Prior Authorization Specialist

2 months ago


Houston, United States Central Home Health services of Texas Full time

Overview:
**Responsibilities**:

- Review and process prior authorization requests for medical services
- Verify insurance coverage and ensure all necessary documentation is complete
- Communicate with healthcare providers, insurance companies, and patients regarding authorization status
- Maintain accurate records of authorizations and follow-up as needed
- Stay updated on insurance policies, guidelines, and industry regulations

**Requirements**:

- Experience in a home health care agency or medical office
- Knowledge of ICD-10 coding and medical terminology
- Familiarity with HIPAA regulations
- Strong attention to detail and organizational skills
- Ability to work effectively in a fast-paced environment
- Previous experience in a healthcare office or medical coding is a plus

Pay: $15.00 - $20.00 per hour

Expected hours: 40 per week

**Benefits**:

- Health insurance
- Paid time off

Weekly day range:

- Monday to Friday

Ability to Relocate:

- Houston, TX 77024: Relocate before starting work (required)

Work Location: In person



  • Houston, United States Team1Medical Full time

    Job DescriptionJob DescriptionPrior Authorization SpecialistZip Code: Houston, TX 77040 | Location: Northwest Houston | Highway 290 NorthEmployment Type: Temp-to-hire | Workplace Type: On-siteHealthcare Specialty: Billing Services | Salary: $20 - $24 an hourStep into the role of the Prior Authorization Specialist to impact one of Houston's prominent...


  • Houston, United States Team1Medical Full time

    Job DescriptionJob DescriptionPrior Authorization SpecialistZip Code: Houston, TX 77040 | Location: Northwest Houston | Highway 290 NorthEmployment Type: Temp-to-hire | Workplace Type: On-siteHealthcare Specialty: Billing Services | Salary: $20 - $24 an hourStep into the role of the Prior Authorization Specialist to impact one of Houston's prominent...


  • Houston, United States Pharmacy Careers Full time

    Remote Prior Authorization Pharmacist**Job Description:**We are actively seeking a dedicated Pharmacist to join our remote team with a focus on Prior Authorization. In this role, you will play a crucial part in evaluating medication requests, ensuring adherence to guidelines, and facilitating the prior authorization process—all from the convenience of your...


  • Houston, United States A-Line Staffing Solutions Full time

    Job DescriptionJob DescriptionA-Line Staffing is now hiring Remote Prior Authorization Pharmacy Technician! The Remote Prior Authorization Pharmacy Technician would be working for a Fortune 500 company and has career growth potential. This would be full time / 40+ hours per week.Remote Prior Authorization Pharmacy Technician CompensationThe pay for this...


  • Houston, United States A-Line Staffing Solutions Full time

    Job DescriptionJob DescriptionA-Line Staffing Solutions is Hiring Remote Pharmacists for a Top Fortune 500 Client !Summary and Responsibilities:1) reviewing Prior Authorization, verify proven and/or medically necessary indications and review clinical documentation in support of prior authorization reviews,(2) provide internal pharmacist support to the PA...


  • Houston, United States Prelude Fertility Full time

    The Authorization Specialist is responsible for providing a great patient experience by checking patient eligibility and initiating prior authorizations. Includes utilizing online resources, reviewing medical records, calling insurance companies, and completing authorization forms in our Electronic Medical Record system. ESSENTIAL RESPONSIBILITIES:Check...


  • Houston, United States Inception Fertility Corporate Services Full time

    Job DescriptionJob DescriptionThe Authorization Specialist is responsible for providing a great patient experience by checking patient eligibility and initiating prior authorizations. Includes utilizing online resources, reviewing medical records, calling insurance companies, and completing authorization forms in our Electronic Medical Record...


  • Houston, United States Prelude Fertility Full time

    The Authorization Specialist is responsible for providing a great patient experience by checking patient eligibility and initiating prior authorizations. Includes utilizing online resources, reviewing medical records, calling insurance companies, and completing authorization forms in our Electronic Medical Record system. ESSENTIAL RESPONSIBILITIES:Check...


