1

Prior Authorization Associate Jobs in Houston, TX

Pharmacy Prior Authorization Specialist

Houston, TX · On-site

$19.50 - $25.25/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Associate degree or Certified Pharmacy Technician (PTCB) * 3+ years of experience in pharmacy or prior authorizations * Specialty pharmacy experience Ready to make a meaningful impact? Apply today ...

Pharmacy Prior Authorization Specialist

Houston, TX · On-site

$19.50 - $25.25/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Associate degree or Certified Pharmacy Technician (PTCB) * 3+ years of experience in pharmacy or prior authorizations * Specialty pharmacy experience Ready to make a meaningful impact? Apply today ...

Pharmacy Prior Authorization Specialist

Houston, TX · On-site +1

$19.50 - $25.25/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Associate degree or Certified Pharmacy Technician (PTCB) * 3+ years of experience in pharmacy or prior authorizations * Specialty pharmacy experience Ready to make a meaningful impact? Apply today ...

Pharmacy Authorization Specialist

Houston, TX · Remote

$18 - $23/hr

  • Medical

  • Vision

  • Life

  • Retirement

  • PTO

The Pharmacy Authorization Specialist is responsible for coordinating prior authorizations ... High school diploma or equivalent required; associate degree in healthcare administration, medical ...

Insurance Verification Coordinator

Houston, TX · Remote

$17.50 - $26/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Obtain prior authorizations through insurance carriers via phone, fax, and payer portals * Review ... Associate degree in Business, Finance, Healthcare Administration, or related field * Revenue cycle ...

Supervisor - Pharmacy Adjudication

Houston, TX

$62 - $73/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... new associates. On an ongoing basis, evaluates, coaches, and utilizes performance management ... Document all prior authorization information in patient profile. * Works with Pharmacy Technician ...

Supervisor - Pharmacy Adjudication

Houston, TX · On-site

$62 - $73/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... new associates. On an ongoing basis, evaluates, coaches, and utilizes performance management ... Document all prior authorization information in patient profile. * Works with Pharmacy Technician ...

Medical Assistant

Webster, TX · On-site

$15.50 - $20/hr

Review and prepare requests and prior authorizations for medications. * Familiar with signs and symptoms of allergy testing systemic reactions. Familiar with emergency equipment and protocols for ...

New

Remote Administrative Assistant

Houston, TX

$17.25 - $23.25/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Notification letters include referrals, prior authorizations, returned claims, status requests and ... Associate degree in a related field preferred; High School diploma required * Previous Dental ...

Medical Assistant

Katy, TX · On-site

$16.25 - $20.75/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Allergy & ENT Associates is looking for a Medical Assistant at our Katy clinic. What are we about ... Review and prepare requests and prior authorizations for medications Qualifications EDUCATION AND ...

Medical Assistant (2962)

Houston, TX · On-site

$17 - $21.75/hr

Us Heart and Vascular is in need of a Medical Assistant to join Memorial Cardiology Associates in ... May also be responsible for insurance precertification, prior authorization, procedure/surgery ...

Medical Assistant (3123)

Houston, TX · On-site

$16 - $20.50/hr

... Associates in Houston, TX. Responsibilities: * Interviews patients to obtain medical history and ... May also be responsible for insurance precertification, prior authorization (until fully ...

Posted today

Medical Assistant (3114)

Houston, TX · On-site

$17 - $21.75/hr

US Heart and Vascular is in need of a Medical Assistant to join Memorial Cardiology Associates in ... May also be responsible for insurance precertification, prior authorization, procedure/surgery ...

Medical Assistant (3123)

Houston, TX

$16 - $20.50/hr

... Associates in Houston, TX. Responsibilities: * Interviews patients to obtain medical history and ... May also be responsible for insurance precertification, prior authorization (until fully ...

New

next page

Showing results 1-20

Prior Authorization Associate information

See Houston, TX salary details

$8

$18

$30

How much do prior authorization associate jobs pay per hour?

As of Aug 16, 2026, the average hourly pay for prior authorization associate in Houston, TX is $18.16, according to ZipRecruiter salary data. Most workers in this role earn between $14.47 and $19.28 per hour, depending on experience, location, and employer.

What is the difference between Prior Authorization Associate vs Medical Billing Specialist?

