization Jobs in Terrell, TX (NOW HIRING)

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 ...

Vital Care Infusion Services

Authorization Specialist

Dallas, TX · On-site +1

$18.92 - $23.46/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Review patient files for completeness and accuracy, ensure all revenue opportunities are included to complete and submit prior authorizations timely for payer reimbursement. * Communicate effectively ...

Jj

Field Liaison, PSC Program Operations

Dallas, TX · Remote

Identify field-reported access barriers (e.g., prior authorization criteria shifts, denial ... Primarily remote role with periodic travel (approximately 10-30%) for Field Reimbursement regional ...

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All JobsPrior Authorization JobsRemote Prior Authorization JobsRemote Prior Authorization Jobs in Terrell, TX

Remote Prior Authorization information

See Terrell, TX salary details

$12

$18

$28

How much do remote prior authorization jobs pay per hour?

As of Aug 13, 2026, the average hourly pay for remote prior authorization in Terrell, TX is $18.41, according to ZipRecruiter salary data. Most workers in this role earn between $15.24 and $20.34 per hour, depending on experience, location, and employer.

What is a remote prior authorization job?

Remote prior authorization jobs involve reviewing and processing requests from healthcare providers to determine if specific medical treatments, medications, or procedures are covered by a patient's insurance plan. Employees in these roles work from home, utilizing online systems to evaluate clinical information, communicate with providers, and ensure compliance with insurance policies. This position requires a strong understanding of medical terminology, insurance guidelines, and attention to detail to facilitate timely and accurate approvals or denials. Remote prior authorization specialists help streamline patient care by acting as a liaison between healthcare providers and insurance companies.

What are some common challenges faced by remote prior authorization specialists, and how can they be addressed?

Remote Prior Authorization specialists often encounter challenges such as navigating complex insurance requirements, managing high volumes of requests, and maintaining clear communication with healthcare providers and payers. Staying organized and up-to-date on payer policies is crucial, as requirements can vary widely between insurers. Utilizing workflow management tools and fostering strong collaboration with clinical and administrative teams can help streamline processes and reduce delays, ultimately ensuring patients receive timely care.

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

To thrive as a Remote Prior Authorization Specialist, you need a solid understanding of medical terminology, insurance processes, and healthcare regulations, often supported by experience in medical billing or coding. Familiarity with electronic health record (EHR) systems, insurance portals, and prior authorization software is typically required. Attention to detail, strong organizational skills, and effective communication are crucial soft skills in this role. These skills ensure timely and accurate processing of authorizations, reducing claim denials and supporting efficient patient care.

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

AspectRemote Prior AuthorizationRemote Medical Coder
Required CredentialsMedical credentials, insurance knowledgeMedical coding certification (CPC, CCS)
Work EnvironmentHealthcare offices, insurance companies, remoteHealthcare facilities, remote coding jobs
Industry UsageInsurance, healthcare providersHospitals, clinics, billing companies
Job FocusReviewing and approving insurance requestsTranslating medical records into codes

Remote Prior Authorization and Remote Medical Coder roles both operate within the healthcare industry but focus on different tasks. Remote Prior Authorization involves reviewing insurance requests for coverage approval, requiring insurance and medical knowledge. Remote Medical Coders translate medical records into standardized codes, primarily focusing on billing and documentation. Both roles can be performed remotely and require healthcare-related credentials, but their daily responsibilities and skill sets differ significantly.

What is a remote prior authorization job?

Remote prior authorization jobs focus on working with insurance companies to coordinate benefit coverage and get approval to provide care for a patient. In this pre-authorization role, you may collect documentation and proof of insurance, perform data entry, help evaluate the need for a particular process, and otherwise work from home to help manage the prior authorization process. Remote prior authorization personnel often answer telephone calls to provide consultations, perform initial benefit verification, document case status, actions, and outcomes in a database, and use customer service skills to help expedite cases as needed. Since this is a remote call center-style job, you may be asked to arrange for a quiet office in your house that is free of distractions.

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Remote Prior Authorization jobs near you
Infographic showing various Remote Prior Authorization job openings in Terrell, TX as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 19% Part Time, 1% Temporary, and 3% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $38,283 per year, or $18.4 per hour.

Remote PBM Prior Authorization Pharmacist

A-Line Staffing Solutions

Dallas, TX • Remote

$53 - $57/hr

Full-time

Medical, Retirement

This job post has expired 2 days ago. Applications are no longer accepted.

Job description

Role:Clinical Pharmacist Advisor (Medicare) Location:Remote (Work From Home) — anywhere in the U.S.(must hold an active pharmacist license in your state of residence) Pay Rate:$53-$57 an hr Start date: Sep 7th and Sep 28th About the Role A-Line Staffing is hiringClinical Pharmacist Advisors (Medicare)for a high-volume, remote clinical review environment. You'll conductvirtual consultations, supportmedication adherence, and completeaccurate documentation/data entrywhile working across multiple systems. Important:New hires must beon camera during training and meetings. What You'll Do Conductvirtual patient consultationsand provideMedication Therapy Management (MTM) Providemedication educationand adherence support Collaborate with healthcare teams to support patient care planning Maintainaudit-ready documentationof patient interactions and outcomes Navigatemultiple applicationsand complete detaileddata entry(dual-screen workflow) Schedule / Training Business hours:7:00 AM – 8:00 PM ET (Mon–Fri) and 7:00 AM – 4:30 PM ET (Sat–Sun) Shift assignment:Set rotation based on business needs (may include weekends / weekend rotation) Training:Mandatory attendance for the first 8 weeks Monday–Friday, 9:00 AM – 5:30 PM ET No planned vacation/time off during initial training Required Qualifications Active Registered Pharmacist (RPh) license in good standingin yourstate of residence Comfort in aproductivity-driven, remote clinical review environment Strong computer skills (high documentation workload; multiple systems) Dedicated, quiet, separate workspaceat home Wired internetmeeting25 Mbps download / 5 Mbps upload minimum Ability to stay focused for the full shift with minimal interruption Preferred Skills Experience inPBM / Medicare Part D / prior authorization / coverage determinations Strong documentation and compliance mindset Working knowledge ofExcel and Word Familiarity withAccess, PowerPoint, and Visio(nice to have) Interview Process Virtual interview (Microsoft Teams) Benefits (A-Line Staffing) Medical benefits available to eligible employees after90 days 401(k) with company match available after1 year(per plan eligibility) How to Apply Apply today through our website and a recruiter will reach out to confirm details and next steps.

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About A-Line Staffing Solutions

Sourced by ZipRecruiter

A-Line Staffing Solutions is an established full-service recruiting and staffing provider that operates in the industry of human resources and recruitment. Based in Utica, Michigan, A-Line Staffing Solutions has been committed to its mission of providing innovative and effective workforce solutions since its foundation. The company specializes in providing high-quality staffing solutions for a range of disciplines, including Information Technology, Professional, Administrative, Healthcare, and more. A-Line prides itself on its ability to offer comprehensive and tailored staffing solutions in line with the varying needs of different businesses, which has played a crucial role in the company's growth and success.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Utica, MI, US

Year founded

2004

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