Insurance Authorization Coordinator

2 weeks ago


Seal Beach, California, United States Aveanna Full time

Position Title: Authorization Specialist

Overview: 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 carriers upon receiving requests from the clinical team.
  • Proactively engage with insurance providers to ensure timely receipt of necessary information for payment.
  • Inform the clinical team about any updates or changes in reimbursement practices from insurance companies.
  • Ensure that all submissions are thorough and include all required documentation.
  • Maintain consistent communication with the clinical team throughout the authorization process, providing updates on request outcomes.
  • Educate patients about their insurance coverage and available payment options.
  • Report any potential issues that may affect 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.
  • Effectively prioritize multiple tasks to meet deadlines.
  • Engage in collaborative interactions with various departments.

Physical Requirements:

  • Must be able to communicate effectively in English.
  • Occasional lifting and carrying of up to 25 pounds.
  • Ability to perform tasks that involve prolonged standing, walking, bending, and reaching.
  • Must possess visual and auditory acuity.

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

Additional Information: This job description is not exhaustive and may be subject to change. Aveanna is committed to equal employment opportunities for all employees and applicants, ensuring compliance with all applicable laws.



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