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Prior Authorization Associate Jobs in Atlanta, GA

Forvis Mazars

Associate Audit Fall 2027

Atlanta, GA

Prior internships in a public accounting firm performing audit work Applicants for positions with ... Mazars must be legally authorized to work in the United States. Verification of employment ...

Forvis Mazars

Associate Audit Fall 2027

Atlanta, GA · On-site

Prior internships in a public accounting firm performing audit work Applicants for positions with ... Mazars must be legally authorized to work in the United States. Verification of employment ...

Our Company

Retail Stock Associate

Buford, GA · On-site

$14 - $16/hr

Prior furniture and/or janitorial experience is a plus! Rooms To Go Benefits: * Health, dental and ... Applicants must be authorized to work in the U.S.

Our Company

Retail Stock Associate

Buford, GA · On-site

$14 - $16/hr

Prior furniture and/or janitorial experience is a plus! Rooms To Go Benefits: * Health, dental and ... Applicants must be authorized to work in the U.S.

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All JobsPrior Authorization Associate JobsPrior Authorization Associate Jobs in Atlanta, GA

Prior Authorization Associate information

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How much do prior authorization associate jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for prior authorization associate in Atlanta, GA is $18.29, according to ZipRecruiter salary data. Most workers in this role earn between $14.57 and $19.42 per hour, depending on experience, location, and employer.

What is a prior authorization associate?

Prior Authorization Associates are professionals who handle the process of obtaining approval from insurance companies before certain medical services, procedures, or medications are provided to patients. They review clinical documentation, communicate with healthcare providers and insurers, and ensure all necessary information is submitted for timely authorization. Their work helps reduce claim denials and ensures patients receive the care they need while adhering to insurance requirements.

What are the key skills and qualifications needed to thrive as a prior authorization associate?

To thrive as a Prior Authorization Associate, you need a strong understanding of medical terminology, insurance processes, and prior authorization requirements, often backed by a high school diploma or associate degree. Familiarity with healthcare management software, electronic health record (EHR) systems, and payer portals is typically required. Excellent attention to detail, organizational skills, and effective communication are essential soft skills for this role. These skills ensure timely and accurate processing of prior authorizations, minimizing delays in patient care and supporting efficient healthcare operations.

What are some common challenges faced by a prior authorization associate, and how can they be effectively managed?

Prior Authorization Associates often encounter challenges such as navigating complex insurance requirements, handling high volumes of authorization requests, and managing tight turnaround times. Staying organized, keeping up-to-date with payer policies, and using robust tracking systems can help manage these difficulties. Collaborating closely with clinical staff and insurance representatives is also essential for resolving issues quickly and ensuring approvals are processed efficiently. Developing strong communication and problem-solving skills is key to success in this role.

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

AspectPrior Authorization AssociateMedical Billing Specialist
CredentialsHigh school diploma or equivalent; certification in medical billing or coding often preferredHigh school diploma or equivalent; certification in medical billing or coding often preferred
Work EnvironmentHealthcare offices, insurance companies, hospitalsHealthcare offices, billing companies, hospitals
Primary ResponsibilitiesObtain prior authorizations from insurance for procedures and treatmentsProcess and submit medical claims, handle billing and payments

The main difference is that a Prior Authorization Associate focuses on securing insurance approvals before procedures, while a Medical Billing Specialist manages the billing process after services are rendered. Both roles require similar credentials and often work in healthcare settings, but their core functions differ in the patient care and revenue cycle process.

Is a prior authorization associate a stressful job?

A prior authorization associate's job can be stressful due to the need for accuracy, meeting deadlines, and managing complex insurance requirements. The role often involves handling high volumes of requests and communicating with healthcare providers and insurers, which can contribute to workplace pressure.

What are the most commonly searched types of Prior Authorization jobs in Atlanta, GA?

The most popular types of Prior Authorization jobs in Atlanta, GA are:

What are popular job titles related to Prior Authorization Associate jobs in Atlanta, GA?

For Prior Authorization Associate jobs in Atlanta, GA, the most frequently searched job titles are:

What job categories do people searching Prior Authorization Associate jobs in Atlanta, GA look for?

The top searched job categories for Prior Authorization Associate jobs in Atlanta, GA are:

Prior Authorization Associate jobs near you

Insurance Verifier (Rehab)

Children's Healthcare of Atlanta

Atlanta, GA • On-site

Full-time

Medical

Posted 24 days ago

Key responsibilities

  • Verifies insurance benefits by contacting insurance providers and determining eligibility and coverage.

