Healthcare 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

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