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Prior Authorization Houston Methodist Jobs (NOW HIRING)

OPN Healthcare

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Prior Authorization & Referral Coordinator

Glendale, CA · On-site

$18 - $22/hr

Prior Authorization & Referral Coordinator Position Overview: OPN is seeking a highly organized and ... methodology. OPN Healthcare is committed to creating a diverse environment and is proud to be an ...

Houston Methodist

At Houston Methodist, the Chaplain position is responsible for providing spiritual care to meet the ... if prior to 2017), National Association of Catholic Chaplains (NACC), Neshama: Association of ...

Houston Methodist

At Houston Methodist, the Chaplain position is responsible for providing spiritual care to meet the ... if prior to 2017), National Association of Catholic Chaplains (NACC), Neshama: Association of ...

Houston Methodist Hospital

Chaplain

Houston, TX

At Houston Methodist, the Chaplain position is responsible for providing spiritual care to meet the ... if prior to 2017), National Association of Catholic Chaplains (NACC), Neshama: Association of ...

Houston Methodist Hospital

Chaplain

Houston, TX

At Houston Methodist, the Chaplain position is responsible for providing spiritual care to meet the ... if prior to 2017), National Association of Catholic Chaplains (NACC), Neshama: Association of ...

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

As of Jun 6, 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.

Medication Prior Authorization Specialist

Tamarack Health

Hayward, WI • On-site

$16.75 - $22.25/hr

Full-time

Posted 5 days ago

Tamarack Health rating

8.0

Company rating: 8.0 out of 10

Based on 9 frontline employees who took The Breakroom Quiz

Job description

The specialist prepares and submits required documentation and follows up with insurance providers to secure approvals or resolve denials. They collaborate closely with the clinical team to obtain supporting clinical information, including chart notes and medical necessity documentation.
Additionally, this role monitors authorization statuses, communicates updates to clinical staff and patients, and assists in identifying alternative medication or coverage options when necessary.
Core Competencies
Demonstrates competency in the following areas:
  • Supports a team-oriented environment and contributes to achieving departmental and organizational goals. Builds positive working relationships and supports Quality Improvement, Risk Management, and Compliance initiatives.
  • Maintains strict confidentiality of patient information in accordance with HMC policies and procedures.
  • Ensures all required medical documentation is accurate and complete prior to submission of authorization requests.
  • Effectively communicates with payers via electronic systems, telephone, and fax.
  • Completes payer notifications within 24 business hours of service to ensure compliance with managed care requirements.
  • Proactively manages and follows all outstanding authorization requests to promote timely processing and clean claim submission.
  • Collaborates with billing and clinical departments to meet organizational performance goals.
  • Regularly follows up on pending authorizations to determine status and address any additional requirements.
  • Communicates authorization approvals and denials promptly to appropriate staff.
  • Reviews and resolves discrepancies, errors, and omissions related to authorization denials and submits appeals when appropriate.
  • Works cross-functionally with departments to obtain necessary pre-authorizations.
  • Identifies and reports trends related to incomplete or inaccurate information.
  • Stays current on payer policies, procedures, and regulatory changes.
  • Maintains efficient turnaround times to ensure timely processing of authorizations.

Regulatory Requirements
  • High school diploma or equivalent required; prior clerical experience preferred
  • Minimum of one (1) year of experience in a pharmacy, clinic, or hospital setting

Language Skills
  • Ability to communicate effectively in English, both verbally and in writing
  • Strong interpersonal and communication skills

Skills & Abilities
  • Basic knowledge of medications, insurance plans, prior authorization processes, and terminology
  • Ability to manage interruptions, variable workloads, and meet critical deadlines in a fast-paced environment
  • Strong customer service focus in interactions with patients, staff, and providers
  • Demonstrates reliability through consistent attendance and flexibility to meet departmental needs
  • Shows initiative, creativity, and willingness to improve processes and workflows
  • Builds positive working relationships and is open to feedback and collaboration
  • Strong organizational skills with attention to detail and ability to prioritize tasks effectively
  • Communicates clearly and professionally:

    • Expresses ideas appropriately using effective communication methods
    • Interacts with coworkers and patients openly and respectfully
    • Actively listens and responds to feedback

  • Adheres to strict confidentiality standards and protects sensitive information
  • Supports organizational service standards
  • Proficient in computer systems; experience with Epic preferred
  • Ability to navigate multiple systems efficiently throughout the workday
  • Demonstrates sound decision-making and ability to work independently with minimal supervision

Physical Demands
  • Frequent movement within an office environment

Periods of prolonged sitting may be required
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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