Healthcare Authorization Associate

1 week ago

Seal Beach, California, United States Aveanna Full time

Position Title: Authorization Specialist

Job 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 services.
  • Initiate contact with insurance carriers following information receipt from the clinical team regarding pre-certification and authorization needs.
  • Engage proactively with insurance providers to ensure timely receipt of all necessary information for payment processing.
  • Advise the clinical team on any modifications in reimbursement practices by insurance companies that may affect the authorization process.
  • Ensure all submissions are comprehensive and include all required documentation.
  • Maintain continuous communication with the clinical team throughout the authorization process, providing updates on the status of service requests.
  • Educate patients about their insurance coverage and available payment options.
  • Report any potential issues that could 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 abilities, particularly in Spanish, are advantageous.

Skills and Abilities:

  • Adherence to confidentiality standards and professional boundaries.
  • Exceptional written and verbal communication skills.
  • Strong sense of urgency and meticulous attention to detail.
  • Ability to work independently and collaboratively within a team environment.
  • Proven capacity to prioritize multiple tasks effectively.
  • Demonstrated ability to engage collaboratively with various departments.

Physical Requirements:

  • Must be able to communicate effectively in English.
  • Occasional lifting and carrying of items up to 25 pounds.
  • Ability to perform prolonged walking, standing, bending, kneeling, reaching, and twisting.
  • Must be capable of sitting and climbing stairs.
  • Visual and auditory acuity is necessary.
  • Must possess a strong sense of smell and touch.

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 at any time. Aveanna is committed to equal employment opportunities for all employees and applicants, adhering to all applicable laws regarding nondiscrimination.

  • Senior Authorization Coordinator

    2 weeks ago

    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...

  • Lead Authorization Specialist

    7 days ago

    Seal Beach, California, United States Aveanna Full time

    Job SummaryAveanna 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 ResponsibilitiesSupervise and coordinate the insurance authorization process for requested patient services, ensuring timely...

  • Patient Authorization Liaison

    2 weeks ago

    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...

  • Insurance Authorization Coordinator

    2 weeks ago

    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...

  • Authorization and Registration Specialist

    7 days ago

    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...

  • Physical Therapist

    4 days ago

    Seal Beach, California, United States California Healthcare Clinical Employee Full time

    Job SummaryCalifornia Healthcare Clinical Employee is seeking a skilled Physical Therapist to join our team in an outpatient neuro clinic setting. As a Physical Therapist, you will provide high-quality care to patients with neurological disorders, including vertigo, dizziness, concussion, Multiple Sclerosis, Parkinson's Disease, and stroke.Key...

  • Healthcare Utilization Management Associate

    2 weeks ago

    Long Beach, California, United States Saviance Technologies Full time

    Position Overview:As a vital member of the Utilization Management team at Saviance Technologies, your primary focus will be on performing inpatient medical necessity assessments and utilization reviews. Your efforts will ensure that our members receive the necessary care in a timely manner. Key Responsibilities:Your daily responsibilities will...

  • Healthcare Network Specialist

    5 days ago

    Long Beach, California, United States Molina Healthcare Full time

    Job SummaryMolina Healthcare is seeking a skilled Healthcare Network Specialist to join our team. As a key member of our Provider Network Administration team, you will be responsible for ensuring the accuracy and timeliness of critical provider information on all claims and provider databases.Key ResponsibilitiesReceive and review information from external...

  • Healthcare Provider Assistant

    2 weeks ago

    Long Beach, California, United States Southern California Medical Center Full time

    Healthcare Provider Assistant / Advanced Practice NurseWe are seeking a proficient Healthcare Provider Assistant / Advanced Practice Nurse to become a vital member of our committed healthcare team. Your primary objective will be to ensure exceptional patient care as part of a collaborative medical environment.Key Responsibilities:Assess and treat acute,...

  • Caregiver Associate

    3 days ago

    Long Beach, California, United States Acadia Healthcare Full time

    About the RoleWe are seeking a dedicated and compassionate Direct Care Associate to join our team at Acadia Healthcare.Key ResponsibilitiesProvide support and information necessary to enable individuals to make informed choices and decisions.Establish a collaborative relationship with program participants and colleagues to promote a positive and supportive...

