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Prior Authorization Jobs in Decatur, GA (NOW HIRING)

OncoHealth

Case Review Specialist - Atlanta

Atlanta, GA · On-site +1

Personal power outages, internet disruptions, natural disasters, and to process incoming Prior Authorization requests received via mail from Providers and Members About the Location OncoHealth is ...

OncoHealth

Case Review Specialist - Atlanta

Atlanta, GA · On-site +1

Personal power outages, internet disruptions, natural disasters, and to process incoming Prior Authorization requests received via mail from Providers and Members About the Location OncoHealth is ...

Georgia Urology

PATIENT COORDINATOR

Smyrna, GA · On-site

$16.50 - $22.25/hr

Verify patient insurance information, prior authorization, and collect payment for services rendered, (co-pays, deductibles, co-insurance, past due balances, and surgery deposits) * Scan patient data ...

Georgia Urology PA

PATIENT COORDINATOR

Roswell, GA · On-site

$16 - $21.50/hr

Verify patient insurance information, prior authorization, and collect payment for services rendered, (co-pays, deductibles, co-insurance, past due balances, and surgery deposits) * Scan patient data ...

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Prior Authorization information

See Decatur, GA salary details

$13

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$31

How much do prior authorization jobs pay per hour?

As of May 30, 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 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 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 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.

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 May 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $42,431 per year, or $20.4 per hour.

Insurance Verification Specialist - Procedure Scheduling Experience Preferred

Atlanta Interventional Institute

Smyrna, GA

$17 - $21/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 20 days ago

Job description

Our busy practice is growing and we have an immediate need for an Insurance Verification/Authorization Specialist. This position will be responsible for pre-procedure verification of benefits, obtaining authorizations, financial calculations, appeals, and working with the rest of the team to ensure that our patients have an exceptional experience.


We offer the right candidate a teamwork-oriented, friendly, and supportive working environment and we take great pride in our national reputation for excellence.


This position requires experience working in healthcare, particularly in surgical subspecialties. Experience in Interventional Radiology is not required, but is a Plus!
Applicant must have an understanding of scheduling templates, protocols, and requirements. This position will also complete pre-procedure insurance benefit verification and create accurate financial estimates for our patients. Patient financial counseling and making payment plan arrangements are also an important part of this job. This position is part of the business office team and can count on the support of their teammates to help them at every turn.


The right person will demonstrate:


  • Proven prior relevant experience including
    • Insurance Verification
    • Prior Authorization acquisition
    • Benefits Determination & Out-of-Pocket Calculation
    • *Procedure Scheduling experience a plus
  • Experience working directly with patients in person and via telephone/email
  • Frequent and thorough documentation- regarding the status of patients' cases
  • Excellent written & oral communication, time management skills
  • A strong desire to work collaboratively with colleagues to achieve a shared goal
  • A professional appearance and demeanor with both colleagues and patients
  • Enthusiasm and a desire to learn

Benefits Include

  • Competitive salary
  • No nights, weekends or holidays
  • Accrued Paid Time Off (PTO)
  • Paid holidays including the Friday after Thanksgiving and an annual "Floating Holiday."
  • Employer contributed health plan, dental, and vision plans
  • Employer-matching 401k retirement plan
  • A great group of colleagues to work with each day


Please click here for a link to our website http://www.ATLii.com to learn more about us and apply for this position


We are an equal opportunity employer and do not discriminate based on race, religion, age, national origin, gender, or sexual orientation




Apply