The Authorization Specialist

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.

Location: Peachtree Corners, GA

Schedule: Mon- Fri, standard business hours

Compensation: up to $24 hourly, plus potential to earn monthly bonus incentive

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

• High school diploma
• 2+ years of related experience
• Strong computer skills (Word, Excel, Power Point)

• Bilingual; Spanish speaking a plus

• 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

• 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

• 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

• 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.