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Prior Authorization Jobs in Spring, TX (NOW HIRING)

Emerus

Insurance Authorization Specialist

The Woodlands, TX · On-site

$16 - $21.50/hr

Complete daily authorization requirements from all hospitalizations * Reviews admissions for accuracy of insurance, coordination of benefits, and status * Obtains clinicals, diagnosis information and ...

TEKsystems

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 and document copays, deductibles, coinsurance, out-of-pocket amounts, and authorization details

Emerus

Insurance Authorization Specialist

The Woodlands, TX · On-site

$16.50 - $22/hr

Complete daily authorization requirements from all hospitalizations * Reviews admissions for accuracy of insurance, coordination of benefits, and status * Obtains clinicals, diagnosis information and ...

Accenture

Health Provider Revenue Cycle Manager

Houston, TX · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

You have working knowledge across the full revenue cycle: patient access, prior authorization, mid-cycle revenue integrity, and back-end operations. You know how to take an engagement from assessment ...

Accenture

Health Provider Revenue Cycle Manager

Houston, TX · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

You have working knowledge across the full revenue cycle: patient access, prior authorization, mid-cycle revenue integrity, and back-end operations. You know how to take an engagement from assessment ...

KINETIX

Surgery Coordinator

Houston, TX · On-site

... prior-authorization department Advises the patient/parent of insurance responsibilities, such as the need to obtain primary care physician referrals if insurance requires them. Refers in-depth ...

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Showing results 21-40

All JobsPrior Authorization JobsPrior Authorization Jobs in Spring, TX

Prior Authorization information

See Spring, TX salary details

$12

$18

$28

How much do prior authorization jobs pay per hour?

As of Aug 13, 2026, the average hourly pay for prior authorization in Spring, TX is $18.59, according to ZipRecruiter salary data. Most workers in this role earn between $15.38 and $20.53 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a prior authorization specialist, and why are they important?

To thrive as a Prior Authorization Specialist, you need strong knowledge of medical terminology, insurance processes, and healthcare regulations, typically supported by a high school diploma or associate degree in a healthcare-related field. Familiarity with electronic medical records (EMR) systems, insurance portals, and authorization management software is essential. Attention to detail, effective communication, and problem-solving abilities help you navigate complex cases and collaborate with providers and payers. These skills ensure accurate and timely processing of authorizations, minimizing delays in patient care and reducing administrative errors.

What are some common challenges faced by prior authorization specialists, and how can applicants prepare for them?

Prior Authorization specialists often encounter challenges such as navigating complex insurance policies, managing high volumes of requests, and communicating effectively with both healthcare providers and insurance representatives. To prepare for these challenges, applicants should develop strong organizational skills, attention to detail, and a good understanding of medical terminology and insurance guidelines. Familiarity with electronic health records (EHR) systems and the ability to multitask in a fast-paced environment are also valuable assets in this role.

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

AspectPrior AuthorizationMedical Billing Specialist
CredentialsTypically requires knowledge of insurance policies, healthcare regulations, and sometimes certifications like NCQA or AHIPRequires knowledge of coding, billing procedures, and often certifications like CPC or CCS
Work EnvironmentHealthcare provider offices, insurance companies, or hospitalsMedical offices, billing companies, or healthcare facilities
Employer & Industry UsageUsed by healthcare providers and insurers to approve treatments or proceduresUsed by healthcare providers and billing companies to process claims and payments

While both roles are essential in healthcare administration, Prior Authorization focuses on obtaining approval for treatments, whereas Medical Billing Specialists handle the financial aspects of claims processing. Understanding their differences helps clarify their distinct responsibilities within the healthcare system.

How do I become a prior authorization specialist?

To become a prior authorization specialist, you typically need a high school diploma or equivalent and gain experience in healthcare or insurance billing. Relevant skills include knowledge of medical terminology, insurance policies, and proficiency with electronic health record (EHR) systems; certifications such as Certified Medical Administrative Assistant (CMAA) can also enhance job prospects.

What is a prior authorization job?

A prior authorization job involves reviewing and processing requests from healthcare providers to approve specific medical treatments, medications, or procedures before they are administered. The role requires knowledge of insurance policies, medical terminology, and attention to detail, often utilizing electronic health record systems. It is essential for ensuring that treatments meet insurance criteria and are covered under the patient's plan.

What are the career paths in prior authorization?

Careers in prior authorization typically include roles such as prior authorization specialists, medical reviewers, and healthcare administrators. Advancement can lead to supervisory or managerial positions, and professionals often develop skills in healthcare regulations, insurance policies, and medical coding. Certifications in medical billing and coding can enhance career growth in this field.

What is prior authorization?

Prior authorization is a process used by health insurance companies to determine if they will cover a prescribed procedure, service, or medication. Before the provider delivers the service, they must receive approval from the insurer. This process helps control costs and ensures that the service or medication is medically necessary. It often involves submitting documentation and waiting for a decision, which can sometimes delay patient care. Patients and providers should check with insurance companies to understand which services require prior authorization.
More about Prior Authorization jobs

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

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

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

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The top searched job categories for Prior Authorization jobs in Spring, TX are:

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

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

Prior Authorization jobs near you
Infographic showing various Prior Authorization job openings in Spring, TX as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 18% Part Time, 1% Temporary, and 2% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $38,674 per year, or $18.6 per hour.

Insurance Authorization Specialist

Emerus

The Woodlands, TX • On-site

$16 - $21.50/hr

Other

Posted 15 days ago

Emerus rating

5.7

Company rating: 5.7 out of 10

Based on 22 frontline employees who took The Breakroom Quiz

Job description

About Us

We are Emerus, the leader in small-format hospitals. We partner with respected and like-minded health systems who share our mission: To provide the care patients need, in the neighborhoods they live, by teams they trust. Our growing number of amazing partners includes Allegheny Health Network, Ascension, Baptist Health System, Baylor Scott & White Health, ChristianaCare, Dignity Health St. Rose Dominican, The Hospitals of Providence, INTEGRIS Health, MultiCare and WellSpan. Our innovative hospitals are fully accredited and provide highly individualized care. Emerus' commitment to patient care extends far beyond the confines of societal norms. We believe that every individual who walks through our doors deserves compassionate, comprehensive care, regardless of their background, identity, or circumstances. We are committed to fostering a work environment focused on teamwork that celebrates diversity, promotes equity and ensures equal access to information, development and opportunity for all of our Healthcare Pros.

Position Overview

The purpose of this position is to obtain the necessary insurance authorizations for health services provided by the company.

Essential Job Functions
  • Complete daily authorization requirements from all hospitalizations
  • Reviews admissions for accuracy of insurance, coordination of benefits, and status
  • Obtains clinicals, diagnosis information and ICD10 codes as necessary for completing the insurance authorization process
  • Ensures insurance carrier documentation requirements are met and authorization documentation is scanned and documented in the patient’s record.
  • Review and submit all follow-up requirements for further days certified.
  • Works closely with Patient Access and the Billing Department on account updates and authorization activity.
  • Works with Case Management on all denials and/or peer to peer reviews
  • Maintains a good working knowledge of authorization requirements for all payors and state/federal regulatory guidelines for coverage and authorization of services provided.
  • All of tasks as assigned.
Basic Qualifications
  • High School Diploma or GED required
  • Two years insurance verification and/or authorization experience required
  • Expert knowledge of various payers and payer insurance cards required
  • Knowledge of Microsoft Office Tools (Microsoft Word, Excel and Outlook), required
  • Position requires fluency in English; written and oral communication

What Emerus employees say

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