Authorization Specialist

ApplyRefer a FriendBack

Job Details

Requisition #:

203496

Location:

Loveland, CO 80538

Category:

Medical Billing/Collections

Salary:

$25.00 per hour

Position Details

Position Overview

The Authorization Specialist works in collaboration with the Aveanna Healthcare clinical and administrative staff, patients, and insurance carriers to ensure optimal payment for the care Aveanna provides.

Compensation: $25/HR

Why Choose Aveanna? 

• Health, Dental, Vision Insurance  

• 401(k) Savings Plan with Employer Matching  

• Employee Stock Purchase Plan  

• Company-Paid Life Insurance 

• Paid Holidays, Paid Vacation Days, Paid Sick Days

• Easy access to state-of-the-art technology for electronic charting during point of care   24/7 Team Support for direct clinical and scheduling assistance  

• Cell phone and mileage reimbursement  

• Room for growth and advancement

Essential Job Functions

• Manage the patient insurance authorization process required for services that are being requested by the clinical staff responsible for the patient’s care

• Initiate communications with patient’s insurance carrier upon receiving information from the clinical team for services that require pre certification/authorization

• Work proactively with insurance carriers to ensure that all of the required information for payment has been received in a timely fashion.

• Communicate and advise the clinical team on any changes in insurance companies reimbursement practices related to the authorization of process.

• Ensure submissions are complete with all required information.

• Maintain ongoing communication with the treating clinical team during the authorization process to provide timely updates on the outcomes of the requests for services from insurance carriers.

• Educate and counsel patients on their insurance coverage and explain payment options that are available to them.

• Communicate issues that may result in a lapse in authorization to the location management

Requirements

• High school diploma

• 2+ years of related experience

• Strong computer skills (Word, Excel, Power Point)

Preferences

• Bachelor’s Degree

• Bilingual; Spanish speaking a plus

Other Skills/Abilities

• 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.

Applications are accepted on an ongoing basis for this role and can be submitted by applying to this job posting or by visiting our career page at:| Aveanna Healthcare Careers

Equal Employment Opportunity and Affirmative Action: Aveanna provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, or genetics. In addition to federal law requirements, Aveanna complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.  

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.

Notice for Job Applicants Residing in California (https://www.aveanna.com/CaliforniaPrivacyNotices.html)

Apply