Top 19 Prior authorization specialist Jobs in Denton, Tx

Prior Authorization Lead
Texas Institute for Neurological Disorders —Frisco, TX
- Full-time
- 5 years
- Clinic
- Neurology
- Health insurance
- Dental insurance
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Ambulatory Surgery Center Scheduler
Willowbend Surgery Center —Plano, TX
- From $24 an hour
- Full-time
- Background check
- Customer service
- Medical office experience
- Health insurance
- Dental insurance
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8d
Acute Clearance Specialist - Intake Coordinator - Remote
Soleo Health Inc —Frisco, TX
- $23 - $27 an hour
- Urgently hiring
- Remote
- Microsoft Word
- HIPAA
- Mid-level
- Paid parental leave
- Health savings account
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Prior Authorization Specialist - Interventional Spine / Pain Medicine
Virtuoso Spine & Joint —Carrollton, TX
- $19 - $25 an hour
- Part-time
- Spanish
- Customer service
- Medical office experience
- Paid time off
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9d
Patient Access Specialist, PRN, (Denton-Mesa)
Methodist Hospital for Surgery —Denton, TX
- Part-time
- Microsoft Outlook
- Ability to walk for extended periods
- Computer literacy
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Referral Coordinator (CPhT)
CSI Pharmacy —Plano, TX
- $26 - $28 an hour
- Full-time
- Pass drug screening
- Mid-level
- Office
Quick Apply
Pharmacy Technician - Prior Authorization Specialist
Cloud Rx Pharmacy —Farmers Branch, TX
- Full-time
- Mid-level
- In-person
- Medical terminology
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Medical Front Office Specialist
US Heart & Vascular —Frisco, TX
- Full-time
- Clinic
- Entry level
- Under 1 year
Surgical Patient Coordinator
Thrive Reconstructive Surgery —Plano, TX
- $48,000 - $55,000 a year
- Weekends as needed
- Surgery
- Medical office experience
- HIPAA
- Paid training
- Health insurance
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14d
Dental Treatment Coordinator/ Insurance Verification
Compass Dental DFW —Keller, TX
- From $22 an hour
- Part-time
- Medical office experience
- HIPAA
- In-person
- Dental insurance
- Flexible schedule
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10d
Intake Navigator
NAUTILUS HEALTH MANAGEMENT LLC - 348193 —Irving, TX
- $20 - $21 an hour
- Mid-level
- High school diploma or GED
- Home Health
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Medical Records Retrieval Specialist
Mavani Hernandez Law Firm —Carrollton, TX
- $12 - $15 an hour
- Full-time
- Spanish
- HIPAA
- In-person
- Paid time off
- Employee assistance program
Quick Apply
11d
Credentials Liaison Specialist
Bracane Co —Plano, TX
- Nursing
- 5 years
- Pass drug screening
Quick Apply
Genetic Counselor, Benefits Investigation
FULGENT THERAPEUTICS LLC —Coppell, TX
- Full-time
- Mid-level
- Master's degree
- Communication skills
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Care Coordinator [Sports Rehab PT]
Theravolve —Rhome, TX
- $16 - $18 an hour
- Full-time
- Microsoft Excel
- Medical office experience
- Mid-level
- Paid holidays
- Health insurance
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Treasury Management Client Support Specialist II
First United Bank & Trust —Plano, TX
- Overtime
- Microsoft Excel
- Microsoft Outlook
- Research
Quick Apply

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Based on your search for prior authorization specialist jobs.

Ambulatory Surgery Center Scheduler
Willowbend Surgery Center —Plano, TX
Patient coordination or front office roles. Opportunity to play a key role in patient care and surgical outcomes. High level of accountability and ownership.
From $24 an hour
Quick Apply
8d
Prior Authorization Lead
Texas Institute for Neurological Disorders —Frisco, TX
The individual in this role will own hands-on execution, optimize current workflows, and serve as the subject matter expert as our clinical operations scale.
Quick Apply

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Prior Authorization Specialist
WSD —Westerville, OH
Must have prior experience with insurances and prior authorizations. Collaborate with clinical staff to ensure timely approvals for patient treatments.
$18 - $25 an hour
Quick Apply
9d
Revenue Cycle & Prior Authorization Specialist
360 Vascular Institute —Dublin, OH
Assist patients with billing questions and payment arrangements. Obtain prior authorizations and referrals for office visits, imaging studies, and *endovascular…
$20 - $25 an hour
Quick Apply
5d

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prior authorization specialist jobs near denton, tx

Prior Authorization Lead

Texas Institute for Neurological Disorders
Frisco, TX

Quick Apply

Job Details

Full-time

Benefits

Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance

Qualifications

Health insurance authorizations
Appeals
Patient scheduling systems
Insurance prior authorization
Medicare
Managed care organization experience
Medicaid health insurance
Pre-authorization review for utilization management
Medicare regulations
Quality improvement
Medicaid regulations
Medicaid
Neurology
Process management
Cross-functional communication

Full Job Description

PRIOR AUTHORIZATION LEAD

Texas Institute for Neurological Disorders / US Neurology Associates

Department: Revenue Cycle / Operations │ Schedule: Full-Time, Monday–Friday │ Location: On-Site, Frisco

POSITION SUMMARY

The Prior Authorization Lead is a senior individual contributor responsible for owning and managing the end-to-end prior authorization workflow across a multi-site outpatient neurology practice serving patients throughout the Dallas Fort Worth area. The individual in this role will own hands-on execution, optimize current workflows, and serve as the subject matter expert as our clinical operations scale. As the department expands, this role is ultimately expected to lead a team of prior authorization specialists. This role requires expertise in neurology-specific (or similar) authorization requirements and a track record of managing high-volume, complex payer environments with minimal supervision.

