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Top Prior Authorization Companies Jobs in Spring, TX

Prelude Fertility

Authorization Specialist

Houston, TX · On-site

$17.25 - $23/hr

... prior authorizations. This includes utilizing online resources, reviewing medical records, calling insurance companies, and completing authorization forms in our Electronic Medical Record system.

Spectraforce Technologies

Clinical Pharmacist 1

Houston, TX · On-site

$113K - $135K/yr

Reviews a completed prior authorization request received from the provider and/or reviews the ... Top 3 must-have hard skills * Level of experience with each * Stack-ranked by importance

Integrated Resources

Certified Pharmacy Technician

Houston, TX · On-site

$17.25 - $21/hr

... our top-tier candidates. By continually exceeding their expectations, we have built successful ... Evaluates and authorizes approval of prior authorization pharmacy requests from prescribes received ...

Onco360

Supervisor - Pharmacy Adjudication

Houston, TX · On-site

$62 - $73/hr

Contacts insurance companies to follow up on prior authorization requests, including determining if any additional information is needed, or whether the claim is in review, approved, or denied.

Onco360

Supervisor - Pharmacy Adjudication

Houston, TX · On-site

$62 - $73/hr

Contacts insurance companies to follow up on prior authorization requests, including determining if any additional information is needed, or whether the claim is in review, approved, or denied.

Houston Metro Urology

Surgery Scheduler

Houston, TX · On-site

$18 - $23.25/hr

Obtains surgical and ancillary service pre-certification/prior authorization from insurance companies. * Provides procedure and surgery information, pre-op instructions and financial counseling to ...

HeartPlace, PLLC

Medical Assistant (2692)

Katy, TX · On-site

$15.25 - $19.75/hr

May also be responsible for insurance precertification, prior authorization, procedure/surgery ... Move locations as needed Katy, TX: Katy is a fast-growing Houston suburb known for top-rated ...

US Heart & Vascular

Medical Assistant (2692)

Katy, TX

$15.25 - $19.75/hr

May also be responsible for insurance precertification, prior authorization, procedure/surgery ... Move locations as needed Katy, TX: Katy is a fast-growing Houston suburb known for top-rated ...

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All JobsTop Prior Authorization Companies JobsTop Prior Authorization Companies Jobs in Spring, TX

Top Prior Authorization Companies information

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How much do top prior authorization companies jobs pay per hour?

As of Aug 27, 2026, the average hourly pay for top prior authorization companies 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 top prior authorization companies?

Top prior authorization companies are organizations that specialize in streamlining and managing the prior authorization process for healthcare providers and payers. These companies use technology and expert staff to handle the administrative work required to obtain approval from insurance companies before certain medical services, procedures, or medications are provided. By outsourcing this process, healthcare organizations can reduce delays, lower administrative costs, improve patient care, and increase approval rates. Some well-known companies in this sector include CoverMyMeds, Par8o, and Surescripts.

What are the key skills and qualifications needed to thrive at a top prior authorization company, and why are they important?

To succeed at a top prior authorization company, you need a solid understanding of healthcare processes, insurance guidelines, and medical terminology, often supported by experience in medical billing or coding. Familiarity with prior authorization software, electronic health records (EHR) systems, and payer portals is typically required. Attention to detail, excellent communication, and problem-solving skills help professionals navigate complex approval processes and collaborate with providers and payers. These competencies ensure efficient approvals, reduce errors, and support patient access to necessary care.

What are some typical challenges faced by professionals working at prior authorization companies, and how can they be addressed?

Professionals at prior authorization companies often face challenges such as managing high volumes of requests, keeping up with frequently changing payer requirements, and ensuring timely communication between healthcare providers and insurance companies. Addressing these challenges typically involves strong organizational skills, staying updated on the latest industry guidelines, and using advanced software tools to streamline workflow. Team collaboration and ongoing training also play key roles in overcoming these obstacles and maintaining efficiency.

What is the difference between Top Prior Authorization Companies vs Medical Billing Specialists?

AspectTop Prior Authorization CompaniesMedical Billing Specialists
CredentialsVaries; often includes healthcare administration or insurance certificationsMedical billing or coding certifications, such as CPC or CCS
Work EnvironmentCorporate offices, healthcare facilities, remote teamsMedical offices, clinics, healthcare facilities
Industry UsageInsurance companies, healthcare providers, third-party administratorsHospitals, clinics, healthcare practices
Primary FocusSecuring prior authorizations for procedures and treatmentsProcessing medical claims, coding, and billing

While Top Prior Authorization Companies focus on obtaining approvals for medical procedures, Medical Billing Specialists handle claims processing and coding. Both roles are essential in healthcare revenue cycle management but differ in responsibilities and work settings.

What are popular job titles related to Top Prior Authorization Companies jobs in Spring, TX?

