Top 174 Prior authorization Jobs in Plano, Tx

Authorization Representative (Specialty)
KabaFusion —Carrollton, TX
- Full-time
- Microsoft Excel
- HIPAA
- Mid-level
- Paid holidays
- Disability insurance
Quick Apply
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
Quick Apply
8d
Medical CSR - Quality Assurance Team - Celina Texas
J&B Medical —Celina, TX
- $17 an hour
- Weekends as needed
- Mid-level
- Office
- High school diploma or GED
- Paid holidays
- Health insurance
Quick Apply
2d
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
Quick Apply
Front Office Associate
RAYUS Radiology —Plano, TX
- Part-time
- Bilingual
- Microsoft Excel
- Microsoft Outlook
- Paid holidays
- Disability insurance
Quick Apply
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
Quick Apply
9d
Medical Billing Specialist
Psych Pointe TX —Rockwall, TX
- $23.52 - $27.00 an hour
- Part-time
- Hybrid work
- HIPAA
- Mid-level
- High school diploma or GED
- Flexible schedule
Quick Apply
14d
Insurance Verification Specialist
UROLOGY CLINICS OF NORTH TEXAS PLLC —Mesquite, TX
- Full-time
- Remote
- Basic math
- High school diploma or GED
- Communication skills
Quick Apply
Prior Authorization Supervisor
Shields Health Solutions —Dallas, TX
- Microsoft Outlook
- Mid-level
- High school diploma or GED
Quick Apply
8d
Intake Assessor
Ascent Healthcare Texas —Plano, TX
- $62,000 - $80,000 a year
- Full-time
- Licensed Clinical Social Worker
- LPC
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Medical Office Coordinator
Lumina Medical —Plano, TX
- $18 - $30 an hour
- Full-time
- HIPAA
- Mid-level
- Organizational skills
- Opportunities for advancement
Quick Apply
4d
Referral Coordinator (CPhT)
CSI Pharmacy —Plano, TX
- $26 - $28 an hour
- Full-time
- Pass drug screening
- Mid-level
- Office
Quick Apply
Medical Authorization Specialist
Enovis —Dallas, TX
- Full-time
- Research
- Mid-level
- Office
- Health insurance
- Dental insurance
Medical Services Coordinator
LifeStance Health —Plano, TX
- From $21.75 an hour
- Full-time
- Psychiatry
- HIPAA
- Mid-level
- Paid parental leave
- AD&D insurance
Quick Apply
14d
Receptionist / Patient Coordinator
Azouz Plastic and Cosmetic Surgery —Dallas, TX
- $18 - $20 an hour
- Part-time
- Hybrid work
- Spanish
- Google Workspace
- Microsoft Outlook
- Flexible schedule
Quick Apply
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
Quick Apply
14d
Patient Benefits Representative Sr
Texas Oncology —Dallas, TX
- Full-time
- Microsoft Excel
- HIPAA
- Finance
Data Intake Associate - Hybrid
Caris MPI, Inc. —Irving, TX
- Overtime
- Microsoft Outlook
- Customer service
- Pass drug screening
Patient Benefits Representative Float- Garland/Rowlett
Texas Oncology —Garland, TX
- Full-time
- Microsoft Excel
- HIPAA
- Finance
3d
Supporting Documentation Specialist
Pediatric Home Service —Richardson, TX
- Online Application
- 21 years or older
- Children
- Home Health
- Disability insurance
- Health insurance
Quick Apply

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Authorization Representative (Specialty)

KabaFusion
Carrollton, TX

Quick Apply

Job Details

Full-time

Benefits

Paid holidays
Disability insurance
Paid time off
401(k) 4% Match
Employee assistance program
401(k) matching
Life insurance
Referral program

Qualifications

Medicare
High school diploma or GED
Medicaid health insurance
HCPCS
Medicare regulations
Medicaid regulations
Medicaid
Cross-functional collaboration
Medical terminology
Cross-functional communication

Full Job Description

Come join an exciting and innovative company that puts the “care” back in healthcare!

At KabaFusion, our patients come from all walks of life and so do we. We hire GREAT people, period! Our culture celebrates and supports the differences that make us unique. Here, it doesn’t matter what your role is, your hard work and dedication is not only recognized but celebrated. Join us and find out why this is the place to excel and do your best work.

