Lead Authorization Specialist

7 days ago


Seal Beach, California, United States Aveanna Full time
Job Summary

Aveanna is seeking a highly skilled Lead Authorization Specialist to join our team. As a key member of our operations team, you will be responsible for overseeing the insurance authorization process for patient services.

Key Responsibilities
  • Supervise and coordinate the insurance authorization process for requested patient services, ensuring timely approvals are obtained.
  • Manage performance and effectiveness of authorization team members and initiate appropriate performance improvement actions as necessary.
  • Manage escalations from authorization team members, providing guidance for resolution and follow-up actions with locations as necessary.
  • Initiate effective communication with the patient's insurance provider upon receiving referral information from the clinical team, specifically for services requiring pre-certification or authorization.
  • Proactively engage with insurance carriers to facilitate the timely receipt of all required payment information, ensuring smooth processing of authorizations.
  • Keep assigned authorization teams informed of any changes in requirements by insurance companies related to the authorization and eligibility, providing guidance and updates as necessary.
  • Ensure the completeness of submissions by verifying all necessary information is included, adhering to the highest standards of accuracy and compliance.
  • Maintain consistent communication with the authorization team throughout the authorization process, providing regular updates on the status of service requests with insurance carriers.
  • Proactively identify and report any issues that may lead to an authorization lapse to location management for resolution, providing insights, and recommendations for improvement.
  • Support, train, and mentor Authorization Specialists.
  • Adhere to the Aveanna Compliance Program, including following all regulatory Aveanna and accrediting agency policies.
Requirements
  • High school diploma or GED.
  • 2+ years of related experience.
  • Strong computer skills (Word, Excel, Power Point).
  • Preferences:
    • Bachelors degree in healthcare or related field.
    • Bilingual; Spanish speaking a plus.
    • Additional healthcare, medical office, or customer service experience.
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.


  • Seal Beach, California, United States Aveanna Full time

    Position Title: Lead Authorization SpecialistJob Overview: The Lead Authorization Specialist plays a pivotal role in overseeing the insurance authorization workflow for patient services. This position is crucial in ensuring seamless communication between healthcare providers, clinical teams, and insurance companies to secure necessary approvals and...


  • Seal Beach, California, United States Aveanna Full time

    Position Title: Authorization SpecialistOverview: 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...


  • Seal Beach, California, United States Aveanna Full time

    Position Title: Authorization SpecialistJob Overview: The Authorization Specialist collaborates closely with Aveanna Healthcare's clinical and administrative teams, patients, and insurance providers to facilitate optimal reimbursement for the services rendered.Key Responsibilities:Oversee the patient insurance authorization workflow for requested...


  • Seal Beach, California, United States Aveanna Full time

    Position Title: Authorization SpecialistOverview: The Authorization Specialist collaborates with clinical and administrative teams, patients, and insurance providers to facilitate optimal reimbursement for healthcare services.Key Responsibilities:Oversee the patient insurance authorization process for requested services.Initiate contact with insurance...


  • Newport Beach, California, United States University Of California Irvine Full time

    About the RoleWe are seeking a highly skilled and detail-oriented Patient Scheduling Coordinator to join our team at the University of California, Irvine. As a key member of our healthcare team, you will be responsible for obtaining necessary authorizations, verifying patient funding, and scheduling patients for surgery.Key ResponsibilitiesObtain necessary...


  • Seal Beach, California, United States Commander, Navy Installations Full time

    Position OverviewAs an Access Control Specialist, you will play a vital role in ensuring the safety and security of designated areas within the Commander, Navy Installations. Your primary responsibility will be to oversee the entry and exit of vehicles and personnel, maintaining strict access protocols.Key Responsibilities1. Lead the entry control and...


  • Seal Beach, California, United States The Judge Group Full time

    Job DescriptionThe Judge Group is seeking a highly skilled Corporate Legal Specialist to join our team. As a key member of our legal department, you will be responsible for administering and maintaining law department projects, policies, procedures, and practices.Key Responsibilities:Project Management: Schedule and coordinate workload support of legal...

  • Energy Modeler II

    3 days ago


    Seal Beach, California, United States Abidi Solutions Full time

    About the RoleAbidi Solutions is seeking a highly skilled Energy Modeler II to join our team of experts in building performance and sustainability. As an Energy Modeler II, you will play a critical role in helping our clients achieve high-performance building design and energy conservation strategies.Key ResponsibilitiesBuilding Energy Modeling: Create...

