Pre-Authorization Specialist

Job overview

The Pre-Authorization Specialist role is onsite in Austin, TX, and applicants must be local to Austin or the surrounding area. Pay is $18–$22 per hour. The position supports Advanced Pain Care’s Pre-Authorization Department in preparing for outpatient and ancillary services. The specialist verifies coverage and authorization requirements, communicates with payers and clinical partners, and documents information in patient records. This work helps meet payer requirements, support timely care, and reduce claim denials.

What you'll do

• Verify insurance eligibility and benefit levels
• communicate with payers electronically, by phone, or fax
• investigate pre-certification, predetermination, and referral requirements
• determine medical necessity using payer policies
• collaborate with clinical contacts on cases requiring peer-to-peer review
• communicate with patients and clinical and financial staff
• facilitate clean claims and reduce denials
• prioritize urgent cases
• document accurately in the electronic medical record
• notify payers within 24 business hours of service
• answer questions about authorization requirements.

What we're looking for

Skills & competencies

pre-authorization specialist

austin tx

advanced pain care

insurance verification

prior authorization

pre-certification

referral requirements

medical necessity

electronic medical records

payer communication

medical office

$18–$22 per hour

monday–friday, 8 a.m.–5 p.m.

Work arrangement

• Weekend coverage required

Why this role

Requires a high school diploma or GED and at least three years of billing, pre-authorization, or insurance-verification experience, including knowledge of Medicare, Medicaid, HMOs, and PPOs. Typical schedule is 8 a.m.–5 p.m., Monday–Friday.

About the employer

Advanced Pain Care is hiring for this role. Industry: Offices of Physicians (except Mental Health Specialists). Sector: 62.