Authorization Specialist

Join a Company That Puts People Firstand Wins Awards Doing It! At Aveanna, were proud to create a workplace where you feel valued, supported, and inspired. Heres what sets us apart: Award-Winning Workplace Recognized for Best Leadership, Best Diversity, Best Company for Women, Best Career Growth, Work-Life Balance, Happiness, and Top-Rated Outlook in 2025. Proud partner of the Military Spouse Employment Partnership. Connection & Support Employee Connection Groups: Spaces to share experiences and build community. Social Circles: Connect over shared interestsbooks, music, movies, and more. At Aveanna, your well-being matters. Thats why on Wellness Wednesday's, we give you tools to recharge, reset and refocus. Inclusive Growth Open learning sessions for all employeesbecause we grow stronger together. Aveanna Cares Service with Heart Every year, we embrace our Month of Service, giving you the chance to volunteer in your local community with your team. Its a powerful way to give back, connect, and live our values beyond the workplace. Real Help When You Need It Most Through the Aveanna Employee Relief Fund, we stand by each other during lifes toughest momentsoffering financial assistance to teammates facing unexpected hardships. Because here, care goes beyond the job description. Position Overview The Authorization Specialist facilitates the coordination between healthcare providers, clinical teams, and insurance carriers to ensure that necessary approvals are obtained, and payment processes are streamlined. Essential Job Functions Oversee the insurance authorization process for requested patient services to ensure timely approvals are obtained. Initiate 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. Keep assigned location teams informed of any changes in requirements by insurance companies related to authorizations and eligibility. Submit packets and coordinate with location teams in response to payer coverage decisions, including denials, change in hours or pending information. Ensure completeness of submissions by verifying all necessary information is included. Complete initial eligibility and verification of benefits (VOB) and share output with location and RCM billing. Maintain consistent communication with location and RCM billing teams throughout the authorization process, providing regular updates on the status of service requests with insurance carriers. Track authorization expirations and report any issues that may lead to an authorization lapse to location management for resolution. Adhere to the Aveanna Compliance Program, including following all regulatory Aveanna and accrediting agency policies. Requirements High school diploma 2+ years of related experience Strong computer skills (Word, Excel, Power Point) Preferences Bachelors Degree Bilingual; Spanish speaking a plus Other Skills / Abilities Proficient in Microsoft suite of products including Outlook, Word and Excel 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. Vaccine Requirement 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. Headhunters and recruitment agencies may not submit resumes/CVs through this website or directly to managers. Aveanna does not accept unsolicited headhunter, and agency resumes and will not pay fees to any third-party agency or company that does not have a signed agreement with Aveanna. Aveanna Healthcare LLC