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Prior Authorization Houston Methodist Jobs (NOW HIRING)

Houston Methodist

Prior administrative and academic preceptorship experience in graduate medical education strongly ... Houston Methodist is an Equal Opportunity Employer.

Onco360

Pharmacy Prior Authorization Specialist

Houston, TX · On-site

$19.50 - $25.25/hr

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 July 31, 2026. Join a mission ...

Onco360

Pharmacy Prior Authorization Specialist

Houston, TX · On-site +1

$19.50 - $25.25/hr

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 July 31, 2026. Join a mission ...

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How much do prior authorization houston methodist jobs pay per hour?

As of Jun 5, 2026, the average hourly pay for prior authorization houston methodist in the United States is $20.89, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $23.08 per hour, depending on experience, location, and employer.

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

AspectPrior Authorization Houston MethodistMedical Billing Specialist
CredentialsTypically requires knowledge of insurance policies, medical terminology, and sometimes certifications in healthcare administrationRequires knowledge of billing codes, insurance claims, and often certification in medical billing or coding
Work EnvironmentHospitals, healthcare facilities, or insurance companies within Houston Methodist networkMedical offices, hospitals, or billing companies handling insurance claims
Employer & IndustryHealthcare providers, specifically Houston MethodistHealthcare providers, insurance companies, or billing services

While both roles involve healthcare administration, Prior Authorization Houston Methodist focuses on obtaining approval for treatments, whereas Medical Billing Specialists handle billing and claims processing. Understanding these differences helps in choosing the right career path or job search focus within healthcare administration.

What are some common challenges faced by Prior Authorization specialists at Houston Methodist, and how can applicants prepare for them?

Prior Authorization specialists at Houston Methodist often encounter challenges such as managing a high volume of authorization requests, staying updated with frequently changing insurance policies, and effectively communicating with both healthcare providers and insurance companies. To prepare, applicants should develop strong organizational skills, attention to detail, and familiarity with medical terminology and insurance guidelines. Building proficiency in electronic health record (EHR) systems and maintaining a customer-focused approach will also help in navigating the complexities of the role.

How long does it take to get hired at Houston Methodist?

The hiring process for a Prior Authorization role at Houston Methodist typically takes several weeks, depending on the volume of applications and the completion of background checks and interviews. Candidates should ensure their credentials and certifications are up to date to facilitate a smooth process.

What are the key skills and qualifications needed to thrive as a Prior Authorization Specialist at Houston Methodist, and why are they important?

To thrive as a Prior Authorization Specialist, you need a strong understanding of medical terminology, insurance guidelines, and prior authorization processes, typically supported by a high school diploma and experience in healthcare administration. Familiarity with electronic health record (EHR) systems, insurance portals, and prior authorization software is essential. Excellent attention to detail, problem-solving abilities, and strong communication skills help in efficiently navigating complex insurance requirements and collaborating with providers and patients. These skills are crucial for ensuring timely patient care, minimizing claim denials, and maintaining compliance with healthcare regulations.

What is a Prior Authorization Specialist at Houston Methodist?

A Prior Authorization Specialist at Houston Methodist is responsible for obtaining approval from insurance companies before certain medical procedures, services, or prescriptions are provided to patients. This process ensures that the necessary treatments will be covered by the patient's insurance, helping to minimize unexpected costs. Specialists review clinical documentation, communicate with providers and insurers, and track authorization statuses to facilitate timely care. They play a vital role in patient advocacy and healthcare administration.
Infographic showing various Prior Authorization Houston Methodist job openings in the United States as of May 2026, with employment types broken down into 21% Full Time, and 79% Part Time. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $43,459 per year, or $20.9 per hour.
Prior Authorization Specialist

Prior Authorization Specialist

CareMed Specialty Pharmacy

Houston, TX • On-site, Remote

$23 - $25/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 7 days ago

Job description

Pharmacy Prior Authorization Specialist – CareMed Specialty Pharmacy
Houston, TX| Full-Time | Starting at $23.00/hr and up
Sign-On Bonus: $5,000 for employees starting before July 31, 2026.
Join a mission-driven team making a difference in the lives of cancer patients.
CareMed Specialty 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.
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
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.
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

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