Top 18 Prior authorization specialist Jobs in Cedar Park, Tx

Verification Specialist
Allegiance Mobile Health —Georgetown, TX
- Full-time
- Remote
- Medical office experience
- HIPAA
- Mid-level
Quick Apply
Prior Authorization Specialist - Weekend Only
Baylor Scott & White Institute for Rehabilitation - Lakeway Hospital —Lakeway, TX
- 8 hour shift
- LVN
- RN License
- Mid-level
- Employee assistance program
- Opportunities for advancement
Benefits and Authorization Specialist
University of Texas at Austin —Austin, TX
- $45,000 a year
- Full-time
- Mid-level
- Office
- 3 years
- Retirement plan
Georgetown Surgery Center - Business Office Specialist
Regent Surgical —Georgetown, TX
- Full-time
- BLS Certification
- HIPAA
- Administrative experience
- Health savings account
- Health insurance
Quick Apply
8h
Medical Records Coordinator
NORTH AMERICAN DENTAL SLEEP MANAGEMENT LLC —Austin, TX
- Full-time
- Medical office experience
- HIPAA
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
8d
Medical Insurance Verification Specialist
ASC Sleep Solutions, LLC —Austin, TX
- $19 - $21 an hour
- Full-time
- Spanish
- Microsoft Excel
- Microsoft Outlook
- Paid time off
- Employee discount
Quick Apply
Insurance Verification Specialist
Austin Retina Associates —Austin, TX
- Overtime
- Spanish
- Medical office experience
- Mid-level
Quick Apply
Member and Provider Services Specialist
Harbor Health —Austin, TX
- Full-time
- In person
- Spanish
- HIPAA
- English
- Paid holidays
- Health insurance
Quick Apply
Insurance Authorizations
Pain Control of Texas PLLC —Austin, TX
- Full-time
- High school diploma or GED
- Organizational skills
- Medical terminology
Quick Apply
Pre-Certification Specialist
The Specialty Alliance —Austin, TX
- Full-time
- Mid-level
- High school diploma or GED
- Data entry
Quick Apply
14d
Surgical Coordinator (Varied Schedule Options)
Aspire Allergy & Sinus —Austin, TX
- Full-time
- Spanish
- Surgery
- HIPAA
- Free parking
- Paid holidays
Quick Apply
Senior Advanced Imaging Coordinator
Covenant Management Systems, L.P. —Austin, TX
- OSHA
- Computer literacy
- HIPAA
- Disability insurance
- Health insurance
Quick Apply
Front Office Administrator and Texas Notary Public
Ramirez Accounting Service Llc —Austin, TX
- $19.50 - $30.00 an hour
- Full-time
- Microsoft Word
- Spanish
- Microsoft Excel
Quick Apply
Medical Biller - Insurance A/R Specialist
Southwest Dermatology & Vein —Austin, TX
- From $17 an hour
- Full-time
- Background check
- Google Workspace
- Writing skills
- COVID-19 protective measures
- Health insurance
Quick Apply
Front Desk Receptionist - Bi-Lingual Preferred
Esperanza Neurological Group Inc —Austin, TX
- Spanish
- HIPAA
- Administrative experience
Quick Apply

More jobs to discover

Find similar jobs that you might be interested in.

Prior Authorization Specialist - Weekend Only
Baylor Scott & White Institute for Rehabilitation - Lakeway Hospital —Lakeway, TX
Using discretion and independent judgment, the Payor Relations Specialist manages the pre-certification and prior authorization of referrals scheduled for…
Prior Authorization Specialist - Weekend Only
Baylor Scott & White Institute for Rehabilitation - Outpatient —Temple, TX
Using discretion and independent judgment, the Payor Relations Specialist manages the pre-certification and prior authorization of referrals scheduled for…

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Insurance Verification and Prior Auth Specialist
Ohio Gastroenterology Group —Columbus, OH
Responds to patient calls about how out of network insurance is handled and provide patient with letter explaining this if necessary.
Quick Apply
1d
Prior Authorization Specialist
Equitas Health, Inc. —Columbus, OH
Reliable transportation, driver’s license and proof of auto insurance required. Essential job functions include, but are not limited to, driving or having…
$18.13 - $21.78 an hour
Quick Apply

Show more jobs in cities nearby

I want to receive the latest job alert for prior authorization specialist in cedar park, tx

