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Medical Authorization Jobs in Spring, TX (NOW HIRING)

Senior PsychCare

Authorization Specialist

Houston, TX · On-site

$16.50 - $22.25/hr

Effectivelymaintain, monitor, and update payer medical policy guidelines to manage authorization requirements * Request, review, andsubmitnecessary patient documentation as neededto ensure approval ...

Prelude Fertility

Authorization Specialist

Houston, TX · On-site

$16.25 - $21.50/hr

Review medical records * Initiate authorizations using online resources, insurance specific forms, and making outgoing calls to insurance companies * Follow department procedures to ensure timely ...

Onco360

Pharmacy Prior Authorization Specialist

Houston, TX · On-site +1

$19.50 - $25.25/hr

Medical; Dental; Vision * 401k with a match * Paid Time Off and Paid Holidays * Tuition ... Manage prior authorization requests and appeals with insurance carriers. * Collaborate with ...

Houston Food Bank

HR & Benefits Specialist

Houston, TX · On-site

$20 - $25/hr

Creates workers' compensation medical authorization forms for employees seeking medical attention. * Supports new hire orientation by conducting the Benefits presentation, emailing new hire ...

Onco360

Pharmacy Prior Authorization Specialist

Houston, TX · On-site

$19.50 - $25.25/hr

Medical; Dental; Vision * 401k with a match * Paid Time Off and Paid Holidays * Tuition ... Manage prior authorization requests and appeals with insurance carriers. * Collaborate with ...

Baylor College of Medicine

Medical Assistant II

Houston, TX · On-site

$17 - $21.75/hr

Assists clinicians with medication refills and prior authorizations as needed. * Assists clinicians with imaging orders and prior authorizations as needed. * Assists clinicians with medical record ...

Baylor College of Medicine

Medical Assistant II

Houston, TX

$17 - $21.75/hr

Assists clinicians with medication refills and prior authorizations as needed. * Assists clinicians with imaging orders and prior authorizations as needed. * Assists clinicians with medical record ...

CLS Health

Medical Assistant I

Baytown, TX · On-site

$16.25 - $20.75/hr

The medical assistant should perform a supportive role in delivering comprehensive care to the ... Ensures that physician is in-network and authorized/up-to-date referral is in the patient's chart ...

CLS Health PLLC

Medical Assistant I

Baytown, TX

$16.25 - $20.75/hr

The medical assistant should perform a supportive role in delivering comprehensive care to the ... Ensures that physician is in-network and authorized/up-to-date referral is in the patient's chart ...

CLS Health PLLC

Medical Assistant I

Baytown, TX · On-site

$16.25 - $20.75/hr

The medical assistant should perform a supportive role in delivering comprehensive care to the ... Ensures that physician is in-network and authorized/up-to-date referral is in the patient's chart ...

CLS Health PLLC

Medical Assistant I -Urology

Houston, TX · On-site

$16.50 - $21/hr

The medical assistant should perform a supportive role in delivering comprehensive care to the ... Ensures that physician is in-network and authorized/up-to-date referral is in the patient's chart ...

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All JobsMedical Authorization JobsMedical Authorization Jobs in Spring, TX

Medical Authorization information

See Spring, TX salary details

$11

$20

$48

How much do medical authorization jobs pay per hour?

As of Jul 25, 2026, the average hourly pay for medical authorization in Spring, TX is $20.42, according to ZipRecruiter salary data. Most workers in this role earn between $15.62 and $21.59 per hour, depending on experience, location, and employer.

What are medical authorization specialists?

Medical authorization specialists are professionals who handle the process of obtaining approval from insurance companies for certain medical procedures, treatments, or medications. They work closely with healthcare providers and payers to ensure that all required documentation is submitted and that the requested services are covered. Their role helps prevent delays in patient care and ensures compliance with insurance policies and regulations.

What is the difference between Medical Authorization vs Medical Assistant?

AspectMedical AuthorizationMedical Assistant
Required CredentialsTypically requires certification or licensing specific to medical authorization rolesHigh school diploma or equivalent; certification preferred
Work EnvironmentPrimarily administrative, working with healthcare providers and insurance companiesClinical and administrative tasks in healthcare settings
Employer & Industry UsageHospitals, clinics, insurance companies, healthcare providersHospitals, clinics, physician offices, outpatient facilities

Medical Authorization specialists focus on obtaining and managing authorizations for medical procedures and treatments, often working closely with insurance companies. Medical Assistants perform both clinical and administrative duties to support healthcare providers. While their roles differ, both are essential in healthcare settings, with overlapping knowledge of medical procedures and healthcare processes.

What are the main challenges faced in a Medical Authorization role, and how can I prepare for them?

One of the main challenges in a Medical Authorization role is navigating complex insurance requirements and ensuring timely approvals for patient treatments or procedures. You'll often need to manage multiple cases simultaneously, communicate effectively with healthcare providers and insurance representatives, and stay up-to-date on changing policies. To prepare, it helps to develop strong organizational skills, attention to detail, and a working knowledge of medical terminology and insurance processes. Proactive communication and persistence are key to overcoming common roadblocks in this role.

What are the career paths in prior authorization?

