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.
This role is a remote hybrid position where you will work from home but are required to come into the office for any required trainings or in-person meetings.
Schedule: Full-Time hours Monday through Friday
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)
Remote and hybrid work is limited to the United States only, and in states where Aveanna conducts business. Remote workers should be prepared to come into the office periodically.
HHH
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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