  • Eyewear Specialist

    1 week ago


    Seal Beach, California, United States Pearle Vision Full time

    Job OverviewPosition: OpticianCompany: Pearle VisionA prominent Pearle Vision Eye Care Center is in search of skilled opticians who possess a friendly demeanor, a robust sales approach, and extensive optical expertise. As a key player in the eyewear sector, Pearle Vision boasts over 600 locations across North America and is a subsidiary of Luxottica, the...


  • Seal Beach, California, United States Boeing Full time

    Job SummaryWe are seeking a highly skilled Procurement Specialist to join our team at Boeing. As a Procurement Specialist, you will be responsible for managing and measuring supplier performance, developing and generating supplier performance metrics, and providing direction to suppliers to improve performance to contractual requirements.Key...


  • Manhattan Beach, California, United States Trinnovo Full time

    Lead Talent Acquisition Specialist at Trust in Soda (Trinnovo Group)Welcome to Trust in Soda, a proud member of the Trinnovo Group, renowned for its exceptional staffing and recruitment services. Our ambition is to emerge as the most rapidly expanding and influential recruitment entity globally. We are dedicated to fostering diversity, promoting inclusion,...


  • Seal Beach, California, United States FAM Realty Group Full time

    Job OverviewSeeking a Passionate Listing SpecialistAre you eager to embrace a role that offers both flexibility and substantial rewards? At FAM Realty Group, we are on an exciting journey and in search of a vibrant Listing Specialist to enhance our team. If you possess exceptional communication skills and a talent for closing deals, this opportunity is...


  • Seal Beach, California, United States FAM Realty Group Full time

    Job OverviewExciting Opportunity for a Listing SpecialistAre you eager to embrace a role that offers both flexibility and financial rewards? At FAM Realty Group, we are seeking a vibrant Listing Specialist to enhance our growth. If you possess exceptional communication skills and a talent for closing deals, this position could be the perfect fit for you.Key...


  • Long Beach, California, United States StretchLab - Long Beach Marina Full time

    Position OverviewStretchLab is on the lookout for a skilled sales expert to take on the role of Lead Membership Specialist, responsible for managing the sales process and enhancing member retention strategies.ROLE SUMMARYThe ideal Lead Membership Specialist will be in charge of membership sales at our studio. This individual will collaborate closely with the...


  • Long Beach, California, United States City of Long Beach Full time

    LEAD CIVIL ENGINEERING SPECIALISTOverview: The Lead Civil Engineering Specialist position is pivotal within various departments, focusing on advanced engineering solutions for municipal projects.Key Responsibilities:Oversee and manage the review and approval processes for engineering plans and designs.Coordinate multidisciplinary teams to ensure project...


  • Newport Beach, California, United States Jobot Full time

    Dynamic Real Estate Firm Seeking Lead Property Accounting SpecialistThis opportunity is hosted by: JobotSalary: $95,000 - $120,000 per yearAbout Us:A comprehensive real estate investment company focused on development and asset management.Why Join Us?Attractive Compensation Comprehensive Benefits (fully covered by employee)PTO401K with 3% employer match...


  • Seal Beach, California, United States Commander, Navy Installations Full time

    Position OverviewYou will be appointed as an ADMINISTRATIVE OFFICER within the COMMAND AND ADMINISTRATION PROGRAM (N00) DIVISION of the organization. Key ResponsibilitiesYour role will involve providing guidance to both internal and external stakeholders regarding administrative policies and procedures. You will conduct analyses of current workforce data,...


  • Manhattan Beach, California, United States Trinnovo Full time

    Position OverviewSalary: We are BioTalent, a proud member of the Trinnovo Group, which encompasses a global network of three award-winning recruitment brands: BioTalent for Life Sciences, Trust in SODA for Digital Marketing, and Broadgate for Business Enablement. Our ambition is to become the most rapidly expanding and most influential recruitment firm...


  • Newport Beach, California, United States Century Group Full time

    Job OverviewCentury Group is collaborating with a client in search of a committed Lead Project Accounting Specialist to enhance their financial team. The anticipated salary range is between $75,000 and $95,000 annually, depending on qualifications and experience.Key Responsibilities:Oversee the month-end closing activities, focusing on project accounting and...


  • Redondo Beach, California, United States Northrop Grumman Full time

    At Northrop Grumman, our team members have remarkable opportunities to engage in groundbreaking systems that influence lives globally, both now and in the future. Our innovative and creative spirit has positioned us at the leading edge of numerous technological milestones in our nation's history - from pioneering transatlantic flights to developing stealth...