  • Coordinates and performs authorization and pre-certification activities for healthcare services.

  • Acts as a liaison between clinical staff, patients, physicians, and insurance companies to communicate authorization status and follow-up steps.

Children's Healthcare Of Atlanta rating

7.5

Company rating: 7.5 out of 10

Based on 130 frontline employees who took The Breakroom Quiz

232nd of 898 rated healthcare providers

Job description

Note: If you are CURRENTLY employed at Children's and/or have an active badge or network access, STOP here. Submit your application via Workday using the Career App (Find Jobs).
Work Shift
Day
Work Day(s)
Monday-Friday
Shift Start Time
8:00 AM
Shift End Time
4:30 PM
Worker Sub-Type
Regular
Children's is one of the nation's leading children's hospitals. No matter the role, every member of our team is an essential part of our mission to make kids better today and healthier tomorrow. We're committed to putting you first, and that commitment is at the heart of our company culture: People first. Children always. Find your next career opportunity and make a difference doing what you love at Children's.
Job Description
Authorizes and pre-certifies services by coordinating and performing activities required for verification and authorization of insurance benefits. Proactively identifies resources available for families if health plan does not include coverage for services. Coordinates counseling services with Financial Counseling and ensures the standards of Surprise Billing is communicated. Collaborates with Patient Financial Services (PFS) and Managed Care department regarding denied claims. May initiate and perform revenue cycle activities required for pre-registration. Works collaboratively with team members to provide quality service that ensures delivery of safe patient care and services.
Experience
  • At least one year of insurance verification experience or one year in an associate insurance verifier role

Preferred Qualifications
  • Bachelor's degree
  • Experience in a pediatric hospital

Education
  • High school diploma or equivalent

Certification Summary
  • No professional certifications required

Knowledge, Skills, and Abilities
  • Working knowledge of basic medical terminology
  • Demonstrated ability to multitask and problem-solve
  • Ability to work independently in a changing environment and handle stressful situations
  • Must be able to speak and write in a clear and concise manner to convey messages
  • Proficient in Microsoft Word/Excel/Outlook
  • May require travel within metro Atlanta as needed

Job Responsibilities
  • Conducts in depth account review including but not limited to, denial management, clinical follow up, and acts as a liaison between clinical stakeholders and payor representation.
  • Interviews patients and/or family members to secure insurance coverage, eligibility, and qualification for various financial programs.
  • Coordinates and performs verification of insurance benefits by contacting insurance provider and determining eligibility of coverage and communicates status of verification/authorization process with appropriate team members in a timely and efficient manner.
  • Provides clinical information as needed, emphasizing medical justification for procedure/service to insurance companies for completion of pre-certification process.
  • Confirms referring physician and/or servicing physician has obtained notification/confirmation of prior authorization as needed from insurance company for all scheduled healthcare procedures within assigned department/area.
  • Contacts referring physicians and or/patients to discuss rescheduling of procedures due to incomplete/partial authorizations.
  • Acts as liaison between clinical staff, patients, referring physician's office, and insurance by informing patients and families of any possible changes, updates, responses or follow up. Discussion points may include the following: authorization delays, authorization denials, pending status, answering questions regarding status changes, offering assistance, providing follow up steps for financial support and relaying/documenting messages pertaining to authorization of procedure/service.
  • Monitors patients on schedule, ensuring that eligibility and authorization information has been entered into data entry systems.
  • Pre-screens doctor's orders (scripts) received for new patients to ensure completeness/appropriateness of scheduled appointment.
  • Collaborates with Patient Financial Services (PFS) department to provide all related information regarding denied claims.
  • Monitors insurance authorization issues to identify trends and participates in process improvement initiatives.
  • Responds to all inquiries related to authorization/pre-certification issues.
  • Develops and maintains knowledge in medical terminology, billing and insurance guidelines to ensure Children's remains compliant with all regulatory expectations.

Children's Healthcare of Atlanta is an equal opportunity employer committed to providing equal employment opportunities to all qualified applicants and employees without regard to race, color, sex, religion, national origin, citizenship, age, veteran status, disability or any other characteristic covered by applicable law.
Primary Location Address
2220 North Druid Hills Road
Job Family
Patient Access

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