ZipRecruiter

Log In

1

Prior Authorization Jobs in Georgia (NOW HIRING)

Curant Health

Prior Authorization Pharmacist

Smyrna, GA · On-site

$57 - $68.50/hr

The Prior Authorization Pharmacist oversees clinical and operational aspects of specialty medication prior authorizations. This role involves processing and evaluating PA requests, supervising PA ...

Curant Health

Prior Authorization Clerk

Smyrna, GA · On-site

$15 - $18.25/hr

Maintain complete, timely, and accurate documentation of all prior authorization approvals and denials within MedPlan and Curant Health's pharmacy software system and shared drive. * Transfer all ...

PainPoint

Prior Authorization Team Lead

Atlanta, GA · On-site +1

$23/hr

Prior Authorization Team Lead Full-Time | Remote | $23/hr Schedule: Monday-Friday 8:00 AM-4:30 PM About DxTx DxTx Pain & Spine is a physician-aligned partner organization dedicated to supporting ...

previous pagenext page

Showing results 21-40

All JobsPrior Authorization JobsPrior Authorization Jobs in Georgia

Prior Authorization information

See Georgia salary details

$11

$17

$27

How much do prior authorization jobs pay per hour?

As of Aug 9, 2026, the average hourly pay for prior authorization in Georgia is $17.64, according to ZipRecruiter salary data. Most workers in this role earn between $14.62 and $19.47 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 Georgia? The most popular types of Prior Authorization jobs in Georgia are:
What are popular job titles related to Prior Authorization jobs in Georgia? For Prior Authorization jobs in Georgia, the most frequently searched job titles are:
What job categories do people searching Prior Authorization jobs in Georgia look for? The top searched job categories for Prior Authorization jobs in Georgia are:
What cities in Georgia are hiring for Prior Authorization jobs? Cities in Georgia with the most Prior Authorization job openings:
Prior Authorization jobs near you
Infographic showing various Prior Authorization job openings in Georgia as of July 2026, with employment types broken down into 1% As Needed, 76% Full Time, 19% Part Time, 1% Temporary, 2% Contract, and 1% Nights. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution, with an average salary of $36,696 per year, or $17.6 per hour.

Prior Authorization Pharmacist

Curant Health

Smyrna, GA • On-site

$57 - $68.50/hr

Other

PTO

Posted 24 days ago

Job description

JOIN A LEADING HEALTHCARE COMPANY
Do you want to join a leading healthcare team focused on nurturing long-term patient and caregiver relationships? Do you want to be a part of a company that is committed to hiring the best people and using the best technology and tools to deliver improved health outcomes for patients and partners? If so, take a look at the available career opportunities at Curant Health.
Curant Health is searching for a Prior Authorization Pharmacist to join its team in Smyrna, GA. The Prior Authorization Pharmacist oversees clinical and operational aspects of specialty medication prior authorizations. This role involves processing and evaluating PA requests, supervising PA specialists, and serving as a clinical resource to both internal and external stakeholders.
Key Responsibilities:

  • Review and process prior authorization requests based on clinical criteria and member benefits.
  • Coordinate drug utilization review reports and ensure compliance with regulatory requirements.
  • Handle clinical calls from Customer Care for medication-related prior authorizations.
  • Manage PA appeals and ensure adherence to policies and procedures.
  • Act as a clinical resource for internal teams, prescribers, and clients.
  • Monitor and improve the quality and efficiency of the Coverage Determination process.
  • Stay updated on clinical guidelines and provide relevant insights for program development.
  • Supervise the Prior Authorization Department, ensuring operational efficiency and training.
  • Develop and implement departmental protocols and training materials.
Qualifications:
  • Doctor of Pharmacy (PharmD) with at least 2 years of experience and licensed in the state of practice.
  • Prior experience with prior authorizations, clinical pharmacy, and managed care is preferred.
  • Knowledge of PBM, formulary management, and 340B is a plus.

Why Work for Us?
We offer competitive pay, paid holidays, benefits, paid time off and a work/life balance. Not only that, but we also offer paid parental leave, recognition programs, promotion opportunities, a comprehensive training program to enhance your career, and employee prescription discounts.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

Apply