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Prior Authorization Jobs in Decatur, GA (NOW HIRING)

Prior Authorization Specialist

Smyrna, GA · On-site

$18 - $24/hr

The Prior Authorization specialist responsibilities includes: taking in-bound calls from providers, PBM, etc. providing phone assistance to all callers through the prior authorization process.

Prior Authorization Coordinator Full-Time | $19-21/hour | Monday-Friday | 8:00 AM-4:30 PM CST Location: Remote About DxTx Pain & Spine At DxTx Pain & Spine, we're redefining how pain and spine ...

The Prior Authorization specialist responsibilities includes: taking in-bound calls from providers, PBM, etc. providing phone assistance to all callers through the prior authorization process.

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 ...

Be Seen First

Initiate and follow up on prior authorizations, step therapy reviews, and appeals as applicable. * Proactively communicate with insurance payers, specialty pharmacies, and support organizations to ...

New

Authorization Specialist

Norcross, GA · On-site

$16.50 - $22/hr

Applicants should possess a minimum of two years prior experience in obtaining medical authorizations. KNOWLEDGE, SKILLS, ABILITIES: Must have proficient working knowledge of a computer and all ...

New

Authorization Specialist

Norcross, GA · On-site

$17 - $22.50/hr

Secures prior authorization from insurance companies and documents approval details appropriately in the EHR system. 3.Collaborates daily with branch staff, insurance companies, and patients as ...

New

Authorization Specialist

Norcross, GA · On-site

$17 - $22.50/hr

Applicants should possess a minimum of two years prior experience in obtaining medical authorizations. KNOWLEDGE, SKILLS, ABILITIES: • Must have proficient working knowledge of a computer and all ...

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Prior Authorization information

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How much do prior authorization jobs pay per hour?

As of Sep 4, 2026, the average hourly pay for prior authorization in Decatur, GA is $20.40, according to ZipRecruiter salary data. Most workers in this role earn between $16.88 and $22.55 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.

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

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

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

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

Infographic showing various Prior Authorization job openings in Decatur, GA as of August 2026, with employment types broken down into 1% As Needed, 75% Full Time, 20% Part Time, 1% Temporary, and 3% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $42,431 per year, or $20.4 per hour.

Prior Authorization Specialist

Curant Health

Smyrna, GA • On-site

$18 - $24/hr

Full-time

Medical, PTO

Re-posted 27 days ago


Job description

JOIN A LEADING HEALTHCARE COMPANY
At Curant Health, our vision is Personalize healthcare driven by choice and defined by value. As a Curant Health employee, your role is to deliver on that vision every day by delivering excellent Customer Service, Personalize Care, Accountability, Innovation, and Integrity. You take initiative, set goals, and solve problems while collaborating with friends and colleagues. Together we make a meaningful impact on our patients lives.
In return, Curant Health is committed to providing you competitive pay, excellent benefits, and an opportunity to make a difference each day as we strive to reach our vision to be the preferred health care partner by excelling in quality, service, and affordability.
Curant Health, the leader in patient-centric chronic disease management via specialty pharmacy is searching for an Prior Authorization Specialist to join its team in Smyrna, GA. We are committed to improving patient health outcomes by offering a pharmacist-managed medication care program, comprehensive therapeutic monitoring and dependable home delivery of prescription drugs.
The Prior Authorization specialist responsibilities includes: taking in-bound calls from providers, PBM, etc. providing phone assistance to all callers through the prior authorization process.
Responsibilities
  • Maintaining complete, timely and accurate documentation of all approvals and denials, and transferring all clinical questions and judgment calls to the pharmacist.
  • Assist physician groups in initiating prior authorization, follow up with PBM, and initiate appeals if applicable.
  • Assist with other duties such as outbound calls, monitoring/responding to inquiries and other duties as assigned by the Patient Services manager.
  • Manages work volume from inception to delivery utilizes appropriate courteous and professional behavior based upon established standards
  • Complies with departmental, company, state, and federal requirements when processing all information to ensure accuracy of information being provided to internal and external customers.
  • Manage written or formal documentation to patients and provider on prior authorization status.
  • Communicates with Patient Care Coordinators and other internal teams for timely resolution of appeals/exceptions.
  • General administrative support as assigned by manager.
  • Provide backup support to team members as needed.
Qualifications
  • Requires a high school diploma or equivalent
  • 1 year experience
  • Registered Pharmacy Technician

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.
Our Core Values consist of ICARE; Integrity, Communication, Accountability, Relationships and Excellence, and we take pride in you embodying those traits. Curant Health is an equal opportunity employer.
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.