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Medical Authorization Jobs in Spring, TX (NOW HIRING)

Prelude Fertility

Authorization Specialist

Houston, TX · On-site

$17.25 - $23/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 ...

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

$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 ...

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 ...

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 ...

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 · 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 ...

HeartPlace, PLLC

Primary Medical Assistant (3138)

Katy, TX · On-site

$15.25 - $19.75/hr

Obtain and verify insurance authorizations and referrals as required. Medical Records ... Documentation Management * Monitor and manage digital fax inboxes, departmental email accounts, and ...

Baylor College of Medicine

Medical Assistant II

Houston, TX · On-site

$17 - $21.75/hr

The Medical Assistant, under supervision of the clinic nurses and practice providers is responsible ... Refills medications and performs prior authorizations per GI protocol. * Contacts and responds to ...

Baylor College of Medicine

Medical Assistant II

Houston, TX

$17 - $21.75/hr

The Medical Assistant, under supervision of the clinic nurses and practice providers is responsible ... Refills medications and performs prior authorizations per GI protocol. * Contacts and responds to ...

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Medical Authorization information

See Spring, TX salary details

$11

$20

$48

How much do medical authorization jobs pay per hour?

As of Aug 19, 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 is a medical authorization specialist?

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 are the key skills and qualifications needed to thrive as a medical authorization specialist?

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.

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 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.

How do I become a medical authorization specialist?

To become a medical authorization specialist, you typically need a high school diploma or equivalent, along with knowledge of medical terminology and insurance processes. Many employers prefer candidates with certification in medical billing and coding or health insurance, and on-the-job training is common. Strong communication skills and attention to detail are essential for managing authorization requests efficiently.

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 August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 12% Part Time, and 6% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $42,477 per year, or $20.4 per hour.

Medical Benefits Verification Specialist

Onco360

Houston, TX • On-site

$23/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 16 days ago

Onco360 rating

7.7

Company rating: 7.7 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

19th of 112 rated pharmacies

Job description

Are you someone looking for professional career growth? Onco360 Pharmacy is looking for a Medical Benefits Verification Specialist for our Pharmacy located in Houston, TX.
Work Hours: Monday-Friday 8:30-5 EST, may adjust according to Time Zone of candidate.
**Starting salary at $23/hour** We also offer quarterly incentive bonuses.
We offer a variety of benefits including:
  • Medical, Dental amp; Vision insurance
  • 401k with a match
  • Paid Time Off and Paid Holidays
  • Tuition Reimbursement
  • Paid Volunteer Day
  • Floating Holiday
  • Referral Incentive
  • Paid Life, and short amp; long-term disability insurance
Medical Benefits Verification Specialist Summary:
The Medical Benefit Verification Specialist will investigate, review, and load accurate patient insurance for medical coverage, assign coordination of benefits, and investigate/identify authorization requirements needed to obtain medication coverage. They will ensure accurate insurance benefit documentation is made for specific IV and oral therapy orders.
Medical Benefits Verification Specialist Major Responsibilities:
  • Verify Government payer (i.e. Medicare and Medicaid) eligibility and benefits utilizing electronic resources to load primary, secondary, tertiary, etc. insurances to patient profile. This involves contacting Medicare or other relevant government payers to confirm coverage and benefits for specific services.
  • Verify Commercial insurance plans eligibility and benefits utilizing electronic resources to load primary, secondary, tertiary, etc. insurances to patient profile. Confirming patient eligibility and benefits with various commercial insurance carriers (i.e. Aetna, Humana, Anthem, Cigna, etc.).
  • Provides thorough, accurate and timely responses to requests from pharmacy operations, providers and/or patients regarding benefit information and patient copays, deductibles and Out-of-Network responsibilities.
  • Determine optimal reimbursement based on medical plan and dispensing location, then document outcome of benefits review in CPR+ system to be used by operations and ensure the order is assigned to the appropriate dispensing pharmacy.
  • Facilitate process for requesting medical authorizations, LOAs, and TOAs for applicable commercial, Medicaid, and Medicare, or facility medication claims.
  • Ensures complete and accurate patient setup in CPR+ system including patient demographic and insurance information, doctors’ notes, assessments and lab reports.
  • Communicate succinctly and professionally both verbally and through written correspondence with Physician offices, nurses, insurance companies and patients as needed.
  • Exhibits a positive, courteous, respectful, and helpful attitude towards patients, team members, payers, and management. Contributes team effort by accomplishing related tasks as needed and other duties as assigned.
  • Research proper billing policies and procedures for all payer types, ensuring claims are processed correctly against industry and government standards and regulations, adhere to company compliance, integrity, patient privacy, and ethical billing practices.
  • Conducts job responsibilities in accordance with the standards set out in the Company’s Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards.
Education/Learning Experience
  • Required: High School Diploma or GED. Previous Experience in Pharmacy, Medical Billing, or Benefits Verification
  • Desired: Associate degree or equivalent program from a 2-year program or technical school, Certified Pharmacy Technician (PTCB), Specialty pharmacy experience
Work Experience
  • Required: 1+ years’ Medicare and Medical benefit verification experience
  • Desired: 3+ years Specialty Pharmacy, Medical Verification, and/or Infusion benefit verification experience
Skills/Knowledge
  • Required: Medicare and Medical insurance and benefit verification, medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, coordination of benefits, Understanding Medicare Parts A, B, C, and D, as well as relevant laws and guidelines, NDC medication billing, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, basic math and analytical skills, Intermediate typing/keyboarding skills.
  • Desired: Specialty Pharmacy experience, Medicare Billing Experience, Medical Authorization experience
Licenses/Certifications
  • Required: None
  • Desired: Registration with Board of Pharmacy as required by state law or Certified Pharmacy Technician (PTCB)
Behavior Competencies
  • Required: Independent worker, good interpersonal skills, excellent verbal and written communications skills, ability to work independently, work efficiently to meet deadlines and be flexible, detail-oriented, great time-management skills
Onco360 Pharmacy is a unique oncology pharmacy model created to serve the needs of community, oncology and hematology physicians, patients, payers, and manufacturers.
A career with us is more than just a job. It's an opportunity to connect and care for our patients, providers, communities and each other. We attract extraordinary people who have a strong desire to live our mission - to better the lives of those battling cancer and rare diseases. Compassion is more important than numbers. We value teamwork, respect, integrity, and passion.
We succeed when you do, and our company and management team work hard to foster an environment that provides you with opportunities for both professional and personal growth.

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