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Prior Authorization Coordinator Jobs in Decatur, GA

MedCura Health

Case Manager

Stone Mountain, GA

$18 - $23.25/hr

... coordination and patient outcomes. * Support quality improvement initiatives led by the Director of Clinical Quality. * Contribute to departmental goals by working referral, prior authorization, and ...

Curant Health

Claims Adjudication Coordinator

Smyrna, GA · On-site

$22/hr

Responsible for all communication to ensure that action items that were not processed as planned by the Patient Care Coordinators (PCC's) are complete (any insurance rejections, prior authorizations ...

Alliant Health Group

Behavior Analyst

Dunwoody, GA · On-site

The Behavior Analyst conducts prior authorization reviews for Georgia Fee-For-Service Medicaid ... Coordinates approval requests for out-of-state treatment of behavioral disorders, including autism ...

New

Curant Health

Claims Adjudication Coordinator

Smyrna, GA · On-site

$22/hr

Responsible for all communication to ensure that action items that were not processed as planned by the Patient Care Coordinators (PCC's) are complete (any insurance rejections, prior authorizations ...

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All JobsPrior Authorization JobsPrior Authorization Coordinator JobsPrior Authorization Coordinator Jobs in Decatur, GA

Prior Authorization Coordinator information

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How much do prior authorization coordinator jobs pay per hour?

As of Sep 14, 2026, the average hourly pay for prior authorization coordinator in Decatur, GA is $20.81, according to ZipRecruiter salary data. Most workers in this role earn between $17.36 and $21.59 per hour, depending on experience, location, and employer.

What is a prior authorization coordinator?

Prior Authorization Coordinators are healthcare professionals responsible for managing and obtaining approval from insurance companies before certain medical services, procedures, or medications are provided to patients. Their main duties include reviewing patient information, communicating with healthcare providers and insurers, and ensuring all necessary documentation is submitted for timely authorization. They play a crucial role in reducing delays in care and helping patients navigate complex insurance requirements. Strong communication, attention to detail, and knowledge of insurance processes are essential skills for this role.

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

To thrive as a Prior Authorization Coordinator, you need strong knowledge of medical terminology, insurance processes, and healthcare regulations, often supported by experience in medical billing or a related certification. Familiarity with electronic health records (EHR), insurance portals, and prior authorization management systems is typically required. Attention to detail, organizational skills, and effective communication are essential soft skills for efficiently handling authorization requests and collaborating with providers and insurers. These skills ensure timely approvals, minimize claim denials, and support smooth patient access to prescribed care.

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

Prior Authorization Coordinators often encounter challenges such as navigating complex insurance requirements, keeping up with frequent policy changes, and managing high volumes of requests. To handle these effectively, coordinators need strong organizational skills, attention to detail, and the ability to communicate clearly with both healthcare providers and insurance representatives. Staying updated on payer guidelines and using electronic health record (EHR) systems efficiently can also streamline the process and reduce delays in patient care.

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

AspectPrior Authorization CoordinatorMedical Billing Specialist
CredentialsTypically requires knowledge of insurance policies, healthcare regulations, and sometimes certifications like CPC or CPC-HRequires coding certifications (CPC, CCS) and knowledge of billing procedures
Work EnvironmentHealthcare facilities, insurance companies, or billing companiesMedical offices, hospitals, or billing companies
Employer & Industry UsageUsed in healthcare settings to manage insurance approvalsUsed across healthcare to process and submit claims
Search & Comparison IntentPeople compare roles related to insurance approval processesPeople compare roles related to billing and claims processing

The Prior Authorization Coordinator focuses on obtaining insurance approvals before treatment, ensuring coverage compliance. In contrast, the Medical Billing Specialist handles submitting claims and processing payments after services are rendered. Both roles are essential in healthcare administration but differ in their primary functions and workflows.

Is prior authorization a stressful job?

Prior Authorization Coordinators often experience stress due to tight deadlines, the need for accuracy, and managing complex insurance requirements. The role requires attention to detail, communication skills, and familiarity with medical policies, which can contribute to job pressure but also offers a structured workflow to handle tasks efficiently.

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

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

What are popular job titles related to Prior Authorization Coordinator jobs in Decatur, GA?

For Prior Authorization Coordinator jobs in Decatur, GA, the most frequently searched job titles are:

What job categories do people searching Prior Authorization Coordinator jobs in Decatur, GA look for?

The top searched job categories for Prior Authorization Coordinator jobs in Decatur, GA are:

What cities near Decatur, GA are hiring for Prior Authorization Coordinator jobs?

Cities near Decatur, GA with the most Prior Authorization Coordinator job openings:

Prior Authorization Coordinator jobs near you

Case Manager

Stone Mountain, GA

MedCura Health
Health Care and Social Assistance • 51 - 200 employees
Learn more about MedCura Healthexternal

$18 - $23.25/hr

Full-time

Re-posted 28 days ago

Job description

The Case Manager plays a vital role in supporting patients across multiple specialties by coordinating care, facilitating access to services, and ensuring continuity throughout the healthcare journey. Working under the direction of the Director of Clinical Quality, this position helps bridge gaps in care, reduce barriers, and promote patient-centered outcomes.


  • Active Licensed Practical Nurse (LPN) license in the state of Georgia.
  • 2+ years of experience in outpatient care coordination, case management, or nursing.
  • Familiarity with EMR systems and documentation standards.
  • Experience in a multi-specialty or community health setting.
  • Knowledge of Medicaid/Medicare and commercial insurance processes.
  • Excellent communication, organizational, leadership and customer service skills.
  • Excellent phone etiquette.

  • Assess patient needs and develop individualized care plans in collaboration with providers and clinical teams.
  • Coordinate referrals, follow-ups, and transitions between specialties and external services.
  • Monitor patient progress and proactively address gaps in care or barriers to treatment.
  • Maintain accurate and timely documentation in the Electronic Health Record (EHR).
  • Ensure compliance with federal, state, and organizational guidelines, including company and regulatory standards.
  • Track and report patient outcomes, service utilization, and care plan adherence.
  • Serve as a liaison between patients, providers, referral coordinators, and external agencies.
  • Participate in department team meetings to review complex cases and align care strategies.
  • Communicate effectively with patients to provide education, support, and advocacy.
  • Assist in collecting and analyzing data related to care coordination and patient outcomes.
  • Support quality improvement initiatives led by the Director of Clinical Quality.
  • Contribute to departmental goals by working referral, prior authorization, and refill queues in the EHR when needed.
  • Conduct patient intake and clinical triage, assessing presenting concerns, and promptly consulting with providers when expanded clinical guidance or urgent care decisions are needed.

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