Authorization Specialist

PruittHealth; Norcross (GA); On-site; USD 42,000 - 54,000; Full time

Job summary

PruittHealth seeks an Authorization Specialist to ensure timely, authorized healthcare services for patients at our Georgia facilities. You will coordinate with insurance providers, patients, and branch staff to obtain approvals and maintain accurate records in the EHR.

Ideal candidates have at least two years of authorizations experience, strong communication skills, and proficiency with Microsoft Office. This is a full-time, on-site role based in Norcross, GA.

Qualifications

• High School Diploma or equivalent.
• Two years of prior experience obtaining medical authorizations.

Responsibilities

• Verifies insurance coverage and documents benefit maximums for home health services.
• Secures prior authorization from insurance companies and documents approval details in the EHR.
• Collaborates daily with branch staff, insurance companies, and patients to ensure a smooth authorization process.
• Addresses denials, discrepancies, and incomplete information promptly.
• Keeps abreast of changes in insurance, prior authorization requirements, and policies with contracted insurers.

Skills

Communication

Organizational skills

Time management

Medicare/Medicaid knowledge

Education

High School Diploma or equivalent

Tools

EHR system

Microsoft Office

Job description

Job Purpose

Reporting to the Area Vice President, AVP, or the Regional Business Office Manager, RBOM, an Authorization Specialist ensures patients receive timely and authorized healthcare services. The position involves a blend of administrative tasks, customer service, and knowledge of insurance coordination of benefits.

Job Purpose

Reporting to the Area Vice President, AVP, or the Regional Business Office Manager, RBOM, an Authorization Specialist ensures patients receive timely and authorized healthcare services. The position involves a blend of administrative tasks, customer service, and knowledge of insurance coordination of benefits.

Key Responsibilities

• Verifies insurance coverage and documents benefit maximums for all home health services in the medical record.
• Secures prior authorization from insurance companies and documents approval details appropriately in the EHR system.
• Collaborates daily with branch staff, insurance companies, and patients as needed to ensure a smooth authorization process.
• Addresses issues related to denials, discrepancies, and incomplete information in a timely manner.
• Remains abreast of changes in insurance, prior authorization requirements, and policies with contracted insurance companies.

Minimum Education Required

High School Diploma or equivalent.

Minimum Experience Required

Applicants should possess a minimum of two years prior experience in obtaining medical authorizations.

Knowledge, Skills, Abilities

• Must have proficient working knowledge of a computer and all Microsoft Office products.
• Successful candidates possess strong communication, organizational and time management skills to function effectively in a fast-paced environment with multiple priorities.
• Knowledge and understanding of Medicare, Medicaid, Private Pay and Third Party reimbursement.

Disclaimer**

The above information is intended to describe the general nature and level of work being performed by people assigned to this job. It is not intended to be an exhaustive list of responsibilities, duties and skills required of personnel so classified.

Please provide all new hires with a copy of this job description and maintain a signed copy in the partner’s Personnel File.

• Reports as directed when called in during a disaster or other emergency situation as directed by agency operations.
• Demonstrates knowledge of confidentiality and HIPAA rules/regulations, corporate compliance as well as applicable department policies and procedures and standard operation procedures (SOPs) related to confidentiality.
• Provides administrative support to clinical and agency operations staff as needed.
• Participation as directed in agency survey for accreditation or licensure and any subsequently required reports.
• Comply with corporate compliance program.
• Attends and participates in continuing education programs to keep abreast of changes in the field.
• Attends mandatory in-services and meetings as assigned.
• Reports any job-related functions/tasks that involve occupational hazards including exposure to blood and body fluids and others as necessary.
• Follows established safety regulations, to include fire protection and prevention, smoking regulations, infection control, etc.
• Perform other related duties as necessary and as directed by supervisor.

For Florida Job Postings Only

For more information regarding Florida’s Care Provider Background Screening Clearinghouse Education and Awareness, please visit https://info.flclearinghouse.com

Job

Finance

Primary Location

Georgia-NORCROSS

Other Locations

Georgia-Atlanta

Schedule

Full-time

Shift

1st Shift

Job Posting

Sep 2, 2026, 9:52:53 PM

Work Locations

PH Finance