The Prior Authorization Lead will bring established payer knowledge, process discipline, and the needed clinical vocabulary to communicate effectively with providers, clinical staff, and payer representatives in a fast-paced neurology environment.

KEY RESPONSIBILITIES

Prior Authorization Management

Own end-to-end prior authorization for all physician visits, procedures (EMG, EEG, infusions, Botox/injections), and ancillary services across multiple clinic locations
Initiate, track, escalate, and close authorizations within payer-required timelines — with particular attention to WellMed, Medicare Advantage, and Texas Medicaid managed care plans
Manage denial and appeal workflows: identify denial trends, gather supporting clinical documentation, and coordinate with providers and clinical staff to reverse denials
Monitor and proactively renew authorizations for ongoing treatment plans before expiration
Maintain complete and accurate authorization records in eClinicalWorks (eCW)

Workflow Integrity & Scheduling Protection

Ensure no patient is scheduled for procedures requiring authorization without verified clearance
Identify and flag high-risk scheduling exceptions prior to appointment confirmation
Work with scheduling leadership to prevent downstream rescheduling due to authorization failure
Serve as the escalation point for authorization-related scheduling conflicts and urgent cases

Benefits Verification

Verify insurance benefits prior to scheduling, including coverage, co-pays, deductibles, and out-of-pocket requirements
Identify patients requiring financial counseling or payment plan setup and facilitate appropriate referral
Confirm payer-specific requirements at the point of scheduling to prevent point-of-service surprises

Communication & Coordination

Serve as the primary internal liaison between scheduling, clinical staff, and external payer and authorization teams
Serve as the internal subject matter expert, educating and advising scheduling and clinical staff on payer-specific authorization requirements and best practices.
Proactively communicate authorization status to the scheduling team, flagging at-risk cases within 72 hours of appointment
Reduce authorization-related call and email volume reaching the scheduling queue by resolving upstream issues

Documentation & Reporting

Maintain an organized, real-time tracking system for all pending, approved, denied, and appealed authorizations
Identify process improvement opportunities and optimize workflows to eliminate authorization-related delays and maximize clearance efficiency.
Produce regular status reports for operations leadership on queue volume, turnaround times, denial rates, and appeal outcomes

QUALIFICATIONS

Required

Minimum 5 years of prior authorization experience in an outpatient healthcare setting
Demonstrated experience managing high-volume, complex authorization workflows with minimal supervision
Strong working knowledge of commercial, Medicare, Medicare Advantage, and Medicaid managed care payer requirements
Proficiency with eClinicalWorks (eCW) or a comparable EMR/practice management system
Experience with payer portals including Availity, NaviMedix, and payer-specific platforms
Ability to manage competing priorities and meet tight deadlines in a fast-paced multi-site environment
Strong written and verbal communication skills with the ability to engage clinical staff, schedulers, and payer representatives effectively

Preferred

Prior authorization experience in outpatient neurology - strongly preferred
Familiarity with neurology-specific procedures and their authorization requirements (EMG, EEG, infusion therapies, Botox, sleep studies)
Experience with WellMed, UnitedHealthcare, BCBS Texas, and Texas Medicaid managed care plans
CPAR (Certified Patient Access Representative) or equivalent certification
Experience in a multi-site outpatient specialty practice

COMPENSATION & BENEFITS
Salary Range

Commensurate with experience

Location

On-Site, Frisco

Benefits

Medical, dental, vision, PTO, 401(k)

Texas Institute for Neurological Disorders / US Neurology Associates is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected veteran status.

Benefits:

401(k)
Dental insurance
Health insurance
Paid time off
Vision insurance

Work Location: In person

Quick Apply

Refine Your Search

prior authorization specialist jobs in denton, tx

Prior Authorization Lead

Ambulatory Surgery Center Scheduler

Acute Clearance Specialist - Intake Coordinator - Remote

Prior Authorization Specialist - Interventional Spine / Pain Medicine

Patient Access Specialist, PRN, (Denton-Mesa)

Referral Coordinator (CPhT)

Pharmacy Technician - Prior Authorization Specialist

Medical Front Office Specialist

Surgical Patient Coordinator

Dental Treatment Coordinator/ Insurance Verification

Intake Navigator

Medical Records Retrieval Specialist

Credentials Liaison Specialist

Genetic Counselor, Benefits Investigation

Care Coordinator [Sports Rehab PT]

Treasury Management Client Support Specialist II

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