Authorization Specialist

Aveanna Healthcare; Seal Beach (CA); On-site; USD 56,000 - 80,000; Full time

Job summary

Aveanna Healthcare in Seal Beach, CA is seeking an Authorization Specialist to coordinate between healthcare providers, clinical teams, and insurance carriers to secure approvals and streamline payments. Join a team focused on compliance, accuracy, and timely communication as you manage eligibility checks, pre-certification, and payer interactions within a supportive, patient-centered environment.

The role requires attention to detail, strong computer skills, and the ability to work

Qualifications

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

Responsibilities

• Oversee the insurance authorization process to ensure timely approvals.
• Initiate communication with insurance providers using referral information from clinical teams for pre-certification or authorization.
• Proactively engage with carriers to obtain all required payment information.
• Keep location teams informed of changes in authorization and eligibility requirements.
• Submit packets and respond to payer coverage decisions, including denials or changes in hours or pending information.
• Verify completeness of submissions and required information.
• Perform initial eligibility and verification of benefits (VOB) and share output with location and RCM billing.
• Maintain ongoing updates with location and RCM billing teams throughout the authorization process.
• Track authorization expirations and report issues to management for resolution.
• Adhere to the Aveanna Compliance Program and all relevant policies.

Skills

Attention to detail

Communication skills

Time management

Teamwork

Independent work

Education

High school diploma

Bachelor's Degree

Tools

Microsoft Word

Microsoft Excel

PowerPoint

Outlook

Job description

Overview

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

Overview

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.

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.

Responsibilities & Qualifications

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.