  • Houston, United States Inception Fertility Corporate Services Full time

    Job DescriptionJob DescriptionThe Authorization Specialist is responsible for providing a great patient experience by checking patient eligibility and initiating prior authorizations. Includes utilizing online resources, reviewing medical records, calling insurance companies, and completing authorization forms in our Electronic Medical Record...


  • Houston, United States MRI Full time

    Job DescriptionJob Description***REMOTE IN TEXAS*****MUST HAVE LVN/LPN License**Position Purpose:Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance with national standards, contractual requirements, and a member's benefit coverage. Provides recommendations to the appropriate...


  • Houston, United States Texas Vascular and Imaging Full time

    This is a joint office with Vascular and Orthopedic surgeons. Responsible for verifying benefits prior to procedures and notifying the patient of financial responsibility. Maintains information in an organized manner and obtains pre-authorization for procedures as required by the Insurance Companies. Reviews financial obligation with patient and family...


  • Houston, United States BAXTER Full time

    **This is where you save and sustain lives** At Baxter, we are deeply connected by our mission. No matter your role at Baxter, your work makes a positive impact on people around the world. You’ll feel a sense of purpose throughout the organization, as we know our work improves outcomes for millions of patients. Baxter’s products and therapies are found...


  • Houston, United States A-Line Staffing Solutions Full time

    Job DescriptionJob DescriptionFull time REMOTE Pharmacy Technician (Prior Authorization) openings with a major healthcare company!  Pharmacy Technician PAY RATE: $18.00- $18.75 per hour based on experiencePharmacy Technician HOURS: 40 hours per week. 8- hr shift between 8 AM – 8 PM (might include 1 Saturday each month)Pharmacy Technician Description:...


  • Houston, United States Riverkids Pediatric Home Health Full time

    At Riverkids Pediatric Home Health, you are more than an employee, here you are our CREW members. We are actively seeking an Insurance Authorizations Specialist to aid in obtaining insurance approvals for our patients. You will work as part of a team under direct supervision of the Sr. Authorization Specialist. This is our entry level position that is...


  • Houston, United States DEPARTMENT OF AGRICULTURE Full time

    **TDA-FND- Prior Approval Compliance Specialist (57757)** **(**00042604**)** **Organization**: DEPARTMENT OF AGRICULTURE **Primary Location**: Texas-Houston **Work Locations**: REGION 3 HOUSTON 5425 Polk Street Ste. G-20 Houston 77023 **Other Locations**: Texas-Waco, Texas-Fort Worth, Texas-El Paso, Texas-Austin, Texas-San Antonio **Job**: Business and...


  • South Houston, United States Hobson Prior Full time

    Hobson Prior is seeking a Hematology Clinical Account Manager for a permanent position in South Houston. The successful candidate will be responsible for representing our products and services to a defined customer base, generating and growing sales, and consistently achieving or exceeding sales goals. This role requires a comprehensive understanding of our...


  • South Houston, United States Hobson Prior Full time

    Hobson Prior is seeking a Hematology Clinical Account Manager for a permanent position in South Houston. The successful candidate will be responsible for representing our products and services to a defined customer base, generating and growing sales, and consistently achieving or exceeding sales goals. This role requires a comprehensive understanding of our...


  • South Houston, United States Hobson Prior Full time

    Hobson Prior is seeking a Hematology Clinical Account Manager for a permanent position in South Houston. The successful candidate will be responsible for representing our products and services to a defined customer base, generating and growing sales, and consistently achieving or exceeding sales goals. This role requires a comprehensive understanding of our...


  • South Houston, United States Hobson Prior Full time

    Hobson Prior is seeking a Hematology Clinical Account Manager for a permanent position in South Houston. The successful candidate will be responsible for representing our products and services to a defined customer base, generating and growing sales, and consistently achieving or exceeding sales goals. This role requires a comprehensive understanding of our...


  • South Houston, United States Hobson Prior Full time

    Hobson Prior is seeking a Hematology Clinical Account Manager for a permanent position in South Houston. The successful candidate will be responsible for representing our products and services to a defined customer base, generating and growing sales, and consistently achieving or exceeding sales goals. This role requires a comprehensive understanding of our...