Authorization Coordinator

The Auth Specialist is responsible for providing Auth and Billing support as it relates to branch location’s RCM operations. This position works as part of the Area Support team supporting Area RCM function as well as ensuring locations have appropriate authorization of services rendered.  

Responsibilities of the Authorization Specialist: 

• Basic understanding of insurance authorization process and Universal Authorization form 

• Use of various insurance portals such as Mass Health, HNE, BMC, Allways, Fallon, BC/BS, Cigna etc.  
• Maintain good relationships and communication with insurance payors and Aveanna staff at other locations to ensure authorization is received and maintained 
• Obtains and records insurance authorizations from insurance payors 
• Notifies clinical staff with due dates and what clinical information is required for authorizations through use of dashboard, email, and phone if necessary 
• Knowledge of each individual insurance company’s rules and regulations  

• Consults with RCM director, intake dept.  and insurance payors when authorization coverage issues or questions arise 
• Responsible for maintaining own individual case load 
• E-Faxing auth requests to Insurance companies that have no portal  
• Maintain tracking system and follow up on pending authorizations 
• Work independently requiring a minimum of detailed supervision and guidance 

• Receiving and coordinating all patient’s authorizations from the initial authorization from the start of care until patient’s discharge from our agency 
• Basic understanding of medical terminology  
• Works as a vital team member with good time management skills and tasking important Items 

Other Skills: 

• Must maintain company and employee confidentiality at all times 
• Must maintain professional boundaries at all times 
• Ability to remain calm and professional in stressful situations 
• Attention to detail 
• Time Management 

• Effective problem-solving and conflict resolution 
• Excellent organization and communication skills 

Requirements: 

• High school diploma or GED (Bachelors preferred.) 

• Proficient typing skills 
• Proficient with Microsoft Office skills 

Preferences: 

• Home Health Experience 
• RCM/Billing in a healthcare setting 

• Advanced Microsoft Excel skills 
• Two (2) years general office experience 

Benefits of the Authorization Specialist: 

• Health, Dental, Vision and Life Insurance 
• 2 Weeks' Vacation (3 weeks after year 1) 

• Mileage Reimbursement 
• 1 Week Sick time 
• 401(k) Savings Plan with Employer Matching* 
• Easy access to state-of-the-art technology for electronic charting during point of care 
• Paid Training & Continuous Professional Development 

• Complete EMR System 
   

Other Skills: 

• Must be able to adhere to confidentiality standards and professional boundaries at all times 
• Ability to remain calm and professional in stressful situations 
• Ability to multi-task 

• Attention to detail 
• Time Management 
• Effective problem-solving and conflict resolution skills 
• Excellent organization and communication skills 
• Quick-thinking and astute decision-making skills 

Physical Requirements: 

• Must be able to speak, write, read and understand English 
• Must be able to travel; company does not provide vehicles or transportation 
• Occasional lifting, carrying, pushing and pulling of 25 pounds 
• Must be able to lift 50 pounds 
   

Environment: 
 

• Must be able to function in a wide variety of environments which may involve exposure to allergens and other various conditions 
• Possible exposure to blood, bodily fluids and infectious diseases 

 
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.