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Prior Authorization Associate Jobs in Houston, TX

Onco360

Pharmacy Prior Authorization Specialist

Houston, TX · On-site

$19.50 - $25.25/hr

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 ...

Onco360

Pharmacy Prior Authorization Specialist

Houston, TX · On-site +1

$19.50 - $25.25/hr

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 ...

Smart Caliber Technology Inc.

Be Seen First

(AVP) - Patient Access Operations (Hospital Systems)

Houston, TX · Remote

$150K - $175K/yr (+ commission)

... Associate Vice President (AVP) - Patient Access Operations with deep functional expertise in ... Prior Authorization * Pre-Registration * Financial Counseling * Medical Necessity Validation

Onco360

Supervisor - Pharmacy Adjudication

Houston, TX · On-site

$62 - $73/hr

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

Onco360

Supervisor - Pharmacy Adjudication

Houston, TX · On-site

$62 - $73/hr

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

US Heart & Vascular

Medical Assistant (3241)

Houston, TX · On-site

$15 - $19/hr

... Associates in Houston, TX. Responsibilities: * Takes vital signs (blood pressure, heart rate ... May also be responsible for insurance precertification, prior authorization, procedure/surgery ...

Allergy & Ent Assoc

Medical Assistant

Katy, TX · On-site

$16.25 - $20.75/hr

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 ...

Allergy & Ent Assoc

Medical Assistant

Katy, TX · On-site

$16.25 - $20.75/hr

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 ...

US Heart & Vascular

Medical Assistant (3290)

Houston, TX · On-site

$15 - $19/hr

... Associates in Houston, TX. Responsibilities: * Takes vital signs (blood pressure, heart rate ... May also be responsible for insurance precertification, prior authorization, procedure/surgery ...

New

Longevity Health Plan

RN Field Coordinator

Houston, TX · On-site

Support transitions of care, assist with prior authorization requests, and help members access ... Associate degree in nursing required, bachelor's degree in nursing or other healthcare related ...

Allergy & Ent Assoc

Medical Assistant

Sugar Land, TX · On-site

$16 - $20.50/hr

Allergy & ENT Associates is looking for a Strong and Experienced Medical Assistant at our Sugarland ... Refill requests and Prior Authorizations for medications Qualifications EDUCATION AND EXPERIENCE

Allergy & Ent Assoc

Medical Assistant

Sugar Land, TX · On-site

$16 - $20.50/hr

Allergy & ENT Associates is looking for a Strong and Experienced Medical Assistant at our Sugarland ... Refill requests and Prior Authorizations for medications Qualifications EDUCATION AND EXPERIENCE

HeartPlace, PLLC

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 ...

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All JobsPrior Authorization Associate JobsPrior Authorization Associate Jobs in Houston, TX

Prior Authorization Associate information

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How much do prior authorization associate jobs pay per hour?

As of Sep 6, 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 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 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 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 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.

Is a prior authorization associate a stressful job?

A prior authorization associate's job can be stressful due to the need for accuracy, meeting deadlines, and managing complex insurance requirements. The role often involves handling high volumes of requests and communicating with healthcare providers and insurers, which can contribute to workplace pressure.

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 are popular job titles related to Prior Authorization Associate jobs in Houston, TX?

For Prior Authorization Associate jobs in Houston, TX, the most frequently searched job titles are:

What job categories do people searching Prior Authorization Associate jobs in Houston, TX look for?

The top searched job categories for Prior Authorization Associate 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:

Prior Authorization Associate jobs near you

Prior Authorization Specialist (3176)

HeartPlace, PLLC

Houston, TX • On-site

$15 - $20.25/hr

Full-time

Posted 16 days ago

Job description

US Heart and Vascular is in need of a Cardiology Prior Authorizations Specialist to join our team at Willowbrook Cardiovascular Associates in Houston, TX.
If you have a passion for obtaining prior authorizations for Veins, Structural Heart and CT Studies, please join our US Heart and Vascular team
Responsibilities:
• Ensures timely and accurate insurance authorizations are in place prior to services being rendered.• Verifies insurance eligibility and benefit levels to ensure adequate coverage for identified services prior to receipt.• Responsible for verification and investigation of pre-certification, authorization, and referral requirements for services.• Coordinates and supplies information to the review organization (payer) including medical record information and/or letter of medical necessity for determination of benefits.• Collaborates with designated clinical contacts regarding encounters that require escalation to peer-to-peer review.• Communicates with patients, clinical partners, financial counselors, and others as necessary to facilitate the authorization process.• Appropriately prioritizes workload to ensure the most urgent cases are handled in a timely manner.• Completes accurate documentation in all applications.• Follows departmental policies and procedures, when necessary, authorization is not obtained before the service date.• Answers provider, staff, and patient questions surrounding insurance authorization requirements.• Handles escalated authorization requests as needed.• Provides team mentorship as needed.• Works other departmental tasks as needed.
Requirements:
• Familiarity with medical office procedures and billing practices• Proficient in clinical documentation review for alignment with insurance authorization requirements• Responsible for compliance with all regulatory requirements and/or guidelines. These requirements/guidelines include, but are not limited to: OSHA, HIPAA, Federal Fraud and Abuse laws.• High School Diploma or equivalent required• Associate's degree in healthcare administration or business administration preferred• A minimum of 3-5 years' experience in the same role, or related field in a healthcare setting is required.• ECW experience is preferred.
Why Choose Us?
  • Comprehensive benefits package
  • Monday-Friday schedule

About Houston, TX:
Houston is a diverse city with a booming job market in energy, healthcare, and tech. It has no state income tax, an affordable cost of living, and world-class dining and entertainment. Green spaces, museums, and pro sports teams add to its appeal. Whether for career growth or culture, Houston has it all.

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