Top 64 Authorization specialist Jobs in San Antonio, Tx

Sr. Revenue Cycle Billing Specialist
Firstsource Transaction Services, LLC —San Antonio, TX
- $20 - $25 an hour
- Full-time
- Hybrid work
- HIPAA
- Research
- High school diploma or GED
- Health insurance
- Dental insurance
Quick Apply
13d
Authorization Specialist
TSAOG Orthopedic & Spine Clinics —San Antonio, TX
- $17.00 - $24.36 an hour
- Full-time
- High school diploma or GED
- Organizational skills
- Medical terminology
Quick Apply
Medical Authorization Specialist
Sports Medicine Associates of San Antonio —San Antonio, TX
- Full-time
- Word processing
- HIPAA
- Mid-level
Quick Apply
6d
Insurance Authorization Specialist
Urology San Antonio —San Antonio, TX
- Trade school
- Entry level
- Under 1 year
Quick Apply
Surgical Authorization Specialist
Sports Medicine Associates of San Antonio —San Antonio, TX
- 8 hour shift
- Surgery
- Basic math
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
6d
Prior Authorization Specialist
Spine & Joint Pain Specialists —San Antonio, TX
- From $17 an hour
- Full-time
- Customer service
- Mid-level
- High school diploma or GED
- Disability insurance
- Health insurance
Quick Apply
Financial Access Specialist
University Health —San Antonio, TX
- $18.90 - $25.25 an hour
- Full-time
- Hospital
- Medical office experience
- High school diploma or GED
Authorization Coordinator
Empower Behavioral Health —San Antonio, TX
- $40,000 - $55,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Computer literacy
Quick Apply
Workers Compensation Specialist
TSAOG Orthopedic & Spine Clinics —San Antonio, TX
- $17.00 - $24.36 an hour
- Full-time
- Computer literacy
- Research
- High school diploma or GED
Quick Apply
Medical Office Specialist
MSO - HCA Methodist Physicians —San Antonio, TX
- Full-time
- Mid-level
- Employee stock purchase plan
- Disability insurance
Quick Apply
Medical Office Specialist
Texas Transplant Physician Group —San Antonio, TX
- Full-time
- Surgery
- Mid-level
- Employee stock purchase plan
- Disability insurance
Quick Apply
Pre-Certification/Eligibility Specialist
Urology San Antonio —San Antonio, TX
- Entry level
- Under 1 year
Quick Apply
Medical Precertification Specialist
The Start Center for Cancer Care —San Antonio, TX
- Full-time
- LVN
- HIPAA
- Mid-level
Quick Apply
Medical Front Office Specialist Job – San Antonio, TX
Alamo Heights Dermatology —San Antonio, TX
- Monday to Friday
- Spanish
- Computer literacy
- English
- Free parking
- Paid training
Financial Access Specialist
University Health - San Antonio —San Antonio, TX
- $18.90 - $25.25 an hour
- Full-time
- Medical office experience
- High school diploma or GED
- Medical terminology
Billing & Collections Specialist
South Texas Spine & Surgical Hosp —San Antonio, TX
- Full-time
- Hospital
- HIPAA
- English
Quick Apply
Medical Billing Specialist
Progressive Billing —San Antonio, TX
- Full-time
- Computer literacy
- Office
- Medical terminology
Patient Access Specialist - PRN Day shift
Baptist Neighborhood Hospital —San Antonio, TX
- PRN
- Microsoft Word
- Microsoft Outlook
- HIPAA
8d
Referral Specialist
Kellum Family Medicine —Schertz, TX
- $18 - $20 an hour
- Full-time
- Customer service
- Mid-level
- In-person
- Health insurance
- Dental insurance
Quick Apply
6d
Medical Scribe
Oak Street Health —San Antonio, TX
- $17.00 - $31.30 an hour
- Full-time
- Computer literacy
- HIPAA
- Clinic
- Health insurance
- Dental insurance
7d

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Sr. Revenue Cycle Billing Specialist

Firstsource Transaction Services, LLC -
San Antonio, TX

Quick Apply

Job Details

Full-time
$20 - $25 an hour
13 days ago

Benefits

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

Qualifications

HIPAA
High school diploma or GED
Organizational skills
Health information management
Time management

Full Job Description

Role Description

The Revenue Cycle Denials Representative is responsible for managing and resolving denied Professional Billing (PB/CMS-1500) and/or Hospital Billing (HB/UB-04) claims. This role identifies root causes of denials, executes appeals and corrective actions, and collaborates with internal teams to prevent future denials. The ideal candidate has hands-on experience with CARC/RARC denial codes, Epic denial work queues, and payer-specific appeal requirements across Medicare, Medicaid, and commercial payers.

Roles & Responsibilities

Denial Review & Resolution – PB & HB

Review and analyze denied PB (CMS-1500 / 837P) and HB (UB-04 / 837I) claims to determine root causes and appropriate resolution strategies.
Analyze account history and all previous actions in Epic prior to taking the next action step to resolve the claim.
Work claims across all top denial categories including, but not limited to: No Authorization, Timely Filing, Coordination of Benefits (COB), Medical Necessity, Additional Documentation Requests (ADR), Bundling (NCCI edits), and Duplicate Claims.
Interpret CARC and RARC codes on 835 ERA / EOB remittance data for both PB and HB claims to determine the correct resolution path.
Understand when claim corrections, rebilling (837P or 837I), or void-and-replace actions are appropriate.
Escalate claims with payers for resolution when processing is inaccurate or delayed.

Appeals & Reconsiderations

Prepare and submit appeals and reconsideration requests in compliance with payer-specific guidelines and deadlines for both PB and HB denied claims.
Attach appropriate clinical documentation, medical records, authorization references, and justification letters to support appeal submissions.
Meet appeal deadlines for Medicare, Medicaid, and commercial payers in accordance with payer-specific requirements.

Trend Identification & Prevention

Identify denial trends across PB and HB claim types and collaborate with coding, clinical, and billing teams to implement corrective actions.
Monitor payer policy and regulatory changes (Medicare LCDs/NCDs, Arkansas Medicaid updates) to proactively prevent denials.
Assist in developing best practices and training materials for PB and HB denial management and prevention

Payer & System Knowledge

Navigate Epic denial and underpayment work queues for both HB and PB modules; document all denial actions and resolutions.
Utilize payer portals (Availity, Arkansas DHS, Medicare.gov, and commercial payer sites) to research denial reasons and submit appeals.
Utilize resources provided by the client to promote accuracy and resolve claims in accordance with client expectations.

Compliance & Documentation

Maintain thorough documentation of denial reasons, appeal actions, and resolutions in Epic.
Ensure compliance with federal, state, and payer regulations as well as hospital and physician practice policies.
Communicate effectively with insurance representatives and internal leaders to expedite resolution and improve processes.
Always maintain confidentiality of patient and account information (HIPAA).
Adhere to prescribed policies and procedures outlined in the Employee Handbook and Code of Conduct.
Maintain awareness of and actively participate in the Corporate Compliance Program.
Maintain a confidential and orderly remote work area.
Meet specified goals and objectives assigned by management and/or the Client.
Assist with other projects as assigned by management.

Expected / Key Results

Deliver high levels of client and patient satisfaction (CSAT)
Achieve quality scores per defined process standards
Deliver defined process-specific metrics (e.g., denial resolution rate, overturn rate, appeal success rate)
Adherence to regulatory compliance requirements
Schedule adherence

Preferred Educational Qualifications

High school diploma or equivalent required
Associate’s or Bachelor’s degree in Health Information Management, Business, or related field preferred
CPC, CPMA, CRCR, or CHFP certification a plus

Preferred Work Experience

2+ years of experience in healthcare revenue cycle, denial management, or claims resolution
Demonstrated experience working PB (CMS-1500 / 837P) and/or HB (UB-04 / 837I) denials
Prior experience with Epic denial work queues strongly preferred
Familiarity with Medicaid, Medicare, and commercial payers preferred
Experience interpreting CARC/RARC codes and 835 ERA / EOB remittance data
Knowledge of NCCI edits, LCD/NCD policies, and authorization/pre-certification workflows

Competencies & Skills

Strong knowledge of PB and HB denial workflows, appeal processes, and payer-specific requirements
Proficiency with Epic (HB and/or PB modules, denial work queues, claim correction, void-and-replace, and rebilling)
Solid understanding of CARC/RARC denial reason codes and how to act on them for PB and HB claims
Ability to read and interpret 835 ERA / EOB remittance advice for both PB and HB claims
Knowledge of payer portals including Availity, Arkansas DHS, and commercial payer sites
Competent in working and communicating effectively with payers, patients, colleagues, and management – both in-person and via remote virtual platforms
Consistently maintains a courteous and professional demeanor
Self-motivated with the ability to stay focused and productive with minimal supervision
Proactive initiative and creative problem-solving in carrying out job responsibilities
Ability to prioritize multiple tasks through effective time management and organizational skills
Proficiency in PC operations; ability to type at a rate of 30–40 words per minute

Benefits including but not limited to: Medical, Vision, Dental, 401K, Paid Time Off.

We are an Equal Opportunity Employer. All qualified applicants are considered for employment without regard to race, color, age, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other characteristic protected by federal, state or local law.

Pay: $20.00 - $25.00 per hour

Benefits:

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

Application Question(s):

Do you have at least 2 years of hands-on experience resolving medical insurance denials, including researching denials, submitting appeals, and following up with payers?
Which of the following have you worked with? (Select all that apply)

Professional Billing (CMS-1500 / 837P)
Hospital Billing (UB-04 / 837I)
Both Professional & Hospital Billing
None

Have you independently reviewed and resolved denied or underpaid claims using EOBs/ERAs and communicated directly with Medicare, Medicaid, or commercial insurance payers?

Work Location: Hybrid remote in San Antonio, TX 78201

Quick Apply

Refine Your Search

authorization specialist jobs in san antonio, tx

Sr. Revenue Cycle Billing Specialist

Authorization Specialist

Medical Authorization Specialist

Insurance Authorization Specialist

Surgical Authorization Specialist

Prior Authorization Specialist

Financial Access Specialist

Authorization Coordinator

Workers Compensation Specialist

Medical Office Specialist

Medical Office Specialist

Pre-Certification/Eligibility Specialist

Medical Precertification Specialist

Medical Front Office Specialist Job – San Antonio, TX

Financial Access Specialist

Billing & Collections Specialist

Medical Billing Specialist

Patient Access Specialist - PRN Day shift

Referral Specialist

Medical Scribe

I want to receive the latest job alert for authorization specialist in san antonio, tx

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