  • Healthcare Studio Director

    3 days ago

    Newport Beach, California, United States H Hendy Associates, Inc. Full time

    About Hendy Associates, Inc.Hendy Associates, Inc. is a leading architecture and design firm that specializes in creating innovative and sustainable spaces for healthcare and wellness. Our team of experts is dedicated to delivering exceptional design solutions that meet the unique needs of our clients.Job SummaryWe are seeking a highly experienced and...

  • Healthcare Professional

    7 days ago

    Long Beach, California, United States Empro Staffing Full time

    Job OverviewWe are seeking a skilled Licensed Practical Nurse LPN to join our team at Empro Staffing. As a key member of our healthcare team, you will play a vital role in providing high-quality patient care and support.Key Responsibilities:Provide direct patient care, including administering medications, wound care, and vital sign monitoring.Collaborate...

  • Healthcare Quality Assurance Specialist

    2 weeks ago

    Long Beach, California, United States Advanced Medical Manage Full time

    Job OverviewPOSITION SUMMARYThe Healthcare Quality Assurance Specialist plays a crucial role in supporting the Manager by identifying and addressing any obstacles that may hinder the timely and efficient completion of tasks. The individual must demonstrate strong communication skills, both verbal and written, uphold patient confidentiality, and contribute to...

  • Healthcare Equipment Planner

    7 days ago

    Long Beach, California, United States SJS Executives LLC Full time

    About the RoleSJS Executives, LLC, a Service-Disabled Veteran Owned Small Business, is seeking a detail-oriented Medical Equipment Procurement Specialist to work in a Long Beach, California location. The successful candidate will provide equipment planning duties for a local VA Hospital.Key ResponsibilitiesEquipment Planning: Develop and deliver medical...

  • Healthcare Billing Specialist

    2 weeks ago

    Huntington Beach, California, United States HireFinder Full time

    Job OverviewHireFinder is a dynamic organization dedicated to enhancing patient care through innovative healthcare solutions. We are currently in search of a Healthcare Billing & Administrative Specialist who embodies our core values of compassion, expertise, and excellence in service delivery.This role requires a positive attitude and a commitment to...

  • Healthcare Product Strategist

    2 weeks ago

    Newport Beach, California, United States Cathworks Full time

    Job OverviewSalary: CompetitiveCathWorks is an innovative medical device start-up dedicated to advancing digital health solutions. The CathWorks FFRangio System leverages artificial intelligence and computational science to equip healthcare professionals with essential physiological data, enhancing treatment decisions for coronary artery disease. Our recent...

  • Healthcare Professional

    4 days ago

    Long Beach, California, United States Bizzell Group Full time

    Job SummaryWe are seeking a highly skilled Registered Nurse to join our team at the Bizzell Group. As a key member of our Wellness Department, you will play a critical role in providing exceptional healthcare services to our students.Key ResponsibilitiesDispense prescribed medications in a safe and efficient manner.Assist in physical examinations of all new...

  • **Provider Contracting Manager**, **Healthcare Network Strategist**, **Medical Contract Negotiator**

    2 days ago

    Long Beach, California, United States Molina Healthcare Full time

    About the RoleMolina Healthcare is seeking a highly skilled Provider Contracting Manager to join our team. As a key member of our Provider Contracting department, you will be responsible for developing and implementing strategies to ensure the adequacy and financial performance of our provider network.Key ResponsibilitiesDevelop and negotiate complex...

  • Healthcare Scheduling Specialist

    7 days ago

    Newport Beach, California, United States Charles W Moniak, MD, Inc Full time

    Job SummaryCharles W Moniak, MD, Inc is seeking a highly organized and detail-oriented Front Office Medical Administrator to join our team. As a key member of our front office staff, you will be responsible for providing exceptional patient care and administrative support to our patients and healthcare team.Key ResponsibilitiesManage patient check-in and...

  • Retail Sales Associate

    23 hours ago

    Huntington Beach, California, United States Sherwin-Williams Full time

    About the RoleWe are seeking a highly motivated and customer-focused individual to join our team as a Retail Sales Associate. As a key member of our sales team, you will be responsible for providing exceptional customer service, building strong relationships with our customers, and driving sales growth.Key ResponsibilitiesCustomer Service: Ensure high levels...