About Us:

What started as a single pharmacy in 2010 has grown into KabaFusion becoming the largest privately held home infusion company in the country. We have a national network of pharmacies and nursing offices strategically placed to service 40+ states. Couple that with over 30 years of combined experience and it’s no wonder why KabaFusion is the industry leader in home infusion.

JOB SUMMARY:

This position is responsible for ensuring patients continue care without delay by securing accurate insurance verification, required authorizations, and complete start‑of‑care documentation. This position protects revenue integrity, supports clean claims, and ensures compliance while coordinating effectively with patients, payers, and internal teams in alignment with the organization’s mission and operational goals.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

1. Provides courteous and professional telephone support to patients, families, referral sources, payors, and clinical staff.

2. Verifies insurance coverage prior to deliveries to ensure accuracy, active coverage and notifies internal departments and patients of any policy changes or benefit terminations.

3. Ensures services to be provided are eligible and covered under the patient’s insurance benefits.

4. Ensures accurate and timely completion of start‑of‑care, Financial Obligation, and Medicare/Medicaid forms and coordinates prompt distribution to the Pharmacy and Nursing Departments via electronic or postal delivery.

5. Collects, verifies, and documents insurance cost‑share and authorization details, including coinsurance, copays, deductibles, and requirements.

6. Tracks authorization needs and expirations and secures authorization for ongoing patient care to prevent missed administration of medication.

7. Provides timely notification to internal stakeholders, prescribers, and patients regarding authorization approvals, issues, or delays in care.

8. Accurately estimates patient financial responsibility by applying insurance verification information, payer contracts, and self‑pay policies.

9. Coordinates and documents patient start‑of‑care materials, creating additional documentation on a timely basis as needed to support compliant service delivery.

10. Ensures complete and accurate documentation of eligibility, authorization, and communications within the electronic medical record.

11. Assists with analyzing and resolving insurance claim rejections to support timely and accurate reimbursement.

12. Protects patient health information by following regulations for HIPAA compliance

13. Other related duties as assigned by manager or designee.

JOB REQUIREMENTS AND QUALIFICATIONS

Education:

High school diploma or equivalent education.

Experience

Minimum of two (2) years in home infusion or fast-paced health care environment

Experience with …

Proficient experience with Microsoft Office including Word, Excel, and Teams, and/or electronic health care record software system preferred.

Skills and Competencies:

Knowledge of HCPCS/CPT codes, authorization submission processes, and insurance coverage requirements, including Medicare, Medicaid, and commercial plans, with familiarity in medical terminology and billing pricing methodologies.
Strong problem-solving skills with the ability to proactively research, analyze, and resolve issues independently, demonstrating initiative and sound judgment.
Proficiency in learning and working with internal company platforms, including billing, authorization, and patient management systems.
Ability to work independently with minimal supervision while effectively prioritizing, multitasking, and meeting goals and deadlines, as well as collaborating successfully with cross-functional teams.
Demonstrated accuracy in calculating pricing quotes and authorization lengths using approved units and days, coupled with effective communication skills when interacting with patients, clinical teams, and corporate departments.

What we offer:

Competitive compensation
Benefits start on your 1st day of employment
401k w 4% match – no waiting or vesting period
PTO / Floating Holidays / Paid Holidays
Company paid life insurance, short term disability
Employee Assistance programs to help with mental health / wellness
Learning & Development Programs
Perks… includes discounts on travel, cell phone, clothing and more…
Generous employee referral program

To learn more about KabaFusion, please visit our careers page: https://www.kabafusion.com/careers/

Join us and find out why this is the place to excel and do your best work.

Quick Apply

Refine Your Search

prior authorization jobs in plano, tx

Authorization Representative (Specialty)

Ambulatory Surgery Center Scheduler

Medical CSR - Quality Assurance Team - Celina Texas

Acute Clearance Specialist - Intake Coordinator - Remote

Front Office Associate

Prior Authorization Specialist - Interventional Spine / Pain Medicine

Medical Billing Specialist

Insurance Verification Specialist

Prior Authorization Supervisor

Intake Assessor

Medical Office Coordinator

Referral Coordinator (CPhT)

Medical Authorization Specialist

Medical Services Coordinator

Receptionist / Patient Coordinator

Surgical Patient Coordinator

Patient Benefits Representative Sr

Data Intake Associate - Hybrid

Patient Benefits Representative Float- Garland/Rowlett

Supporting Documentation Specialist

I want to receive the latest job alert for prior authorization in plano, tx

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