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Remote Optum Prior Authorization Jobs in Georgia

PainPoint

Prior Authorization Coordinator

Atlanta, GA · On-site +1

$19 - $21/hr

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

PainPoint

Prior Authorization Team Lead

Atlanta, GA · On-site +1

$23/hr

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 ...

MCKESSON

Field Reimbursement Manager

Gainesville, GA · On-site +1

... Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer landscape and services available through both remote interaction and on-site training. This position is client ...

MCKESSON

Field Reimbursement Manager

Cumming, GA · On-site +1

... Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer landscape and services available through both remote interaction and on-site training. This position is client ...

MCKESSON

Field Reimbursement Manager

Lawrenceville, GA · On-site +1

... Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer landscape and services available through both remote interaction and on-site training. This position is client ...

MCKESSON

Field Reimbursement Manager

Macon, GA · On-site +1

... Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer landscape and services available through both remote interaction and on-site training. This position is client ...

MCKESSON

Field Reimbursement Manager

Atlanta, GA · On-site +1

... Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer landscape and services available through both remote interaction and on-site training. This position is client ...

MSD

Field Access Manager - Atlanta, Georgia

Atlanta, GA · Remote

... prior authorization process, appeals process, and patient support programs in both live and virtual ... Remote Shift: Not Indicated Valid Driving License: Yes Hazardous Material(s): n/a Job Posting End ...

Merck & Co.

... prior authorization process, appeals process, and patient support programs in both live and virtual ... a remote environment with 20-25% travel; Must reside in the Atlanta Georgia assigned territory ...

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Remote Optum Prior Authorization information

What is the difference between Remote Optum Prior Authorization vs Remote Optum Claims Reviewer?

AspectRemote Optum Prior AuthorizationRemote Optum Claims Reviewer
CredentialsTypically requires healthcare-related certifications, such as RN, LPN, or medical coding credentialsOften requires similar healthcare certifications, with focus on claims processing
Work EnvironmentRemote, healthcare insurance setting, interacting with providers and patientsRemote, insurance claims processing environment, reviewing submitted claims
Employer & Industry UsageCommonly employed by health insurance companies like Optum, focusing on authorization processesEmployed by insurance companies, focusing on claims review and reimbursement

Remote Optum Prior Authorization specialists focus on obtaining approvals for healthcare services, while Remote Optum Claims Reviewers evaluate submitted claims for accuracy and reimbursement. Both roles require healthcare knowledge and certifications, but differ in their primary functions within the insurance process.

What is a Remote Optum Prior Authorization?

A Remote Optum Prior Authorization job involves reviewing and processing requests from healthcare providers to determine whether certain medical procedures, medications, or services will be covered under a patient's insurance plan. Employees in this role work from home and use clinical guidelines to assess the necessity and appropriateness of requested treatments. They collaborate with providers, patients, and insurance teams to ensure timely authorization decisions. This position typically requires strong communication skills, attention to detail, and familiarity with healthcare regulations and insurance policies.

What are the key skills and qualifications needed to thrive as a Remote Optum Prior Authorization specialist, and why are they important?

To thrive as a Remote Optum Prior Authorization Specialist, you need strong knowledge of medical terminology, insurance processes, and prior authorization protocols, typically supported by a healthcare-related degree or relevant experience. Familiarity with electronic health record (EHR) systems, insurance verification tools, and prior authorization software is essential. Excellent attention to detail, organizational skills, and effective communication are vital soft skills for efficiently managing high volumes of authorization requests and collaborating with providers. These skills ensure accurate, timely approvals and help optimize patient care while reducing administrative delays.

How does a Remote Optum Prior Authorization specialist typically interact with healthcare providers and insurance teams?

As a Remote Optum Prior Authorization specialist, you will regularly communicate with healthcare providers, pharmacies, and insurance representatives to obtain and verify necessary information for authorizing medical procedures or medications. Most interactions occur via phone, secure messaging, or electronic health record systems, requiring clear communication and attention to detail. Collaboration is essential, as you'll often need to clarify clinical documentation with providers and ensure compliance with insurance guidelines. This role is well-suited for those who are organized, proactive, and comfortable working independently within a supportive virtual team environment.

What are popular job titles related to Remote Optum Prior Authorization jobs in Georgia?

