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Remote Prior Authorization Nurse Jobs in Decatur, GA

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 ...

SmithRx

Pharmacy Technician (Seasonal)

Atlanta, GA · Remote

$16.75 - $20.50/hr

Review prior authorization and similar requests under protocol using prior authorization criteria ... Our company is currently able to offer remote contract employment for this position exclusively to ...

IQVIA

Flex Nurse Educator

Atlanta, GA · Remote

Bilingual in English/Spanish and prior Ambassador experience desirable. * BSN preferred ... authorization to work in the US without the need for sponsorship. #LI-CES #LI-REMOTE IQVIA is a ...

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Remote Prior Authorization Nurse information

See Decatur, GA salary details

$16

$37

$63

How much do remote prior authorization nurse jobs pay per hour?

As of Sep 15, 2026, the average hourly pay for remote prior authorization nurse in Decatur, GA is $37.70, according to ZipRecruiter salary data. Most workers in this role earn between $28.85 and $42.26 per hour, depending on experience, location, and employer.

What is a remote prior authorization nurse?

A Remote Prior Authorization Nurse is a registered nurse (RN) or licensed practical nurse (LPN) who reviews medical insurance requests to determine if they meet coverage criteria. They work remotely to assess patient records, collaborate with healthcare providers, and communicate approval or denial decisions based on insurance guidelines. Their role helps ensure patients receive necessary treatments while managing costs for insurance companies. Strong clinical knowledge, attention to detail, and familiarity with insurance policies are essential for this position.

What does a remote prior authorization nurse do?

A typical day for a Remote Prior Authorization Nurse involves reviewing medical records and provider documentation, communicating with physicians or healthcare providers to gather additional information, and submitting authorizations to insurance companies. You may spend much of your time using specialized software to track requests, document outcomes, and ensure compliance with payer guidelines. Collaboration is often required with case managers, providers, and insurance representatives to resolve questions and expedite approvals. While the work is primarily independent, staying organized and communicating effectively with the healthcare team are essential for success in this remote position.

What are the key skills and qualifications needed to thrive as a remote prior authorization nurse?

To thrive as a Remote Prior Authorization Nurse, you need a current RN license, knowledge of medical terminology, and experience with insurance or utilization review processes. Familiarity with prior authorization software, electronic medical records (EMRs), and payer systems is typically required, along with certifications like CCM or CPUR as a plus. Strong attention to detail, organizational skills, and effective written communication are valuable soft skills for this role. These skills are crucial to ensure accurate and efficient authorization of healthcare services, reduce claim denials, and facilitate patient care in a remote setting.

What are popular job titles related to Remote Prior Authorization Nurse jobs in Decatur, GA?

For Remote Prior Authorization Nurse jobs in Decatur, GA, the most frequently searched job titles are:

What job categories do people searching Remote Prior Authorization Nurse jobs in Decatur, GA look for?

The top searched job categories for Remote Prior Authorization Nurse jobs in Decatur, GA are:

What cities near Decatur, GA are hiring for Remote Prior Authorization Nurse jobs?

Cities near Decatur, GA with the most Remote Prior Authorization Nurse job openings:

Infographic showing various Remote Prior Authorization Nurse job openings in Decatur, GA as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $78,420 per year, or $37.7 per hour.

Prior Authorization Team Lead

Atlanta, GA • Remote

PainPoint Health
See more jobs at PainPoint Healthexternal

$23/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 24 days ago

Job description


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 independent pain and spine practices through operational excellence while preserving clinical autonomy. We partner with award-winning physicians nationwide, providing support in compliance, finance, ASC operations, marketing, and other key business functions.
The Opportunity
As a Prior Authorization Team Lead, you will oversee and support all aspects of the prior authorization process for interventional pain management procedures, including advanced procedures performed in office and outpatient settings. You'll serve as a department resource and subject matter expert while supporting team training, workflow improvements, and authorization accuracy.
What You'll Do
Prior Authorization & Patient Access
  • Collect and review documentation required for prior and retro authorization requests. 
  • Review payer medical necessity guidelines and authorization requirements. 
  • Communicate with practices to obtain additional information needed for procedures and medication requests. 
  • Navigate payer portals and monitor provider and clinic communications to ensure timely responses. 
  • Document account activity and maintain accurate patient and claim information. 
Team Support & Operations
  • Monitor procedure trackers and assist leadership in identifying workflow gaps. 
  • Serve as a subject matter expert on medical policies, departmental procedures, and affiliate workflows. 
  • Lead team huddles, distribute meeting notes, and assist with team training, mentoring, audits, and cross-coverage. 
  • Support new practice and procedure integrations, including workflow and SOP development. 
Process Improvement & Collaboration
  • Identify authorization trends or issues that may delay claims processing and recommend solutions. 
  • Collaborate with practices, vendors, insurance carriers, patients, management, and internal teams. 
  • Provide outstanding customer service and support throughout the department. 
  • Perform other related duties as assigned. 
You'll Thrive in This Role If You...
  • Are highly organized and detail-oriented. 
  • Enjoy solving complex authorization and insurance-related challenges. 
  • Communicate effectively with providers, staff, and insurance carriers. 
  • Enjoy mentoring teammates and improving processes. 
  • Thrive in a collaborative remote environment. 
Qualifications
  • High School Diploma or GED required. 
  • At least one (1) year of prior authorization experience in a clinical setting required. 
  • Excellent verbal and written communication skills. 
  • Strong organizational, analytical, and problem-solving abilities. 
  • Proficiency with Microsoft Office Suite or similar software. 
  • Extensive knowledge of medical policies and LCDs related to pain management procedures. 
  • Basic understanding of medical terminology. 
  • Experience navigating payer portals to obtain authorizations and review medical policies. 
Benefits We Offer
  • Health, Dental & Vision Insurance 
  • Accident and Life/AD&D Insurance 
  • Short & Long-Term Disability 
  • Emergency Travel Assistance Program 
  • ID-Theft Protection Services 
  • Health Savings Account (HSA) 
  • Health Management Tools 
  • Paid Time Off (PTO) 
  • Company Paid Holidays 
  • Paternal Leave 
  • 401(k) 
  • Remote Stipend 
  • Travel Reimbursement 
  • Continuing Education Reimbursement 
  • Bonusly Employee Recognition Platform 
  • DailyPay On-Demand Pay Access 
  • LifeMart Employee Discount Program 
Ready to Join Our Team?
If you're an experienced prior authorization professional looking to make an impact in a collaborative, remote environment, we encourage you to apply today and help support timely patient access to care.
 

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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