Insurance Authorization Specialist/UKHC

Job Title
Insurance Authorization Specialist/UKHC


Requisition Number
RE48151


Working Title
Insurance Authorization Specialist


Department Name
H4027: REV Cycle MGT-PFE


Work Location
Lexington, KY


Grade Level
07


Salary Range
$17.50-27.31/hour


Type of Position
Staff


Position Time Status
Full-Time


Required Education


HS




Click here for more information about equivalencies:
https://hr.uky.edu/employment/working-uk/equivalencies


Required Related Experience


4 yrs




Required License/Registration/Certification

None



Physical Requirements

This position requires regularly sitting at a computer workstation for extended periods of time and performing tasks with repetitive motions (such as typing). Also involves some exposure to loud noises, blood-borne/airborne pathogens, and combative/violent people.



Shift

Day shift, Monday through Friday, 8:00 am – 4:30 pm. Other days/times as assigned per departmental needs.



Job Summary

The UKHC Insurance Authorization team is currently seeking an Insurance Authorization Specialist to provide standardization, quality, expertise and customer service focus to medical departments. This position will report to the Central Authorization Team Supervisor and will have frequent contact with customers/patients, faculty, physicians, and University personnel. The role will work with third party payers and providers to ensure payer approval of tests and procedures prior to administration.



Duties for this position include confirming all necessary information needed to properly perform and identify billing information needed to maintain compliance with institutional, state, and federal practices. This position will work with third party payers and providers while obtaining and sharing current guidelines. Basic coding knowledge and proficiency in medical terminology are preferred and excellent customer service skills are required.



Primary responsibilities will include obtaining pre-certification and pre-authorization of tests and medication requests by medical providers, as well as working with medical providers to find suitable alternatives to tests or medications that do not meet pre-certification or pre-authorization requirements. This position will require the ability to sit for long periods of time and work in a fast-paced environment. The qualified individual must enjoy working in a team-oriented environment.



Skills / Knowledge / Abilities

Knowledge and experience in medical coding (ICD-10 and CPT) as well as medical terminology is highly recommended. Excellent communication skills and the ability to multi-task and stay organized in a fast-paced environment are needed, as well as knowledge of the insurance authorization process. This position requires exceptional customer service skills.



Does this position have supervisory responsibilities?
No


Preferred Education/Experience

Associate degree in a healthcare-related field and at least five years of healthcare employment experience preferred; understanding of CPT, ICD-9, and ICD-10 codes is highly preferred.



Deadline to Apply
11/21/2024


Our University Community

We value the well-being of each of our employees and are dedicated to creating a healthy place for everyone to work, learn and live. In the interest of maintaining a safe and healthy environment for our students, employees, patients and visitors the University of Kentucky is a Tobacco & Drug Free campus.


As an Equal Opportunity Employer, we strongly encourage veterans, individuals with disabilities, women, and all minorities to consider our employment opportunities.


Any candidate offered a position may be required to pass pre-employment screenings as mandated by University of Kentucky Human Resources. These screenings may include a national background check and/or drug screen.