For Remote Optum Prior Authorization jobs in Georgia, the most frequently searched job titles are:

What job categories do people searching Remote Optum Prior Authorization jobs in Georgia look for?

The top searched job categories for Remote Optum Prior Authorization jobs in Georgia are:

What cities in Georgia are hiring for Remote Optum Prior Authorization jobs?

Cities in Georgia with the most Remote Optum Prior Authorization job openings:

Remote Optum Prior Authorization jobs near you
Infographic showing various Remote Optum Prior Authorization job openings in Georgia as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 18% Part Time, 1% Temporary, and 3% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution.

Prior Authorization Coordinator

PainPoint

Atlanta, GA • On-site, Remote

$19 - $21/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 27 days ago

Job description

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 practices thrive. As a physician-aligned partner organization, we empower independent, award-winning physicians across the country by combining clinical autonomy with strong operational support.
The Opportunity
As a Prior Authorization Coordinator, you'll play a vital role in ensuring patients receive timely approval for the care they need. You'll manage the entire authorization process for interventional pain management procedures-supporting both office-based and advanced outpatient treatments. This role is ideal for someone detail-oriented, collaborative, and dedicated to process accuracy and patient impact.
What You'll Do:
Authorization Management & Compliance
  • Monitor advanced procedure trackers for each practice to identify authorization opportunities.
  • Collect all required documentation for prior authorizations.
  • Review medical necessity guidelines for procedures by Paycor.
  • Accurately and promptly submit prior and retro authorization requests to payors.
  • Document account activity, updating patient and claim information to ensure efficient claim processing.
  • Identify trends or issues that delay authorization or claims processing.
Collaboration & Communication
  • Communicate with practices, vendors, insurance companies, patients, and management to secure necessary approvals.
  • Provide the highest level of customer service to internal teams.
  • Serve as a backup to the Contact Center Team during peak scheduling call times.
  • Perform other related duties as assigned to support smooth operations and patient care continuity.
You'll Thrive in This Role If You...
  • Excel at organization, accuracy, and time management.
  • Communicate clearly and professionally-both verbally and in writing.
  • Are a proactive problem-solver who enjoys navigating complex processes.
  • Value teamwork, adaptability, and supporting patient-centered care.
  • Are comfortable working remotely in a fast-paced, detail-driven environment.
Qualifications
  • High School Diploma or GED (required)
  • Minimum of 1 year of prior authorization and clinical setting experience (required)
  • Experience working within Pain Management required
  • Proficient in Microsoft Office Suite
  • Strong analytical and problem-solving abilities
  • Excellent organizational skills and attention to detail
  • Knowledge of HIPAA privacy and security requirements
  • Basic understanding of medical terminology
  • Familiarity with payor portals and medical policy navigation
  • Must be able to sit for extended periods, communicate clearly, perform computer-based tasks, occasionally lift up to 25 lbs, and maintain close vision, depth perception, and focus adjustment.
What We Offer
  • Health, Dental & Vision Insurance
  • Accident and Life/AD&D Insurance
  • Short & Long-Term Disability
  • Emergency Travel Assistance Program
  • ID-theft Protection Services
  • LifeMart Employee Discount Program
  • Health Savings Account (HSA)
  • Health Management Tools
  • Paid Time Off (PTO)
  • Company Paid Holidays
  • Paternal Leave
  • 401(k) Retirement Plan
  • Remote Stipend
  • Travel Reimbursement
  • Continuing Education Reimbursement
  • Bonusly (employee recognition platform)
  • DailyPay (on-demand pay access)
Why You'll Love Working at DxTx Pain & Spine
At DxTx, you'll join a supportive, mission-driven team that values transparency, innovation, and growth. You'll have the opportunity to contribute to a national network that's transforming pain care-while enjoying the flexibility of remote work and the satisfaction of meaningful impact.
Ready to Make a Difference?
If you're detail-driven, patient-focused, and eager to play a key role in delivering exceptional pain care, we'd love to hear from you.
An Equal Opportunity Employer
We do not discriminate based on race, color, religion, national origin, sex, age, disability, genetic information, or any other status protected by law or regulation. It is our intention that all qualified applicants are given equal opportunity and that selection decisions be based on job-related factors.

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