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Prior Authorization Jobs in Decatur, GA (NOW HIRING)

PruittHealth

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 ...

Healthcare Support Staffing

Pharmacist

Atlanta, GA

$57 - $58/hr

Review specialty medication prior authorization requests (i.e. biopharmaceuticals) according to established treatment protocols, clinical criteria and member benefits. and make coverage ...

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All JobsPrior Authorization JobsPrior Authorization Jobs in Decatur, GA

Prior Authorization information

See Decatur, GA salary details

$13

$20

$31

How much do prior authorization jobs pay per hour?

As of Jul 21, 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.

How to become a prior authorization specialist?

To become a prior authorization specialist, candidates typically need a high school diploma or equivalent, along with 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 Professional Coder (CPC) can enhance job prospects.

What jobs pay $4000 a week without a degree?

Jobs that can pay $4,000 a week without a degree include certain sales roles, real estate agents, commercial pilots, and skilled trades such as electricians or plumbers with experience. These positions often require specialized skills, certifications, or licensing but do not necessarily require a college degree. High earnings typically depend on experience, performance, and the industry environment.

How much do precertification specialists make?

Precertification specialists typically earn between $35,000 and $55,000 annually, depending on experience, location, and employer. They often require knowledge of insurance policies and medical billing systems, and some roles may offer additional benefits or bonuses.

What Is Prior Authorization?

Prior authorization is a check done by insurance companies and other third-party payers to determine whether or not they should pay for a medical procedure or specific medication. Factors that can trigger prior authorization requests include things like age, the availability of alternative medicines, or the need to check for drug interactions. If they reject the prior authorization, payers often require doctors to attempt the insurance company's preferred procedure and verify unsuccessful results before accepting an alternative treatment plan. Pre-authorization requests can take up to 30 days, though insurance companies and healthcare providers are continuing to work on ways to cut this time down.

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.

What is prior authorization in healthcare?

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 career paths follow prior authorization?

Careers following prior authorization typically 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 working in insurance companies, healthcare providers, or pharmacy benefit management companies.
More about Prior Authorization jobs
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:
Prior Authorization jobs near you
Infographic showing various Prior Authorization job openings in Decatur, GA as of July 2026, with employment types broken down into 1% As Needed, 85% Full Time, 11% Part Time, and 3% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $42,431 per year, or $20.4 per hour.
Prior Authorization Specialist- Laureate Medical Sandy Springs

Prior Authorization Specialist- Laureate Medical Sandy Springs

Northside Hospital Inc.

Atlanta, GA

$17.25 - $23/hr

Full-time

Posted 14 days ago

Northside Hospital rating

7.3

Company rating: 7.3 out of 10

Based on 440 frontline employees who took The Breakroom Quiz

302nd of 886 rated healthcare providers

Job description

Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today.


A prior authorization specialist is an individual who is highly skilled in ensuring that patients receive the medication that requires pre-authorizations from insurance carriers. These individuals receive prescriptions, address and rectify rejected claims and conduct necessary third party authorization requests.


REQUIRED: 1. High School Graduate or General Education Degree (GED). 2. CMA, or RMA or three (3) to seven (7) years related experience. 3. Understanding and experience with electronic medical records 4. Great communicator, with exceptional writing and verbal skills 5. Ability to project a professional image. 6. Strong knowledge of regulatory standards and compliance requirements, working knowledge of medical business office procedures and basic accounting. 7. Detailed understanding of ICD-9 and CPT. 8. Possess insight into reimbursement and claims procedures. PREFERRED: 1. Proficient in EMR 2. Two (2) to Four (4) years equivalent experience


8- 430

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About Northside Hospital

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* 288-bed hospital, offering a full range of services including comprehensive and interventional stroke care, preventative and corrective cardiac care, full-service orthopedic and spine treatment, an ER 24/7®, and general surgery * As one of the first hospitals in the area to achieve Atrial Fibrillation Certification (SCPC), our technologically advanced hospital allows our highly skilled physicians, nursing and caregivers to serve our growing community * Northside Hospital was the first nationally recognized Comprehensive Stroke Center in Pinellas County and nationally recognized for quality and safety by earning an 'A' rating from the Leapfrog Group

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Atlanta, GA, US

Year founded

1970

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