AspectPrior Authorization AssociateMedical Billing Specialist
CredentialsHigh school diploma or equivalent; certification in medical billing or coding often preferredHigh school diploma or equivalent; certification in medical billing or coding often preferred
Work EnvironmentHealthcare offices, insurance companies, hospitalsHealthcare offices, billing companies, hospitals
Primary ResponsibilitiesObtain prior authorizations from insurance for procedures and treatmentsProcess and submit medical claims, handle billing and payments

The main difference is that a Prior Authorization Associate focuses on securing insurance approvals before procedures, while a Medical Billing Specialist manages the billing process after services are rendered. Both roles require similar credentials and often work in healthcare settings, but their core functions differ in the patient care and revenue cycle process.

What are the key skills and qualifications needed to thrive as a prior authorization associate?

To thrive as a Prior Authorization Associate, you need a strong understanding of medical terminology, insurance processes, and prior authorization requirements, often backed by a high school diploma or associate degree. Familiarity with healthcare management software, electronic health record (EHR) systems, and payer portals is typically required. Excellent attention to detail, organizational skills, and effective communication are essential soft skills for this role. These skills ensure timely and accurate processing of prior authorizations, minimizing delays in patient care and supporting efficient healthcare operations.

What is a prior authorization associate?

Prior Authorization Associates are professionals who handle the process of obtaining approval from insurance companies before certain medical services, procedures, or medications are provided to patients. They review clinical documentation, communicate with healthcare providers and insurers, and ensure all necessary information is submitted for timely authorization. Their work helps reduce claim denials and ensures patients receive the care they need while adhering to insurance requirements.

What are some common challenges faced by a prior authorization associate, and how can they be effectively managed?

Prior Authorization Associates often encounter challenges such as navigating complex insurance requirements, handling high volumes of authorization requests, and managing tight turnaround times. Staying organized, keeping up-to-date with payer policies, and using robust tracking systems can help manage these difficulties. Collaborating closely with clinical staff and insurance representatives is also essential for resolving issues quickly and ensuring approvals are processed efficiently. Developing strong communication and problem-solving skills is key to success in this role.

What are the most commonly searched types of Prior Authorization jobs in Houston, TX?

The most popular types of Prior Authorization jobs in Houston, TX are:

What cities near Houston, TX are hiring for Prior Authorization Associate jobs?

Cities near Houston, TX with the most Prior Authorization Associate job openings:

Pharmacy Prior Authorization Specialist

Onco360

Houston, TX • On-site

$19.50 - $25.25/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 8 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

Pharmacy Prior Authorization Specialist - Onco360 Pharmacy
Houston, TX| Full-Time | Starting at $23.00/hr and up
Sign-On Bonus: $5,000 for employees starting before September 30, 2026!
Join a mission-driven team making a difference in the lives of cancer patients.
Onco360 Pharmacy is seeking a Pharmacy Prior Authorization Specialist to join our dedicated team in Houston, TX. This is a full-time position ideal for candidates local to the area. Remote work possible after initial on-site training.
Why Join Us?
  • A career with purpose: Help patients access life-saving medications.
  • Supportive culture: We value teamwork, respect, integrity, and passion.
  • Growth opportunities: We invest in your professional and personal development.

Company Benefits
  • Medical; Dental; Vision
  • 401k with a match
  • Paid Time Off and Paid Holidays
  • Tuition Reimbursement
  • Quarterly Incentive Bonus
  • Paid Volunteer Day
  • Referral Incentive Program
  • Company Paid Life Insurance; and Short/Long-Term Disability

What You'll Do
The Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations from insurance carriers by receiving prescriptions, addressing and rectifying rejected claims and conducting necessary third party authorization requests.
How You'll Do This
  • Manage prior authorization requests and appeals with insurance carriers.
  • Collaborate with physicians, pharmacists, and other departments.
  • Ensure HIPAA compliance while handling sensitive patient information.
  • Maintain accurate documentation of authorization details.
  • Proactively monitor and renew expiring authorizations.

What You Bring
Required:
  • High School Diploma or GED
  • 1+ years of pharmacy or prior authorization experience
  • Registration with Board of Pharmacy (as required by state law)
  • Strong communication, organizational, and customer service skills
  • Self-motivated, organized, detail-oriented, and adaptable to changing priorities
  • Knowledge of pharmacy terminology, pharmacy insurance claims, Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, experience with CoverMyMeds

Preferred:
  • Associate degree or Certified Pharmacy Technician (PTCB)
  • 3+ years of experience in pharmacy or prior authorizations
  • Specialty pharmacy experience

Ready to make a meaningful impact? Apply today and help us better the lives of those battling cancer.
#Company Values: Teamwork, Respect, Integrity, Passion
#IH

What Onco360 employees say

Pay

Hours and flexibility

Workplace

Get the full story on Breakroom