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Remote Prior Authorization Jobs in Decatur, GA (NOW HIRING)

Pharmacy Careers

MTM Pharmacist

Atlanta, GA · On-site +1

$56 - $67.25/hr

Many MTM pharmacist positions offer remote or hybrid work. * Impact: Directly improve patient ... Competitive pay, benefits, and opportunities to expand into roles like prior authorization ...

Oscar Health

Manager, Strategy & Operations

Atlanta, GA · Remote

$105.82K - $138.89K/yr

This is a remote position, open to candidates who reside in: Atlanta, Georgia. You will be fully ... Experience with Prior Authorization lifecycles, medical benefits management, and the operational ...

Oscar Health

Manager, Strategy & Operations

Atlanta, GA · Remote

$105.82K - $138.89K/yr

This is a remote position, open to candidates who reside in: Atlanta, Georgia. You will be fully ... Experience with Prior Authorization lifecycles, medical benefits management, and the operational ...

CGI Inc.

Remote Clinical Nurse Auditor

Atlanta, GA · On-site +1

Remote Clinical Nurse Auditor Category: Analytics and Emerging Digital Technologies Main location ... prior authorizations, conduct clinical validations, or execute medical service charge audits to ...

The Johnson Agency

Be Seen First

Remote Sales Representative - Training Provided

Atlanta, GA · Remote

$65K - $85K/yr

... prior sales background. This is a 1099 commission‐only position with flexible hours and the ... Authorized to work in the U.S. * Reliable internet and basic computer skills * Coachable ...

Symmetry

Remote Sales Representative

Atlanta, GA · Remote

$75K - $180K/yr

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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How much do remote prior authorization jobs pay per hour?

As of May 30, 2026, the average hourly pay for remote 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 Are Remote Prior Authorization Jobs?

Remote prior authorization jobs focus on working with insurance companies to coordinate benefit coverage and get approval to provide care for a patient. In this pre-authorization role, you may collect documentation and proof of insurance, perform data entry, help evaluate the need for a particular process, and otherwise work from home to help manage the prior authorization process. Remote prior authorization personnel often answer telephone calls to provide consultations, perform initial benefit verification, document case status, actions, and outcomes in a database, and use customer service skills to help expedite cases as needed. Since this is a remote call center-style job, you may be asked to arrange for a quiet office in your house that is free of distractions.

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

To thrive as a Remote Prior Authorization Specialist, you need a solid understanding of medical terminology, insurance processes, and healthcare regulations, often supported by experience in medical billing or coding. Familiarity with electronic health record (EHR) systems, insurance portals, and prior authorization software is typically required. Attention to detail, strong organizational skills, and effective communication are crucial soft skills in this role. These skills ensure timely and accurate processing of authorizations, reducing claim denials and supporting efficient patient care.

What are some common challenges faced by Remote Prior Authorization specialists, and how can they be addressed?

Remote Prior Authorization specialists often encounter challenges such as navigating complex insurance requirements, managing high volumes of requests, and maintaining clear communication with healthcare providers and payers. Staying organized and up-to-date on payer policies is crucial, as requirements can vary widely between insurers. Utilizing workflow management tools and fostering strong collaboration with clinical and administrative teams can help streamline processes and reduce delays, ultimately ensuring patients receive timely care.

What is the difference between Remote Prior Authorization vs Remote Medical Coder?

AspectRemote Prior AuthorizationRemote Medical Coder
Required CredentialsMedical credentials, insurance knowledgeMedical coding certification (CPC, CCS)
Work EnvironmentHealthcare offices, insurance companies, remoteHealthcare facilities, remote coding jobs
Industry UsageInsurance, healthcare providersHospitals, clinics, billing companies
Job FocusReviewing and approving insurance requestsTranslating medical records into codes

Remote Prior Authorization and Remote Medical Coder roles both operate within the healthcare industry but focus on different tasks. Remote Prior Authorization involves reviewing insurance requests for coverage approval, requiring insurance and medical knowledge. Remote Medical Coders translate medical records into standardized codes, primarily focusing on billing and documentation. Both roles can be performed remotely and require healthcare-related credentials, but their daily responsibilities and skill sets differ significantly.

More about Remote Prior Authorization jobs
What are popular job titles related to Remote Prior Authorization jobs in Decatur, GA? For Remote Prior Authorization jobs in Decatur, GA, the most frequently searched job titles are:
What job categories do people searching Remote Prior Authorization jobs in Decatur, GA look for? The top searched job categories for Remote Prior Authorization jobs in Decatur, GA are:
What cities near Decatur, GA are hiring for Remote Prior Authorization jobs? Cities near Decatur, GA with the most Remote Prior Authorization job openings:
Remote Prior Authorization jobs near you

MTM Pharmacist

Pharmacy Careers

Atlanta, GA • On-site, Remote

$56 - $67.25/hr

Other

Posted 10 days ago

Job description

MTM Pharmacist - Help Patients Get the Most Out of Their Medications
Are you passionate about patient care and looking for a role with strong clinical impact and better work-life balance? We're seeking MTM Pharmacists (Medication Therapy Management) to join our growing team. In this role, you'll use your clinical knowledge to optimize therapy, reduce costs, and improve patient outcomes-all while enjoying the flexibility that MTM careers often provide.
Key Responsibilities
  • Conduct comprehensive medication reviews (CMRs) with patients to identify medication-related problems.
  • Provide targeted medication interventions (TMEs) and follow-up to support adherence and safety.
  • Collaborate with prescribers, health plans, and care teams to resolve therapy issues.
  • Document interventions clearly and maintain compliance with MTM program requirements.
  • Educate patients on safe, effective use of their medications and address barriers to adherence.
What You'll Bring
  • Education: Doctor of Pharmacy (PharmD) or Bachelor of Pharmacy degree.
  • Licensure: Active and unrestricted pharmacist license in the U.S.
  • Experience: Retail, hospital, ambulatory care, or prior MTM experience is a plus-but all licensed pharmacists are encouraged to apply, including new grads.
  • Skills: Strong communication, patient counseling, and ability to work independently.
Why This Role?
  • Flexibility: Many MTM pharmacist positions offer remote or hybrid work.
  • Impact: Directly improve patient outcomes by reducing adverse events and optimizing medication therapy.
  • Growth: Build expertise in managed care, ambulatory care, and clinical pharmacy pathways.
  • Rewards: Competitive pay, benefits, and opportunities to expand into roles like prior authorization, clinical review, or population health.

About Us
We partner with health plans, PBMs, and healthcare organizations nationwide to deliver high-quality MTM services. Our pharmacists are at the center of patient care, making medications safer, more effective, and more affordable.
Apply Today
Ready to advance your pharmacy career? Apply now for our MTM Pharmacist opening and help patients achieve better health outcomes.

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