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Remote Optum Prior Authorization Jobs in Georgia

Guidehealth

Remote Medical Assistant- Healthguide

Atlanta, GA · Remote

$17 - $22/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Understanding the referral and prior authorization process. * Continuously building a trusting ... Demonstrated ability to work successfully in a remote work environment. * Reliable transportation ...

Guidehealth

Remote Medical Assistant- Healthguide

Atlanta, GA · On-site +1

$17 - $22/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Understanding the referral and prior authorization process. * Continuously building a trusting ... Demonstrated ability to work successfully in a remote work environment. * Reliable transportation ...

Guidehealth

Remote Medical Assistant- Healthguide

Atlanta, GA · Remote

$17 - $22/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Understanding the referral and prior authorization process. * Continuously building a trusting ... Demonstrated ability to work successfully in a remote work environment. * Reliable transportation ...

Guidehealth

Remote Medical Assistant- Healthguide

Atlanta, GA · Remote

$17 - $22/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Understanding the referral and prior authorization process. * Continuously building a trusting ... Demonstrated ability to work successfully in a remote work environment. * Reliable transportation ...

Symmetry

Remote Sales Representative

Atlanta, GA · Remote

$75K - $180K/yr

  • Life

  • Retirement

Remote Sales Representative Must be authorized to work in the US, no work visas offered at this ... No prior sales or insurance experience is necessary. We are looking for motivated and ambitious ...

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Showing results 21-40

All JobsOptum Prior Authorization JobsRemote Optum Prior Authorization JobsRemote Optum Prior Authorization Jobs in Georgia

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.

Scheduling and Authorization Coordinator

Elevate Patient Financial Solutions

Augusta, GA • On-site, Remote

$17 - $22.75/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 7 days ago

Elevate Patient Financial Solutions rating

7.9

Company rating: 7.9 out of 10

Based on 28 frontline employees who took The Breakroom Quiz

Job description

Elevate Patient Financial Solutions has an exciting career opportunity available as a Scheduling and Authorization Coordinator. This position will be remote. Candidate must live within a 3-hour radius of Augusta, GA The Full Time schedule for this role will be ­­­Monday- Friday 8am-5pm.
Job Summary
The Scheduling and Authorization Coordinator delivers exceptional customer service when communicating with patients over the phone to provide the necessary information for applicable scheduling and imaging. They request information related to the coordination and scheduling of diagnostic imaging and other procedures and treatments for hospitals contracted with ElevatePFS®. The Scheduling and Authorization Coordinator interacts directly with the patients, referring physicians, Hospital Services
, and internal company associates to guarantee smooth coordination of procedures and exams.
Essential Duties and Responsibilities
Insurance Authorization/Verification
  • Thoroughly completes the insurance verification process to ensure the accuracy of insurance information.
  • Obtains insurance authorizations, referral, and treatment consults as needed for all scheduled patients prior to receiving services.
  • Obtains benefit coverage from insurance companies and accurately enters information into the appropriate computer system.
  • Obtains diagnosis information and/or CPT code from the physician/office or the outpatient department, as necessary for completing the insurance authorization process.
  • Maintains proficiency in the various systems utilized during insurance verification and authorization process including various on-line payor eligibility programs.
  • Monitors appropriate work lists to ensure timely insurance verification processing.
  • Maintains documentation necessary for compliance with state, federal, and other regulatory agency requirements.
  • Maintains proficiency in the various systems utilized during insurance verification and authorization process including various on-line payor eligibility programs.
Scheduling
  • Schedules all types of complex exams with attention to detail.
  • Ability to manage high outbound and inbound calls to schedule patients for imaging services to ensure the best possible customer service by properly educating the patient on exam preparation and answering questions.
  • Screens and verifies all HIPPA information to ensure accuracy with scheduling and speaking with patients, patients approved representatives and or physicians.
  • Schedules and documents notes in hospital and ElevatePFS® operating systems.
Clerical
  • Monitors and manages the e-mail inbox or fax machine for assigned practices throughout the day.
  • Works any requests received via e-mailed or fax.
  • Checks and responds to voicemails.
  • Creates, maintains and monitors log of patients and procedures scheduled for assigned physician practices.
  • Monitors appropriate work lists to ensure timely insurance verification processing.
  • Utilizes multiple commuter application, scheduling software, network, drives to schedule multiple exams within multiple modalities and entities across the hospitals system.
Additional Responsibilities
  • Effectively communicates operational activities and issues with Supervisor and Manager.
  • Interfaces courteously and effectively with internal and external customers. Must consistently present a positive departmental and organizational image, as well as commitment to departmental goals, objectives, standards, policies and procedures.
  • Demonstrates proficiency within assigned area of responsibility and a general understanding of the entire Patient Access process.
  • Adheres to the hospitals and until level policies and procedures and safeguards set forth by each facility.
  • Identifies and recommends process improvements for RMA services.
  • Other duties as assigned.
Qualifications and Requirements
  • High school diploma or GED
  • Associate degree or 2+ years in patient scheduling, registration, or healthcare billing is preferred
  • Over one (1) year working in a customer service or client relations type role
  • Office or hospital environment experience is preferred
  • High volume call center experience is preferred
  • Strong Literacy (grammar, spelling, math)
  • Strong Microsoft Products experience, including word, excel, outlook, windows
  • Familiarity with HCA/Parallon IT systems is preferred
  • Strong sales and customer service skills
  • Excellent interviewing and telephone communication skills
  • Outstanding interpersonal and people‑oriented skills
  • Excellent written and verbal communication abilities
  • Ability to communicate assertively and professionally while maintaining confidence and credibility.
  • Strong analytical, problem‑solving, and decision‑making skills
  • High level of organization, attention to detail, and time management
  • Ability to multitask and prioritize effectively in a fast‑paced environment
  • Proven ability to work independently with minimal supervision
  • Strong stress management and adaptability skills
  • Goal‑driven with a strong action and results orientation
  • Demonstrates initiative, persistence, and a strong work ethic
  • Team‑oriented with the ability to collaborate effectively
  • Flexible and adaptable to changing priorities
  • High standards of honesty, integrity, and professionalism
  • Profit‑ and performance‑oriented mindset
  • Remote and hybrid positions require internet connectivity that meet the Company’s upload and download requirements.

Benefits
ElevatePFS believes in making a positive impact not only within our industry but also with our employees –the organization’s greatest asset! We take pride in offering comprehensive benefits in a vast array of plans that contribute to the present and future well-being of our employees and their families.
  • Medical, Dental amp; Vision Insurance
  • 401K (100% match for the first 3% amp; 50% match for the next 2%)
  • 15 days of PTO
  • 7 paid Holidays
  • 2 Floating holidays
  • 1 Elevate Day (floating holiday)
  • Pet Insurance
  • Employee referral bonus program
  • Teamwork: We believe in teamwork and having fun together
  • Career Growth: Gain great experience to promote to higher roles
The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, location, specialty and training. This pay scale is not a promise of a particular wage.
The job description does not constitute an employment agreement between the employer and Employee and is subject to change by the employer as the needs of the employer and requirements of the job change.
Elevate, PFS is an Equal Opportunity Employer

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