ZipRecruiter

Log In

1

Prior Authorization Jobs in Georgia (NOW HIRING)

Actalent

Certified Pharmacy Technician

Atlanta, GA · On-site

$17.25 - $21.25/hr

100% Remote Pharmacy Technician - Prior Authorization Review This remote Pharmacy Technician role focuses on reviewing pharmacy prior authorization requests for a large health insurance pharmacy ...

Addison Group

Precertification Specialist

Smyrna, GA · On-site

$22/hr

Obtain, track, and manage prior authorizations for scheduled diagnostic testing and physician services. * Verify patient insurance eligibility, benefits, coverage, and authorization requirements ...

Elevance Health

Pharmacy Tech II-Bilingual

Atlanta, GA · On-site

$16.75 - $20.50/hr

Processes prior authorization requests from physician's offices and ensures compliance with Medicare requirements; informs relevant parties of all prior authorization determinations. * Provides ...

previous page

Showing results 41-60

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 23, 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 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.

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, along with knowledge of medical billing and coding. Relevant skills include attention to detail, communication, and familiarity with insurance policies and electronic health record systems. Certification in medical billing or coding can enhance job prospects.

What career paths follow prior authorization?

Careers following prior authorization include roles such as medical billers, claims processors, healthcare administrators, and utilization review specialists. These positions often require knowledge of insurance policies, medical coding, and healthcare regulations, and may involve certifications like CPC or CCS. Advancement can lead to supervisory or managerial roles within healthcare administration or insurance companies.

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.
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 August 2026, with employment types broken down into 76% Full Time, 20% Part Time, 2% Temporary, and 2% Contract. Highlights an 98% In-person, and 2% Remote job distribution, with an average salary of $36,696 per year, or $17.6 per hour.

PRECERTIFICATION PRIOR AUTH SPEC, CANCER CENTER ADMIN

South Georgia Medical Center

Valdosta, GA

Full-time

Medical, Life, Retirement, PTO

Re-posted 24 days ago

South Georgia Medical Center rating

7.1

Company rating: 7.1 out of 10

Based on 32 frontline employees who took The Breakroom Quiz

471st of 1,062 rated hospitals

Job description

Description

WHAT IT'S LIKE AT SGMC HEALTH

Purpose. No matter your role or area that you work in, at SGMC Health we are collectively working towards goals that will make our community a better place.

Excellence. We strive to do the right thing the right way, are accountable in all we do, require competence of our people, and are compassionate in our service.

Team Spirit. We encourage team effort, support personal and professional development, acknowledge individual talents and skills, and support innovation and empowerment.

Award Winning Performance. We are committed to providing the best care possible and we are proud to be recognized locally, statewide, and nationally for the exceptional care that our staff provides.

WHY YOU WILL LOVE SGMC HEALTH

SGMC has great benefit options, depending on the role that you are going into– including healthcare, supplementary benefits, ways to save for the future, opportunities for career advancement, and opportunities to expand your skill set. Some of these great benefit options are listed below:

  • Low Healthcare Insurance Premiums
  • 401(k) with employer match
  • Paid Time Off (PTO)
  • Employee discounts
  • Company paid life insurance
  • Short-Term and Long-Term Disability
  • Cancer Insurance
  • Accident Insurance
  • Pet Insurance
  • Tuition Reimbursement
  • On-the-job training and skills development
  • Opportunities for growth and advancement
  • Employee Assistance Program

JOB LOCATION : Cancer Center

DEPARTMENT: PCC - CANCER CENTER ADMINISTRATION

SCHEDULE: Full Time, ,

POSITION SUMMARY

Responsible for obtaining precertification and/or prior authorization for each patient for which testing or procedures have been ordered by PCCC Medical Oncologists and Radiation Oncologist, including but not limited to all radiologic testing, injections, chemotherapy and/or radiation treatments, prior to services being rendered, using appropriate diagnoses and procedure codes. The precertification and/or authorization must be obtained on each patient by 2:00 p.m. on the day prior to their scheduled appointment. If not able to obtain precertification and/or authorization, specialist must contact the patient to reschedule their appointment. Responsible for reviewing for accuracy of information requested and received in regard to precertification and/or prior authorization numbers received, as well as supporting documents. Responsible for uploading into both Mosaiq and HIS (Series) software, authorization numbers, time spans/number of procedures, etc. and supporting documentation upon verification that procedures are authorized as requested. Responsible for appropriate use of Quality Check List (QCL) in Mosaiq as notification system for the monitoring of authorization requests and expiring authorizations. Responsible for the use of and, documentation in, Mosaiq as the official medical record, following appropriate guidelines for documenting. Responsible for contributing to program development. Other duties as identified and assigned by manager. 

KNOWLEDGE, SKILLS & ABILITIES

  • High school graduate preferred. 
  • Minimum (1) year prior administrative experience or equivalent; preferable in a hospital or medical office setting to include working knowledge of insurance and managed care. 
  • Must have excellent computer (technical and systems) skills & knowledge: PC and Windows literacy required, as well as Microsoft Office applications – Outlook, Word, Excel, etc. as well as a variety of other office machines. Prior use of medical office software database preferred. 
  • Must possess excellent communication and interpersonal skills, and must be able work effectively as part of a team and respond well to supervision. 
  • Self-motivated, showing initiative to tackle important issues, problems and tasks. 
  • Attention to detail skills are critical; ability to manage multiple tasks, meet deadlines and be flexible in order to adapt to variety on the job; ability to cross train to other functions as necessary. 
  • Requires flexibility in work scheduled for accountability expectations for operations and process management in a customer focused business. 
WORKING CONDITIONS - ADA INFORMATION

Generally regular work schedule during normal office hours. Comfortable setting indoors. May be subjected to high levels of stress. Must be able to sit for prolonged periods of time. Moderate heavy lifting (0-25 lbs.), reaching, stooping, pushing, pulling, bending and twisting. Must be able to operate office equipment to include FAX, copier, and computer.


SEE WHAT ALL OF THE HYPE IS ABOUT

https://www.youtube.com/watch?v=_DeqKw8xk54


What South Georgia Medical Center employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply