Job Information

Aveanna TPL Specialist in Atlanta, Georgia

TPL Specialist

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Job Details

Requisition #:



Atlanta, GA 30339


Medical Billing/Collections


$16.00 - $18.00 per hour

Position Details

This is a temporary to permanent full-time position.

Starting as soon as possible.

OR ending March 2024 (could be extended)

Position Overview

The primary responsibility of the TPL Specialist is to assist with quality assurance and accuracy of claims review and support of the third party liability (TPL) processes.

Essential Job Functions

Review and maintain accurate and updated patient information in billing system

Conducts direct contact with patient’s health insurance company to verify eligibility

Conducts direct contact with patient’s health insurance company to verify services are covered under patients benefit plan

Initiates authorization process with the health insurance plan

Communicates required documentation needed to complete the authorization process

Timely and consistent follow up with locations for requested information

Confirms any secondary policies and applies same process regarding eligibility, benefits and authorization requirements

Forecasts and communicates potential Billing and A/R challenges or concerns to the Billing and A/R managers

Conducts an accurate review of received documents to determine specific requirements are met for compliance

Calculates benefits based on each individual policy or plan with strong attention to detail and accuracy

Attention to detailed information related to Home and Local plans as well as HMO and PPO policies

CMO's and government payers

Attention to detailed information related to Home and Local plans as well as HMO and PPO policies


High school diploma or GED

Proven ability to analyze complex process errors and identify root cause corrections.


Healthcare and insurance payer knowledge/experience is preferred.

Professional coding certifications strongly preferred.

Other Skills/Abilities

Must be able to adhere to confidentiality standards and professional boundaries at all times

Attention to detail

Time Management

Ability to remain calm and professional in stressful situations

Strong commitment to excellence

Quick-thinking and astute decision making skills

Effective problem-solving and conflict resolution

Excellent organization and communication skills

Waystar, excel and computer skill proficiency

Physical Requirements

Must be able to speak, write, read and understand English

Occasional lifting, carrying, pushing and pulling of 25 pounds

Prolonged walking, sitting, 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


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

Needs to mention a split of in home and in the office requirements

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.

Headhunters and recruitment agencies may not submit resumes/CVs through this website or directly to managers. Aveanna does not accept unsolicited headhunter and agency resumes, and will not pay fees to any third-party agency or company that does not have a signed agreement with Aveanna.

CCPA Notice for Job Applicants, Contractors, and Employees Residing in California

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.

Notice for Job Applicants Residing in California (