Top 55 Remote medical prior authorization specialist Jobs in Texas

Medical Billing Specialist - Women's Health
Inception Ferility Corporate Services —Houston, TX
- Full-time
- Remote
- Medical office experience
- Mid-level
- High school diploma or GED
- Continuing education credits
- Paid parental leave
Quick Apply
Remote Behavioral Health Charge Entry Specialist
Athra Systems —San Antonio, TX
- Remote
- HIPAA
- Administrative experience
- High school diploma or GED
- Dental insurance
- Vision insurance
Quick Apply
4d
Verification Specialist
Allegiance Mobile Health —Georgetown, TX
- Full-time
- Remote
- Medical office experience
- HIPAA
- Mid-level
Quick Apply
4d
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
Customer Guide Engagement Specialist
Guidehealth —Dallas, TX
- $20 - $22 an hour
- Full-time
- Remote
- HIPAA
- English
- Research
- Paid parental leave
- Disability insurance
Pharmacy Clinical Practice Specialist - Genetics
UTMB Health —Galveston, TX
- Customer service
- Bachelor of Science
- Mid-level
Medical Insurance Verification Specialist
Ophthalmology Specialists of Texas —Abilene, TX
- $15 - $17 an hour
- Full-time
- Hybrid work
- HIPAA
- English
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
10d
Care Coordinator, Departments (Waco, TX)
Ennoble Care —Waco, TX
- From $18 an hour
- Full-time
- Background check
- Medical office experience
- HIPAA
- Paid holidays
- Disability insurance
Quick Apply
8d
Certified Pharmacy Technician
Medix —Texas
- $19 - $21 an hour
- Full-time
- Remote
- Background check
- Fair chance
- Typing
Quick Apply
13d
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
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
Patient Access Liaison - UPLIZNA -(Rare Disease) Houston, TX
Amgen —Houston, TX
- $158,394 - $222,256 a year
- Weekends as needed
- Doctoral degree
- Up to 50% travel
- HIPAA
- Disability insurance
- Health insurance
8d
Prior Authorization Specialist
CareMed Specialty Pharmacy —Houston, TX
- $23 - $25 an hour
- Full-time
- Customer service
- HIPAA
- Mid-level
- Paid holidays
- Disability insurance
Quick Apply
Care Concierge, US Remote
Carewell —Texas
- Full-time
- Remote
- Spanish
- Google Workspace
- Adults
- Paid holidays
- Disability insurance
Quick Apply
11d
Medical Billing Specialist
Progressive Billing —San Antonio, TX
- Full-time
- Computer literacy
- Office
- Medical terminology
Insurance Verification Specialist (Clinic)
Premier Medical Resources —Houston, TX
- Full-time
- Background check
- Computer literacy
- Pass drug screening
- AD&D insurance
- Disability insurance
Quick Apply
Remote Energy Efficiency Customer Support Specialist
CLEAResult Consulting Inc. —Austin, TX
- $17 an hour
- Full-time
- Remote
- Sales
- High school diploma or GED
- US work authorization
- Health insurance
- Dental insurance
Quick Apply
3d
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
Remote Processing Specialist
CLEAResult Consulting Inc. —Austin, TX
- $16 an hour
- Full-time
- Remote
- US work authorization
- Organizational skills
- Entry level
- Health insurance
- Dental insurance
Quick Apply
3d
Patient Care & Revenue Coordinator
Wholeness Mental Health —Spring, TX
- $18 - $22 an hour
- Part-time
- Hybrid work
- HIPAA
- High school diploma or GED
- Clinic
Quick Apply
2d

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Medical Billing Specialist - Women's Health

Inception Ferility Corporate Services
Houston, TX

Quick Apply

Job Details

Full-time

Benefits

Continuing education credits
Paid parental leave
Health savings account
Paid holidays
Disability insurance
Health insurance
Dental insurance
Paid time off
Adoption assistance
Parental leave
Employee assistance program
Vision insurance
401(k) matching
Life insurance
Referral program
Pet insurance

Qualifications

Medical office experience
High school diploma or GED

Full Job Description

The Medical Billing Specialist is responsible for the timely and accurate submission of insurance claims, reviewing and updating denied claims for resubmission and performing reconciliations to ensure timely billing for services provided. The Medical Billing Specialist collaborates with patients, revenue cycle counterparts and work units, clinical staff, and insurance providers to drive the efficiency of the billing process and reduce the amount of denied claims.

