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Authorization Specialist

3 months ago

Dallas, Texas, United States Aveanna Full time

Authorization Specialist

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Job Details

Requisition #:

195884

Location:

Dallas, TX 75254

Category:

Medical Billing/Collections

Salary:

$ $21.00 per hour

Position Details

Authorization Specialist

The Authorization Specialist works in collaboration with the Aveanna Healthcare clinical and administrative staff, patients, and insurance carriers to ensure optimal payment for the care Aveanna provides.

Schedule:Mon- Fri, standard business hours

Compensation:$17-21 hourly

Essential Job Functions

Manage the patient insurance authorization process required for services that are being requested by the clinical staff responsible for the patients care

Initiate communications with patients insurance carrier upon receiving information from the clinical team for services that require pre certification/authorization

Work proactively with insurance carriers to ensure that all of the required information for payment has been received in a timely fashion.

Communicate and advise the clinical team on any changes in insurance companies reimbursement practices related to the authorization of process.

Ensure submissions are complete with all required information.

Maintain ongoing communication with the treating clinical team during the authorization process to provide timely updates on the outcomes of the requests for services from insurance carriers.

Educate and counsel patients on their insurance coverage and explain payment options that are available to them.

Communicate issues that may result in a lapse in authorization to the location management

Requirements

High school diploma

2+ years of related experience

Strong computer skills (Word, Excel, Power Point)

Preferences

Bilingual; Spanish speaking a plus

Other Skills/Abilities

Must be able to adhere to confidentiality standards and professional boundaries at all times

Excellent communication skills both written and verbal

Must possess a strong sense of urgency and attention to detail

Proven ability to work independently at times and within a team

Demonstrated ability to prioritize multiple tasks to meet deadlines

Demonstrated ability to interact in a collaborative manner with other departments and teams

Physical Requirements

Must be able to speak, write, read and understand English

Occasional lifting, carrying, pushing and pulling of 25 pounds

Prolonged walking, standing, bending, kneeling, reaching, twisting

Must be able to sit and climb stairs

Must have visual and hearing acuity

Must have strong sense of smell and touch

Environment

Performs duties in an office environment during agency operating hours

Must be able to function in a wide variety of environments which may involve exposure to allergens and other various conditions

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.

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