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

Symmetry

Remote Work Sales Agent

Atlanta, GA · Remote

$180K/yr

Remote Work Sales Agent Must be authorized to work in the US, no work visas offered at this time ... No prior sales or insurance experience is necessary. We are seeking motivated, confident, ambitious ...

Expressable

Occupational Therapist

Atlanta, GA · Remote

$40 - $55/hr

100% remote | W2 employment | $40 - $54/hour | Flexible Scheduling ( It is required to hold a state ... Specialized team for patient insurance, billing, authorizations, and more so you can focus on care

Expressable

Speech-Language Pathologist

Atlanta, GA · Remote

$40 - $54/hr

100% remote | W2 employment | $40 - $54/hour | Flexible Scheduling ( It is required to hold a state ... Specialized team for patient insurance, billing, authorizations, and more so you can focus on care

Mondo

Brand Channels Manager

Atlanta, GA · Remote

$38 - $44/hr

Apply now: Brand Channels Manager, Hybrid (Onsite Mon-Thu / Remote Fri). Start date is ASAP for ... Eligible for Health, Dental, Vision, 401K Must be authorized to work in the U.S. This position is ...

Expressable

Speech-Language Pathologist

Atlanta, GA · Remote

$63K - $81K/yr

100% remote | W2 employment | Full-Time, Part-Time, PRN| Flexible Schedule Options ( It is required ... Specialized team for patient insurance, billing, authorizations, and more so you can focus on care

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

Remote Prior Authorization information

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How much do remote prior authorization jobs pay per hour?

As of Jul 21, 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 involve reviewing and processing requests from healthcare providers to determine if specific medical treatments, medications, or procedures are covered by a patient's insurance plan. Employees in these roles work from home, utilizing online systems to evaluate clinical information, communicate with providers, and ensure compliance with insurance policies. This position requires a strong understanding of medical terminology, insurance guidelines, and attention to detail to facilitate timely and accurate approvals or denials. Remote prior authorization specialists help streamline patient care by acting as a liaison between healthcare providers and insurance companies.

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 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 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.

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.

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
Infographic showing various Remote Prior Authorization job openings in Decatur, GA as of July 2026, with employment types broken down into 1% As Needed, 85% Full Time, 11% Part Time, and 3% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $42,431 per year, or $20.4 per hour.

Tele-Triage Licensed Practical Nurse - LPN

Starting Point Nursing Services

Atlanta, GA • Remote

$21/hr

Part-time

Posted 6 days ago

Job description

Our Company

Starting Point Nursing Services

Overview

Part Time Tele-Triage (Fully Remote) Licensed Practical Nurse Position:

*Must have compact state LPN licensure from the state in which you currently reside

*Remote Triage & Home Health LPN experience highly preferred

*Potential Start Date:  8/10/26

New Available PART TIME Schedules:

*Wednesday, Saturday & Sunday, 10a-6p CST (11a-7p EST)

*Friday, Saturday & Sunday, 10a-6p CST (11a-7p EST)

*Friday, 4p-8p CST (5p-9p EST) and Saturday & Sunday 8a-4p CST (9a-5p EST)

This LPN provides On-Call and Triage for the assigned population in accordance with triage protocols. This position remotely develops/implements care plans for persons served in the area of responsibility. The Tele-Triage LPN assesses health status, identifies problems and needs of person(s) served in their assigned caseload, develops nursing care plans in collaboration with operations LPN's. You will complete chart reviews and monthly host home reviews and perform On-Bound calling to assigned populations/locations. This LPN performs data analysis in multiple systems.

Responsibilities
  • Monitor assigned phone lines during service hours to ensure timely response for caller needs
  • Triage all symptom-based calls and give recommendations according to the approved triage protocol
  • Triage patients by assessing severity of symptoms and referral to appropriate setting or level of care
  • Document in real time all care related recommendations and ensure local operations are notified of triage supports and outcomes
  • Initiate contact with acute care setting to coordinate services for clients receiving care in the ED/Hospital and coordinate the discharge planning; Notify operations of triage recommendations
  • Coordinate any medication orders with the assigned pharmacy and update MAR/QuickMar for appropriate administration
  • Work assigned prior authorizations to ensure timely documentation and submit to assigned pharmacy for billing
  • Complete/conduct assessment and reassessment of persons served as assigned
  • Develop/update care plans and determine persons served needs and secure physicians orders as needed
  • Communicate with beneficiaries primarily phone, text, online (web) chat, or email
  • Ensure compliance with state/local/payer requirements through review of documentation
  • Provide coaching and education related to the health and well-being of persons served
  • Participate in performance improvement activities and maintain ongoing clinical knowledge through inteLPNal/exteLPNal training programs
  • Document above actions in Nurse's Notes or Service Delivery Log
  • Maintain time sheet log for weekly submission for productivity management to assigned supervisor
  • Notify each practice, physician, and/or managed care client of all encounters with patients, parents, or managed care clients regardless of follow-up needs before office opening
  • Notify designated leadership of operational conceLPNs
  • Actively participate in applicable meetings and committees as requested (e.g., IDT, HRC, Safety/Quality committee, and annual person served directed/active treatment plan meetings)
Qualifications
  • Degree/certification from an accredited school of Nursing
  • At least one year of nursing experience
  • Current licensure as a LPN (LPN) in the state of practice, which is current and remains in good standing. Must have an LPN compact license.
  • Clinical experience in providing services and supports to individuals with intellectual and developmental disabilities, home health and Hospice patients or related disorders
  • One-year of home health experience preferred
About our Line of BusinessStarting Point Nursing Services, an affiliate of BrightSpring Health Services, is staffed 100% by a team of remote registered nurses trained to support the post-acute continuum with clinical advice and interventions. Our 24/7 On-Call and Triage team responds to physician practices, home health agencies, intellectual disability providers, and assisted living providers. Our services are tailored to our partners, including remote physical/chart assessments, predictive care modeling, clinical programming interventions for high-risk populations, emergent care coordination, and case management. For more information, please visit www.startingpointnursing.com. Follow us on LinkedIn.Salary RangeUSD $21.00 / HourEmployment Type: PART_TIME

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