Patient Authorization Liaison

2 weeks ago


Seal Beach, California, United States Aveanna Full time

Position Title: Authorization Specialist

Overview: The Authorization Specialist plays a crucial role in collaborating with Aveanna Healthcare's clinical and administrative teams, patients, and insurance providers to secure optimal reimbursement for the services rendered.

Key Responsibilities:

  • Oversee the patient insurance authorization process for services requested by clinical staff.
  • Initiate contact with insurance carriers upon receiving service requests from the clinical team.
  • Proactively engage with insurance providers to ensure timely receipt of all necessary information for payment.
  • Advise the clinical team on updates regarding insurance reimbursement practices related to authorization.
  • Ensure that all submissions are complete and contain all required information.
  • Maintain ongoing communication with the clinical team throughout the authorization process, providing timely updates on the status of requests.
  • Educate patients about their insurance coverage and available payment options.
  • Report any potential issues that may lead to lapses in authorization to management.

Qualifications:

  • High school diploma required.
  • Minimum of 2 years of relevant experience.
  • Proficient in computer applications (Word, Excel, PowerPoint).

Preferred Qualifications:

  • Bachelor's degree.
  • Bilingual skills, particularly in Spanish, are advantageous.

Skills and Abilities:

  • Adhere to confidentiality standards and maintain professional boundaries.
  • Exhibit excellent written and verbal communication skills.
  • Demonstrate a strong sense of urgency and attention to detail.
  • Ability to work independently and collaboratively within a team.
  • Proficient in prioritizing multiple tasks to meet deadlines.
  • Ability to interact effectively with various departments and teams.

Physical Requirements:

  • Must be able to communicate effectively in English.
  • Occasional lifting and carrying of up to 25 pounds.
  • Prolonged periods of walking, standing, bending, kneeling, reaching, and twisting.
  • Ability to sit and navigate stairs.
  • Must possess visual and auditory acuity.
  • Ability to utilize senses of smell and touch.

Work Environment: This position is performed in an office setting during standard operating hours, with potential exposure to various conditions.

Additional Information: This job description is not exhaustive and may be subject to change. Aveanna is committed to equal employment opportunities and adheres to all applicable laws regarding nondiscrimination in employment.



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