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Prior Authorization Jobs in Decatur, GA (NOW HIRING)

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 ...

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 ...

New

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 ...

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 ...

Healthcare Support Staffing

Pharmacist

Atlanta, GA · On-site

$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 Aug 15, 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 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 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 August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 20% Part Time, 1% Temporary, and 2% 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.

Patient Precert Financial Advisor Oncology

Northwest Georgia Oncology Centers, PC

Marietta, GA • Remote

Full-time

Medical, Dental, Vision, Life, Retirement

This job post has expired 1 day ago. Applications are no longer accepted.

Job description

Immediate opening for a Patient Financial Advisor. Candidate is responsible for obtaining pre-certification and prior authorization for all patient treatments; to include infusion therapies, and injections. Provides cost of care estimates for treatments administered to patients. Qualified candidates should be detail oriented with good organizational and time management skills and have a working knowledge of medical terminology, including coding and insurance authorizations. Oncology, and Epic experience is a plus. Minimum 3 years medical insurance verification and authorization experience required. 

Company Description

Visit our website: www.ngoc.com.

Competitive salary and benefits. EOE.

This Company participates in E-Verify and is an Equal Opportunity Employer.

Northwest Georgia Oncology Centers, PC logo

About Northwest Georgia Oncology Centers, PC

Sourced by ZipRecruiter

NGOC is one of the nation’s premier community cancer centers meeting stringent standards including innovative patient-centered care and engagement, expanded access to advanced evidence and team-based care, and quality improvements to deliver high quality and value to you the patient.

Industry

Health care and social assistance

Company size

51 - 200 Employees

Headquarters location

Marietta, GA, US

Year founded

2007

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