Requisition #:217303
Location:Seal Beach, CA 90740
Category:Medical Billing/Collections
Salary:$22.00 - $24.00 per hour
Position Details
Join a Company That Puts People First-and Wins Awards Doing It!
At Aveanna, we're proud to create a workplace where you feel valued, supported, and inspired. Here's 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 interests-books, music, movies, and more.
- At Aveanna, your well-being matters. That's why on Wellness Wednesday's, we give you tools to recharge, reset and refocus.
Inclusive Growth
- Open learning sessions for all employees-because 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. It's 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 life's toughest moments-offering financial assistance to teammates facing unexpected hardships. Because here, care goes beyond the job description.
Requirements
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
- Bachelor's 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.
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.
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