Career paths in prior authorization include roles such as authorization specialists, case managers, and healthcare administrators. Advancement can involve gaining certifications like Certified Medical Manager (CMM) or Certified Professional Coder (CPC), and moving into supervisory or managerial positions within healthcare or insurance companies.

What does a medical authorization do?

A medical authorization is a formal approval from a healthcare provider that allows specific medical procedures, treatments, or medications to be administered or covered. It ensures that the treatment is necessary and complies with insurance or regulatory requirements, often involving documentation and certification. This process is common in healthcare roles that handle patient care, insurance claims, or treatment planning.

What are the key skills and qualifications needed to thrive as a Medical Authorization Specialist, and why are they important?

To thrive as a Medical Authorization Specialist, you need a strong understanding of healthcare regulations, insurance verification, and medical terminology, typically supported by a high school diploma or associate degree. Familiarity with electronic health record (EHR) systems, insurance portals, and prior authorization software is essential. Attention to detail, strong organizational skills, and effective communication help you navigate complex approval processes and coordinate with providers, payers, and patients. These competencies ensure timely and accurate authorizations, minimizing delays in patient care and optimizing reimbursement for healthcare services.

How to become a prior authorization specialist?

To become a prior authorization specialist, candidates typically need a high school diploma or equivalent, along with experience in medical billing or coding. Certification in medical billing or coding, such as CPC or CCS, can enhance job prospects, and strong knowledge of insurance policies and medical terminology is essential. On-the-job training is common, and proficiency with electronic health records (EHR) systems is often required.

What is a medical authorization specialist?

A medical authorization specialist is a healthcare professional responsible for obtaining prior authorizations from insurance companies to approve medical procedures, treatments, or medications. They review patient information, ensure documentation is complete, and communicate with providers and insurers to facilitate timely approvals, often using specialized billing and authorization software.
What are popular job titles related to Medical Authorization jobs in Spring, TX? For Medical Authorization jobs in Spring, TX, the most frequently searched job titles are:
What job categories do people searching Medical Authorization jobs in Spring, TX look for? The top searched job categories for Medical Authorization jobs in Spring, TX are:
What cities near Spring, TX are hiring for Medical Authorization jobs? Cities near Spring, TX with the most Medical Authorization job openings:
Medical Authorization jobs near you
Infographic showing various Medical Authorization job openings in Spring, TX as of July 2026, with employment types broken down into 1% As Needed, 82% Full Time, 14% Part Time, 1% Temporary, and 2% Contract. Highlights an 91% Physical, 4% Hybrid, and 5% Remote job distribution, with an average salary of $42,477 per year, or $20.4 per hour.
Authorization Specialist

Authorization Specialist

Senior PsychCare

Houston, TX • On-site

$16.50 - $22.25/hr

Full-time

Posted 16 days ago

Job description


SeniorPsychCareishiring foranAuthorization Specialist.The position isprimarily responsible for obtaining requiredpre-authorizations andhelping to processreferrals for all services accurately andtimely.


ESSENTIAL FUNCTIONS:

  • Prioritize incoming authorization requests according to urgency
  • Initiate,verify, and complete procedure authorization/referral process
  • Resolves day-to-day issuespertaining topre-authorization, as needed
  • Monitor provider network status
  • Obtain authorization by fax, payer website or by phone and follow up regularly on pending cases.
  • Notifyappropriate departmentsfor approvals and denials
  • Initiate andassistwith appeals for denied authorizations
  • Effectivelymaintain, monitor, and update payer medical policy guidelines to manage authorization requirements
  • Request, review, andsubmitnecessary patient documentation as neededto ensure approval of authorization
  • Collaborate with healthcare providers and insurance companies to resolve any issues related to prior authorization
  • Stay current with changing insurance policies and regulations
  • EffectivelyutilizesICD 10, CPT,modifiers, and/or other codes according to coding guidelineswhen requesting Authorizations
  • Communicates effectively with the provider and/or allappropriate partiesregardingmissing information, such as CPT,diagnosis codes, documents, clinical reports, etc., to ensure proper authorization processing
  • Communicates effectively with other departmentsregardingchanges and/or updates with patient accounts andstatus
  • Manages the status of accounts andidentifiesinconsistencies
  • Responds to billing inquiries
  • Uses downtime efficiently; is aware of team members' workload
  • Makes recommendations on workflow improvement as needed


KNOWLEDGE, SKILLS, AND ABILITIES:

  • Knowledge of in and out of network insurance, insurance verification, and the process for prior authorization
  • Familiarity with ICD-10 and CPT codes and procedures
  • Ability to review and understand patient medical documentation
  • Ability to independentlyidentifyand understand medical necessity requirements
  • Task-oriented and organizational skills; ability to complete taskstimely manner
  • Detail-oriented focus; being careful about detail and thorough in completing work tasks
  • Ability to work independently and as a team
  • Ability to adapt with flexibility
  • Effective communication skills (written/verbal)


EDUCATION AND EXPERIENCE:

  • High school diploma or GED
  • Three (3) years authorizationsexperience with Managed Care Plans MCO's(Behavioral Health experience preferred)
  • Strong working knowledge of insurance coverages and billing processes.
  • Experience with basic desktop software, including Microsoft Office

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