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Prior Authorization Jobs in Covington, GA (NOW HIRING)

Ascend Medical Georgia PC

Medical Assistant

Snellville, GA · On-site

$15.25 - $19.50/hr

Key Performance Outcomes: 100% consent forms collected from the patient and/or authorized caregiver 100% of copays and outstanding balances collected prior to appointment, combined with front office ...

Ascend Medical

Medical Assistant

Snellville, GA · On-site

$15.25 - $19.50/hr

Key Performance Outcomes: • 100% consent forms collected from the patient and/or authorized caregiver • 100% of copays and outstanding balances collected prior to appointment, combined with front ...

Total Resource Recovery

Patient Support Specialist

Conyers, GA · On-site

$15 - $18.50/hr

Complete verification of insurance for DME coverage and prior authorization information, (including but not limited to) deductible, effective date, and claims address. * Work with patients/clients to ...

Total Resource Recovery

Patient Support Specialist

Conyers, GA · On-site

$13.25 - $16.25/hr

Complete verification of insurance for DME coverage and prior authorization information, (including but not limited to) deductible, effective date, and claims address. * Work with patients/clients to ...

Total Respiratory

Patient Support Specialist

Conyers, GA · On-site

$15 - $18.50/hr

Complete verification of insurance for DME coverage and prior authorization information, (including but not limited to) deductible, effective date, and claims address. * Work with patients/clients to ...

Caritas Medical Center

Be Seen First

Medical Assistant (certified)

Stockbridge, GA · On-site

$20 - $22/hr

... prior authorizations, and patient follow-up. · Maintain exam rooms, supplies, and uphold infection control standards. · Communicate effectively with patients, families, dialysis units, and other ...

Playground Pediatrics

Medical Assistant

Mcdonough, GA · On-site

$16.25 - $20.75/hr

Complete all forms, prior authorizations, and paperwork as requested by provider to facilitate patient care. * Monitors the quality of care based on pre-established outcome-oriented indicators.

Jonesboro Pediatrics

Medical Assistant

Mcdonough, GA · On-site

$16.25 - $20.75/hr

Complete all forms, prior authorizations, and paperwork as requested by provider to facilitate patient care. * Monitors the quality of care based on pre-established outcome-oriented indicators.

Playground Pediatrics

Medical Assistant

Mcdonough, GA · On-site

$16.25 - $20.75/hr

Complete all forms, prior authorizations, and paperwork as requested by provider to facilitate patient care. * Monitors the quality of care based on pre-established outcome-oriented indicators.

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All JobsPrior Authorization JobsPrior Authorization Jobs in Covington, GA

Prior Authorization information

See Covington, GA salary details

$11

$17

$27

How much do prior authorization jobs pay per hour?

As of Aug 26, 2026, the average hourly pay for prior authorization in Covington, GA is $17.73, according to ZipRecruiter salary data. Most workers in this role earn between $14.66 and $19.57 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 Covington, GA?

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

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

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

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

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

Prior Authorization jobs near you
Infographic showing various Prior Authorization job openings in Covington, GA as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 18% Part Time, 1% Temporary, and 3% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $36,873 per year, or $17.7 per hour.

CCMA (Covington - Clinic)

Covington, GA

Alliance Spine and Pain Centers
Outpatient Health Care • 11 - 50 employees
Learn more about Alliance Spine and Pain Centersexternal

$14.50 - $18.75/hr

Full-time

Medical, Retirement

Re-posted 8 hours ago

Job description

Alliance Spine and Pain Centers are seeking experienced Certified Medical Assistants!
We are an exceptional company to grow with and have an amazing work-life balance!
8 Major Holidays off, no weekends, no overnights and you'll never be On-Call!
Our company offers a highly competitive base compensation, up to eight (8) paid holidays comprehensive medical benefits, and a generous 401k!
Essential Duties and Responsibilities--ASC
  • Prepare patient for visit by directing them to the Pre-Operative area, providing gowns and appropriate instruction, as well as collecting appropriate samples.
  • Explain the reason for the visit and obtain appropriate consent.
  • Collect and record vital signs and medical history; report abnormal values to pre-operative nurse or healthcare provider.
  • Assist nurse in preparing prescriptions and entering documentation in the electronic medical records.
  • Must be able to document and maintain appropriate workflow in patient’s electronic medical records.
  • Maintain pre-operative area with appropriate supplies.
  • Maintain necessary equipment to insure proper functioning.
  • Transport patients to and from Operating Room and to their vehicle when necessary.
  • Clean and sanitize all pre-operative and PACU rooms, as needed, at the end of the day.
  • Restock all ASC rooms with the appropriate supplies.
  • Make post-operative calls to patients, as required.
  • Respond to patient phone calls sent via Telephone Encounter.
Essential Duties and Responsibilities--Clinic
  • Monitor the S schedule for patient arrivals. Collect the patient from the waiting room and assist to a clinic room, making the patient ready on the schedule.
  • Mark appropriate room number in patient’s electronic medical records.
  • Document and maintain appropriate workflow in patient’s electronic medical records.
  • Merge the patient’s chart, take vitals, verify medication and triage patient for provider.
  • Follow procedure for collecting, preparing, documenting, and shipping urine specimens to the laboratory.
  • Prepare prescriptions for provider signatures.
  • Complete the patient’s chart. Mark the chart as done. (Must be done by the end of the workday.)
  • Start procedure prior authorizations the day it is received. Complete within 72 hours.
  • Notify the patient and document the process of the prior authorization.
  • Clean and sanitize clinic rooms, as required, at the end of the day.
  • Restock clinic rooms with the appropriate items.
  • Other duties as assigned by healthcare providers, Charge Nurse, Clinic Lead, or Regional Administrator.
Education and/or Experience
  • Must be a Certified Medical Assistant
  • Graduate of an accredited Medical Assistant Program
  • High school diploma or equivalent required
  • Must have at least 6 months experience in a medical office
  • Pain management experience preferred
  • Current Basic Life Support (CPR AED) certification required or obtained within 30 days of hire

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