This position is fully remote.

Essential Responsibilities:

Reviews patient demographic and insurance information and confirms patient benefit details related to services provided by the clinic from insurance providers.
Obtains necessary medical documentation from clinicians to provide to insurance companies as required for review and prior authorization of treatment. Documents authorization reference numbers in EMR and/or other systems.
Updates and maintains EMR and/or other systems based on documentation provided by physician/clinic for creation of medical claim and/or posting of self-pay charges to patient accounts. Prepares electronic claim files for submission.
Monitors accepted/denied claims and updates claims as required for resubmission.
Compares transaction reports with daily schedules to ensure timely billing of all services provided each month.
Resolves and prepares paperwork for any credit balances and prepares statements for collection of outstanding patient balances.
Performs daily charge capture functions as outlined by each Clinic in a timely and appropriate manner. This includes but not limited to the actual data entry of charges per patient into the EMR platform, eIVF.
Ensures charge reconciliation to the schedule for all patients seen daily.
Ensures appropriateness of charges based upon services rendered and works in conjunction with Clinic leadership, RCM Leadership, and Coding Team to ensure such accuracy.
Additional responsibilities will be outlined in a more detailed job description during interview process.

Education/Experience:

High School Diploma or equivalent required, Associate’s preferred.
1 - 2 years of medical billing experience required in a women's clinic/physician practice setting.
1-2 years of medical billing experience related to a lab and ASC setting also preferred.
Versed in CPT code sets and requirements including but not limited to modifiers, CPT bundling/unbundling, proper diagnosis assignment, Evaluation and Management Codes, Lab Codes, and ASC HCPC code sets.
Familiar with claim edits and clearinghouse functionality.
Familiar with medical billing platforms utilized in clinic and physician practice settings.

Why You'll Love Working Here – Our Amazing Benefits:

Comprehensive Health Coverage: Medical, dental, and vision plans for our full-time employees, along with complimentary basic life insurance, Employee Assistance Program, and long-term disability insurance. FREE or low-cost employee-only healthcare coverage option is also available.

Family Building Support: Take advantage of our comprehensive fertility benefits, adoption assistance, and surrogacy support to help grow your family.

Paid Parental Leave: Generous maternity, paternity, and partner leave so you can focus on what matters most.

Plenty of Paid Time Off: Start with 18 days of PTO annually and enjoy 11 paid holidays, including one floating holiday to use as you choose!

Retirement Ready: Invest in your future with our 401(k) plan, featuring a competitive company match and full vesting after just 2 years.

Lifestyle Spending Account: Access a company-funded account to reimburse expenses that boost your physical, financial, and emotional well-being.

Health Savings Account (HSA): If eligible, enjoy regular employer contributions to your HSA with every paycheck.

Rewards for Connections: Earn extra money with our Employee Referral Program—your network is invaluable!

Growth Opportunities: We support your career with continuing education reimbursement and dedicated time off for professional development.

Premium Calm Health Subscription: Enjoy a free premium Calm Health app subscription to support your mental wellness.

Emotional & Work-Life Support: Through our Employee Assistance Program (EAP) with SupportLinc, you'll have access to emotional well-being and work-life resources whenever you need them.

Extra Peace of Mind: Explore additional coverage options including Accident, Critical Illness, Hospital Indemnity, and Pet Insurance, to suit your needs.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.

Quick Apply

Refine Your Search

remote medical prior authorization specialist jobs in texas

Medical Billing Specialist - Women's Health

Remote Behavioral Health Charge Entry Specialist

Verification Specialist

Acute Clearance Specialist - Intake Coordinator - Remote

Customer Guide Engagement Specialist

Pharmacy Clinical Practice Specialist - Genetics

Medical Insurance Verification Specialist

Care Coordinator, Departments (Waco, TX)

Certified Pharmacy Technician

Insurance Verification Specialist

Medical Billing Specialist

Patient Access Liaison - UPLIZNA -(Rare Disease) Houston, TX

Prior Authorization Specialist

Care Concierge, US Remote

Medical Billing Specialist

Insurance Verification Specialist (Clinic)

Remote Energy Efficiency Customer Support Specialist

Receptionist / Patient Coordinator

Remote Processing Specialist

Patient Care & Revenue Coordinator

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