Authorization Specialist

About Us

Aveanna is an 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. We are a proud partner of the Military Spouse Employment Partnership.

• Connection & Support: Employee Connection Groups and Social Circles for shared interests like books, music, and movies.
• Wellness: Wellness Wednesdays with tools to recharge and refocus.
• Inclusive Growth: Open learning sessions for all employees.
• Aveanna Cares – Service with Heart: Annual Month of Service for team volunteering in local communities.
• Employee Relief Fund: Financial assistance for teammates facing unexpected hardships.

Responsibilities

• Oversee the insurance authorization process for requested patient services to ensure timely approvals.
• Initiate communication with the patient's insurance provider for services requiring pre-certification or authorization.
• Proactively engage with insurance carriers to facilitate timely receipt of payment information.
• Inform assigned location teams of changes in insurance requirements related to authorizations and eligibility.
• Submit packets and coordinate with location teams in response to payer coverage decisions, including denials, changes 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 teams.
• Maintain consistent communication with location and RCM billing teams, providing regular updates on authorization status.
• Track authorization expirations and report issues that may lead to lapses to location management.
• Adhere to the Aveanna Compliance Program, including all regulatory and accrediting agency policies.

Requirements

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

Preferences

• Bachelor’s Degree.
• Bilingual (Spanish speaking a plus).

Skills & Abilities

• Proficient in Microsoft Office Suite (Outlook, Word, Excel).
• Ability to adhere to confidentiality standards and professional boundaries.
• Excellent written and verbal communication skills.
• Strong sense of urgency and attention to detail.
• Proven ability to work independently and within a team.
• Demonstrated ability to prioritize multiple tasks and meet deadlines.
• Collaborative interaction with other departments and teams.

Physical Requirements

• Must be able to speak, write, read, and understand English.
• Occasional lifting, carrying, pushing, and pulling of up to 25 pounds.
• Prolonged walking, standing, bending, kneeling, reaching, and twisting.
• Must be able to sit and climb stairs.
• Visual and hearing acuity.
• Strong sense of smell and touch.

Work Environment

• Performs duties in an office environment during agency operating hours.
• Must be able to function in environments with potential exposure to allergens and other conditions.

Duties, responsibilities, and activities may change at any time with or without notice.

As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements, including required vaccinations and testing, subject to exemptions for medical or religious reasons.