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Prior Authorization Jobs in Decatur, GA (NOW HIRING)

Quest Group Executive Search & Staffing Solutions

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Insurance Verification Specialist

Atlanta, GA · On-site

$17 - $21/hr

Confirms referring physician has obtained prior authorization as needed from insurance company for all scheduled healthcare procedures within assigned department/area. * Contacts referring physicians ...

PrideStaff

Revenue Cycle Manager

Alpharetta, GA · On-site

$150K - $156K/yr

Proven Experience Advising or Deploying AI Automation in Revenue Cycle Contexts For Coding, Analytics For Denials Prediction, Prior Authorization, or Patient Financial Engagement * Hands-on ...

NexRep

Healthcare Customer Service Specialists

Smyrna, GA · On-site

$16/hr

Previous experience with prior authorization, medical coding, or pharmacy benefit structures is helpful. To be a successful Healthcare Customer Service Specialist for this client, it's also essential ...

Nephrology and internal medicine clinic

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Lead Medical Assistant

Peachtree Corners, GA · On-site

$16 - $20.75/hr

Start and follow up Prior Authorization * Change dressings * Clean and maintain instruments and medical equipment, including in the laboratory * Collect medical history and data about previous health ...

Walgreens

Specialty Billing Technician

Atlanta, GA · On-site

$17.50 - $22.50/hr

Processing of prescription exceptions including prior authorizations, triaging of referrals to other Walgreens locations, and proactively identifying copay assistance opportunities. * Responsible for ...

Nephrology and internal medicine clinic

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Lead Medical Assistant

Peachtree Corners, GA · On-site

$16 - $20.75/hr

Start and follow up Prior Authorization * Change dressings * Clean and maintain instruments and medical equipment, including in the laboratory * Collect medical history and data about previous health ...

First Lithonia Medical Center

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Medical Assistant

Lithonia, GA · On-site

$18 - $22/hr

Submit prior authorization requests * Vaccine management with inventory of 200 + vaccines * Assist providers with 5+ procedures a day * Administer vaccines and therapeutic injections * Assisting ...

New

Curant Health

Healthcare Data Analyst

Smyrna, GA

The Data Analyst I works with patient, referral, prior authorization, dispensing, and workflow data to provide accurate and actionable insights to program leadership and cross-functional partners.

First Lithonia Medical Center

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Medical Assistant

Lithonia, GA · On-site

$18 - $22/hr

Submit prior authorization requests * Vaccine management with inventory of 200 + vaccines * Assist providers with 5+ procedures a day * Administer vaccines and therapeutic injections * Assisting ...

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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 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.
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, 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.

Insurance Verification Specialist

Quest Group Executive Search & Staffing Solutions

Atlanta, GA • On-site

$17 - $21/hr

Full-time

Medical, Dental, Vision

Re-posted 18 days ago

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Job description

Critical need for an Insurance Verifier for contract to hire role within one of the highest ranked Healthcare Systems in Atlanta! Ready to interview TODAY!


_ Job Responsibilities_

  • Interviews patients and/or family members as needed to secure information concerning insurance coverage, eligibility, and qualification for various financial programs.
  • Coordinates and performs verification of insurance benefits by contacting insurance provider and determining eligibility of coverage and communicates status of verification/authorization process with appropriate team members in a timely and efficient manner.
  • Provides clinical information as needed, emphasizing medical justification for procedure/service to insurance companies for completion of pre-certification process.
  • Confirms referring physician has obtained prior authorization as needed from insurance company for all scheduled healthcare procedures within assigned department/area.
  • Contacts referring physicians and or/patients to discuss rescheduling of procedures due to incomplete/partial authorizations.
  • Acts as liaison between clinical staff, patients, referring physician’s office, and insurance by informing patients and families of authorization delays/denials, answering questions, offering assistance, and relaying messages pertaining to authorization of procedure/service.
  • Maintains tracking of patients on schedule, ensuring that eligibility and authorization information has been entered into data entry systems.
  • Pre-screens doctor’s orders (scripts) received for new patients to ensure completeness/appropriateness of scheduled appointment.
  • Collaborates with Appeals department to provide all related information to overturn claims denied.
  • Monitors insurance authorization issues to identify trends and participates in process improvement initiatives.
  • Responds to all inquiries from throughout the system and outside related to authorization/pre-certification issues.
  • Provides ongoing communication to physician offices, patients/families, and others as necessary to resolve insurance authorization issues.

Apply NOW!


Requirements:

  • Must have experience with Epic
  • High volume, fast paced office
  • They need someone that can hit the ground running. A quick learner with excellent communication skills.

Schedule:

  • M-F
  • Insurance Verification: 8-4:30

Apply NOW!