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Remote Prior Authorization Rn Jobs in Houston, TX

Onco360

Pharmacy Prior Authorization Specialist

Houston, TX · On-site +1

$19.50 - $25.25/hr

Remote work possible after initial on-site training. Why Join Us? * A career with purpose: Help ... Manage prior authorization requests and appeals with insurance carriers. * Collaborate with ...

TEKsystems

Remote Insurance Verification

Houston, TX · Remote

$16 - $20/hr

Processing, monitoring, and managing prior authorizations and appeals to help patients initiate or continue therapy without interruption. * Communicating with patients, healthcare providers ...

Nurse telephone Triage Service, LLC

Be Seen First

RN Triage Nurse - REMOTE

Houston, TX · Remote

$26/hr

This position is 100% remote***** Nurse Telephone Triage Service, LLC, a dynamic, fast growing triage company is seeking RNs with both pediatric and adult experience to join our team. And for those ...

Allmed Staffing Inc

Referral Navigator Rep

Pearland, TX · Remote

$17.50 - $24/hr

Remote Work hours? Shift in a window of 8 - 7 Position background - What does this position ... The ideal candidate has a background in healthcare administration, prior authorization processing ...

Allmed Staffing Inc

Referral Navigator Rep

Pearland, TX · Remote

$17.50 - $24/hr

Remote Work hours? Shift in a window of 8 - 7 Position background - What does this position ... The ideal candidate has a background in healthcare administration, prior authorization processing ...

Allmed Staffing Inc

Referral Navigator Rep

Pearland, TX · Remote

$17.50 - $24/hr

Remote Work hours? Shift in a window of 8 - 7 Position background - What does this position ... The ideal candidate has a background in healthcare administration, prior authorization processing ...

Renalogic

Bilingual Clinical Nurse Coach (RN)

Houston, TX · Remote

$80K - $100K/yr

US; remote with minimal travel Schedule: Monday - Friday, with three late shifts (11 am - 8 pm) and ... prior to their start. All individuals must demonstrate they are legally authorized to work in the ...

Renalogic

Clinical Nurse Coordinator (LPN)

Houston, TX · Remote

$58K - $68K/yr

US, fully remote with minimal travel Schedule:Mostly standard business hours, with some flexing to ... RNs, providers, and interdisciplinary teams to ensure care plans, referrals, and authorizations are ...

Renalogic

Clinical Nurse Coordinator (LPN)

Dallas, TX · On-site +1

$58K - $68K/yr

US, fully remote with minimal travel Schedule:Mostly standard business hours, with some flexing to ... RNs, providers, and interdisciplinary teams to ensure care plans, referrals, and authorizations are ...

ConnectMed360

Oncology Case Manager

Houston, TX · On-site +1

$60K/yr

This position is Full-Time , remote working Monday - Friday . We offer quarterly incentive bonuses ... Support the facilitation of prior authorization and appeal processes by gathering necessary ...

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All JobsPrior Authorization Rn JobsRemote Prior Authorization Rn JobsRemote Prior Authorization Rn Jobs in Houston, TX

Remote Prior Authorization Rn information

See Houston, TX salary details

$7

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$68

How much do remote prior authorization rn jobs pay per hour?

As of Jul 14, 2026, the average hourly pay for remote prior authorization rn in Houston, TX is $40.34, according to ZipRecruiter salary data. Most workers in this role earn between $30.10 and $47.74 per hour, depending on experience, location, and employer.

What is the difference between Remote Prior Authorization Rn vs Remote Medical Coder?

AspectRemote Prior Authorization RnRemote Medical Coder
CredentialsRN license, certification in case management or utilization reviewCertification in coding (CPC, CCS), high school diploma or equivalent
Work EnvironmentHealthcare facilities, insurance companies, telehealthMedical offices, insurance companies, remote coding platforms
Industry UsageUtilization review, patient authorization, insurance approvalMedical record review, billing, coding for insurance claims

Remote Prior Authorization Rns focus on reviewing patient information to approve treatments, while Remote Medical Coders translate medical records into codes for billing. Both roles require healthcare knowledge but serve different functions within the healthcare industry.

What are the most commonly searched types of Prior Authorization Rn jobs in Houston, TX? The most popular types of Prior Authorization Rn jobs in Houston, TX are:
What are popular job titles related to Remote Prior Authorization Rn jobs in Houston, TX? For Remote Prior Authorization Rn jobs in Houston, TX, the most frequently searched job titles are:
What job categories do people searching Remote Prior Authorization Rn jobs in Houston, TX look for? The top searched job categories for Remote Prior Authorization Rn jobs in Houston, TX are:
Remote Prior Authorization Rn jobs near you
Infographic showing various Remote Prior Authorization Rn job openings in Houston, TX as of July 2026, with employment types broken down into 1% As Needed, 87% Full Time, 11% Part Time, and 1% Contract. Highlights an 88% Physical, 5% Hybrid, and 7% Remote job distribution, with an average salary of $83,911 per year, or $40.3 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

Re-posted 16 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 August 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

Apply