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Remote Prior Authorization Jobs in Stockbridge, 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 ...

MCKESSON

Field Reimbursement Manager

Atlanta, GA · On-site +1

... Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer landscape and services available through both remote interaction and on-site training. This position is client ...

MSD

Field Access Manager - Atlanta, Georgia

Atlanta, GA · Remote

... prior authorization process, appeals process, and patient support programs in both live and virtual ... Remote Shift: Not Indicated Valid Driving License: Yes Hazardous Material(s): n/a Job Posting End ...

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Remote Prior Authorization information

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How much do remote prior authorization jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for remote prior authorization in Stockbridge, GA is $17.82, according to ZipRecruiter salary data. Most workers in this role earn between $14.76 and $19.66 per hour, depending on experience, location, and employer.

What is a remote prior authorization job?

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 is a remote prior authorization job?

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.

Are remote prior authorization jobs in high demand?

Remote prior authorization jobs are in moderate to high demand due to the increasing need for efficient healthcare administration and insurance processing. These roles often require knowledge of healthcare policies, strong communication skills, and familiarity with electronic health record systems. The demand is expected to grow as healthcare providers and insurers continue to prioritize remote and streamlined authorization processes.
More about Remote Prior Authorization jobs

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

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

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

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

Remote Prior Authorization jobs near you
Infographic showing various Remote Prior Authorization job openings in Stockbridge, GA as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, 2% Temporary, and 4% Contract. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution, with an average salary of $37,061 per year, or $17.8 per hour.

Remote Prior Authorization Pharmacist

Insight Global

Atlanta, GA • Remote

$59/hr

Contractor

Medical, Dental, Vision

Posted 2 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.