ZipRecruiter

Log In

2

Remote Prior Authorization Nurse Jobs in Decatur, GA

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 ...

Insight Global

Remote Pharmacy Technician

Atlanta, GA · Remote

$20.50/hr

The Prior Authorization Pharmacy Technician is responsible for supporting members, providers, and pharmacies by processing prior authorization requests for prescription medications while ensuring ...

Insight Global

Remote Pharmacist

Atlanta, GA · Remote

$59/hr

REMOTE across the US working EST, CST or PST Duration : 10 months - extensions are based on ... The Pharmacist, Prior Authorization (PA) & Appeals, is responsible for reviewing and evaluating ...

Insight Global

Remote Pharmacist

Atlanta, GA · Remote

$59/hr

The Pharmacist, Prior Authorization (PA) & Appeals, is responsible for reviewing and evaluating prior authorization and appeals requests to determine coverage based on clinical guidelines, pharmacy ...

next page

Showing results 1-20

All JobsPrior Authorization Nurse JobsRemote Prior Authorization Nurse JobsRemote Prior Authorization Nurse Jobs in Decatur, GA

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 Aug 22, 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:

Remote Prior Authorization Nurse jobs near you
Infographic showing various Remote Prior Authorization Nurse job openings in Decatur, GA as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 20% Part Time, 1% Temporary, and 2% Contract. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution, with an average salary of $78,420 per year, or $37.7 per hour.

Remote Prior Authorization Pharmacist

Insight Global

Atlanta, GA • Remote

$59/hr

Contractor

Medical, Dental, Vision

Posted 3 days ago

New

Job description

Company: OptumRx

Position: Pharmacist

Locations: REMOTE across the US working EST, CST or PST

Duration: 6 – 10 months – extensions are based on business demand

  • All contractors are expected to work the full assignment.
  • Some assignments can convert permanent based on business demand and performance.

Start date: Rolling start dates, 8/31-11/23 – all start dates can be found on Airtable.

Schedule: Will vary depending on hiring class, information located on Air Table

  • Lunch is 30 minutes; lunch is not paid.
  • They will get 2, 15-minute breaks.
  • Candidates with no time off request will be prioritized. 100% attendance during training is required. Candidates with more than 3 days off during the contract period will not be considered.
  • Interview Process: Group interview lead by IG AM and OptumRx
  • 5 Pharm Tech: 1 OptumRx Hiring Manager
  • 3 RPh: 1 OptumRx Hiring Manager
  • Basic Requirements for both skill sets:
  • Training is for 5 weeks. Training time is TBD based on the time zone candidates will be working in Monday- Friday. This training time is subject to change.
  • Shift after training is an 8-hour shift with an hour lunch. Candidate must be available as early as 5am and as late as midnight. Training requires the candidate’s camera to be on and to be at their remote home work station for the full workday.
  • Candidate will work 5 days a week which may or may not include a weekend day(s). Most shifts are Monday- Friday.  5% are Sunday - Thursday and about 10% are Tuesday – Saturday.
  • There may be scheduled overtime and/or working on holidays dependent on business needs.
  • Pharm Techs: Average 5 hours of OT/month. 
  • RPh: Average 5-20 hours of OT/month during peak season (December – January).
  • Candidate must have their own home internet access.
  • Expected Internet Speed: Download: ≥ 15 Mbps, Upload: ≥ 5 Mbps, Ping: ≤ 150 ms, Jitter: ≤ 30 ms
  • Candidate must also have a secure workspace/office in their home, cannot be moving between locations throughout the work week.
  • Candidates need to be technology savvy (Share your screen, test internet speed, open your web browser, type in a URL, favorite the web browser, navigating a second web browser, open setting and connect Bluetooth device.)
  • Excellent attendance is a must.

PHARMACIST – RPh

Must Haves

-Bachelors or Doctorate of Pharmacy; Active State Pharmacist License

-Current Licensed Pharmacist within the state of work

-6+ months of customer service/customer relations with healthcare professionals

-Technology savvy - Basic proficiency with Microsoft Excel (ability to create, edit, and save a basic spreadsheet), Microsoft Word (ability to create, edit, and save a basic document) and basic proficiency with Microsoft Outlook (ability to send emails)

-Comfortable with production-based environment

-Ability to perform responsibilities and duties remotely with little to no supervision

-Comfortable in a fast-paced, high-volume workload

-Ability to be adaptable, team-oriented culture requiring flexibility and adaptability to changing business needs.


Job Description:

The Pharmacist, Prior Authorization (PA) & Appeals, is responsible for reviewing and evaluating prior authorization and appeals requests to determine coverage based on clinical guidelines, pharmacy policies, and health plan benefits. In this fast-paced, high-volume environment, the pharmacist works closely with physicians, healthcare providers, pharmacy technicians, and internal teams to gather and assess clinical information, make evidence-based coverage determinations, recommend formulary-compliant and cost-effective treatment alternatives, and ensure compliance with federal and state regulations. The role requires strong clinical judgment, attention to detail, effective communication skills, and the ability to manage competing priorities while meeting productivity and quality standards. Additionally, the pharmacist supports quality assurance initiatives, resolves provider and pharmacy inquiries, participates in process improvement efforts, and contributes to a collaborative, customer-focused team environment. Maintain full compliance with state and federal pharmacy laws, Medicare Part D, Medicaid, and commercial benefit regulations. Accurately document case decisions in accordance with internal protocols, auditing standards, and confidentiality policies.  Effectively manage case volume by organizing workload, setting daily priorities, and meeting productivity and quality benchmarks. Adapt to fluctuating demands while maintaining accuracy and professionalism under pressure.