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

What job categories do people searching Top Prior Authorization Companies jobs in Spring, TX look for?

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

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

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

Top Prior Authorization Companies jobs near you

Customer Service / Prior Authorization Representative

Gryphon Healthcare

Houston, TX

$15.25 - $20.75/hr

Full-time

Medical

Re-posted 5 days ago

Job description

Customer Service / Prior Authorization Representative
We are seeking an enthusiastic and detail-oriented Customer Service / Prior Authorization Representative to join our team. In this role, you will serve as the first point of contact for our patients while also managing prior authorization requests to help ensure timely access to care.
The ideal candidate will have prior authorization experience in a medical setting, with Radiology experience strongly preferred. You will work closely with our client medical offices, insurance carriers, and internal teams to obtain authorizations, verify benefits, resolve patient inquiries, and support the Medical Records Department.
The Ideal Candidate Will Have:
  • Previous prior authorization experience is required – Minimal 1 year experience required
  • Radiology prior authorization experience is strongly preferred
  • Experience with medical insurance verification
  • Knowledge of commercial insurance plans, Medicare, and Medicaid
  • Ability to interpret Explanation of Benefits (EOBs)
  • Strong attention to detail and accurate data entry skills
  • Excellent communication and customer service skills
  • Previous call center or high-volume patient service experience
  • A passion for helping patients and providing exceptional customer service
If you thrive in a fast-paced healthcare environment and enjoy helping patients while ensuring timely authorization of medical services, we encourage you to apply!
Job Description – Customer Service / Prior Authorization Representative
Location: Houston, TX 77041
Job Summary
The Customer Service / Prior Authorization Representative is responsible for responding to patient account inquiries, obtaining and managing insurance prior authorizations, verifying insurance eligibility and benefits, processing patient payments, generating patient statements, and assisting with medical records requests. This position works closely with providers, insurance companies, and patients to ensure services are authorized and patient billing questions are resolved accurately and efficiently.
Duties and Responsibilities
  • Answer incoming calls from patients and customers, identifying the type of assistance needed.
  • Obtain, submit, monitor, and document insurance prior authorizations for medical services and procedures.
  • Verify insurance eligibility, benefits, authorization requirements, and referral requirements.
  • Follow up with insurance carriers regarding pending or denied authorizations and appeals as appropriate.
  • Coordinate with physician offices, scheduling staff, and clinical personnel to obtain required documentation for authorization requests.
  • Ask appropriate questions and actively listen to identify customer concerns while accurately documenting information in company systems.
  • Research patient accounts and healthcare claims using multiple computer systems.
  • Ensure appropriate insurance benefits are applied to each patient account.
  • Resolve patient billing questions using clear, professional communication.
  • Process patient payments and generate patient statements.
  • Assist the Medical Records Department by retrieving records for patients, attorneys, and third-party vendors.
  • Meet established performance goals for quality, productivity, customer satisfaction, accuracy, and attendance.
  • Demonstrate excellence in customer service with every patient interaction.
  • Participate in continuing education to remain current on medical billing, insurance regulations, and prior authorization requirements.
  • Support other members of the Revenue Cycle team as needed.
  • Perform other duties as assigned.
Competencies
  • Customer Service
  • Problem Solving
  • Analytical Thinking
  • Attention to Detail
  • Technical Skills
  • Oral Communication
  • Written Communication
  • Teamwork
  • Organization and Time Management
  • Ethics and Confidentiality
  • Adaptability
Education Requirements
  • High School Diploma or equivalent required.
Experience Requirements
  • Minimum of one (1) year of customer service experience in a medical office, clinic, hospital, emergency room, or healthcare setting.
  • Minimum of one (1) year of prior authorization experience required.
  • Radiology prior authorization experience strongly preferred.
  • Medical billing and insurance verification experience preferred.
Special Knowledge, Skills, and Abilities Required
  • Knowledge of insurance prior authorization processes and payer requirements.
  • Knowledge of commercial insurance, Medicare, Medicaid, and managed care plans.
  • Knowledge of medical billing and collection practices.
  • Ability to interpret Explanation of Benefits (EOBs).
  • Familiarity with EMR/EHR systems, EDI, and insurance portals.
  • Understanding of HIPAA regulations and patient confidentiality requirements.
  • Strong organizational, follow-up, and time management skills.
  • Excellent verbal and written communication skills.
  • Ability to multitask and prioritize in a fast-paced environment.
  • Detail-oriented with accurate data entry skills.
  • Proficiency with Microsoft Outlook and Windows-based computer systems.
  • Bilingual (English/Spanish) is a plus but not required.
Working Environment
Ability to work in a fast-paced, high-volume healthcare environment. Must be able to manage multiple priorities while maintaining accuracy and excellent customer service. Flexibility to work additional hours as needed to meet business demands.

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