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

prior authorization specialist jobs near cedar park, tx

Authorization Specialist jobs in Austin, TX

Medical Records Coordinator jobs in Austin, TX

Insurance Verification Specialist jobs in Austin, TX

Front Desk Receptionist jobs in Austin, TX

Imaging Manager jobs in Austin, TX

Prior Authorization Specialist jobs in Austin, TX

Notary Public jobs in Austin, TX

Member Services Representative jobs in Austin, TX

Authorization Specialist jobs in Bradenton, FL

Authorization Specialist jobs in Spokane, WA

Prior Authorization Specialist jobs in Los Angeles, CA

Remote Prior Authorization jobs in Virginia

Authorization Specialist jobs in Brooklyn, NY

Authorization Specialist jobs in Greenville, SC

Medical Records Coordinator jobs in Virginia

Medical Records Coordinator jobs in Mesa, AZ

Remote Medical jobs in Philadelphia, PA

Medical Records Coordinator jobs in Fort Collins, CO

Community Engagement Coordinator jobs in Boston, MA

Project Coordinator jobs in Mckinney, TX

Verification Specialist

Allegiance Mobile Health -
Georgetown, TX

Quick Apply

Job Details

Full-time

Qualifications

Phone communication
High school diploma or GED
Quality data entry
Client interaction via phone calls
Customer data entry

Full Job Description

SUMMARY: This position is responsible for the daily processing of patient and payer eligibility verification for ground ambulance transports, including Medicare, Medicaid, managed care, and third-party commercial insurance. The role verifies coverage for both emergency and non-emergency ambulance transports, confirms medical necessity documentation requirements, and identifies payer-specific prior authorization needs for scheduled/non-emergency transports (e.g., dialysis, discharge, and facility-to-facility runs). The daily productivity and quality standard is a minimum of 85 verifications per day utilizing web-based payer portals, clearinghouse tools (e.g., Waystar), and direct payer contact, while maintaining accuracy and completeness of eligibility data within the billing system (LOGIS).

ESSENTIAL DUTIES AND RESPONSIBILITIES:

(Responsibilities include, but are not limited to)

Meets and/or exceeds the daily quota of Medicare, Medicaid, and commercial insurance verifications for ground ambulance transports.
Verifies patient eligibility and benefits for both emergency (911) and non-emergency (scheduled) ambulance transports prior to or immediately following dispatch.
Gathers all pertinent demographic, insurance, and guarantor information from the verification source at the initial encounter or dispatch record.
Accurately documents verification results, authorization numbers, and payer notes in LOGIS to support clean claim submission.
Takes necessary steps to obtain missing demographic or insurance information, including faxing facilities, contacting dispatch, and telephone communication with patients or family members when necessary.
Follows HIPAA guidelines regarding the handling and dissemination of patient information throughout the verification process.
Coordinates with billing, collections, and dispatch staff to resolve eligibility discrepancies and reduce downstream denials.
Adheres to company policies and procedures.
Regular attendance is an essential function of the position.
Other duties as assigned.

KNOWLEDGE AND SKILLS:

Ability to read, analyze, and interpret insurance plans and ambulance-specific coverage policies.
Working knowledge of Medicare, Medicaid, and commercial insurance benefits as they apply to ground ambulance transport.
Familiarity with ambulance billing terminology, including HCPCS transport codes, loaded mileage, and origin/destination modifiers, is preferred.
Proficient in online/web-based payer portal verification as well as verbal (phone-based) verification.
Must have accurate, high-level data entry skills with a continuous quality focus.
Must have excellent phone and customer service skills.
Must be detail oriented with excellent organizational and problem-solving skills.
Experience with LOGIS, Waystar, or similar EMS billing/clearinghouse platforms is a plus.
Experience in MS Office and general computer skills.

PHYSICAL REQUIREMENTS:

Frequent use of reference manuals and payer resource materials.

MINIMUM QUALIFICATIONS:

High School Diploma required; Associate's Degree preferred.
Minimum of nine (9) months of experience in a medical office, EMS, or ambulance billing setting; prior ambulance/EMS eligibility verification experience preferred.
This is a remote position. Texas residency required.

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Other duties, responsibilities, and activities may change or be assigned at any time with or without notice.

Allegiance is an EEO employer as defined by the EEOC.

Quick Apply

Refine Your Search

prior authorization specialist jobs in cedar park, tx

Verification Specialist

Prior Authorization Specialist - Weekend Only

Benefits and Authorization Specialist

Georgetown Surgery Center - Business Office Specialist

Medical Records Coordinator

Medical Insurance Verification Specialist

Insurance Verification Specialist

Member and Provider Services Specialist

Insurance Authorizations

Pre-Certification Specialist

Surgical Coordinator (Varied Schedule Options)

Senior Advanced Imaging Coordinator

Front Office Administrator and Texas Notary Public

Medical Biller - Insurance A/R Specialist

Front Desk Receptionist - Bi-Lingual Preferred

More jobs to discover

Explore jobs in cities nearby

I want to receive the latest job alert for prior authorization specialist in cedar park, tx

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected