Description

University of Kentucky

Equal Employment Opportunity/M/F/disability/protected veteran status.

Posting Details Posting Details Job TitleInsurance Authorization Specialist/UKHCRequisition NumberRE52476Working TitleInsurance Authorization SpecialistDepartment NameH4027: REV Cycle MGT-PFEWork LocationLexington, KYGrade Level07Salary Range$17.50-27.31/hourType of PositionStaffPosition Time Status Full-TimeRequired Education

HS

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

4 yrs

Required License/Registration/CertificationNonePhysical RequirementsThis 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.ShiftMonday Friday; 8:00 am- 4:30 pm. Other days/times as needed or assigned by department.Job SummaryThe 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 / AbilitiesExcellent 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? NoPreferred Education/ExperienceAssociate degree in a healthcare-related field and at least three years of healthcare employment experience preferred. Additionally, experience working in a physician practice and basic coding (CPT, HCPCS and ICD-10) knowledge is also preferred. Deadline to Apply12/09/2025Our University CommunityWe 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.

The University follows both the federal and state Constitutions as well as all applicable federal and state laws on nondiscrimination. The University provides equal opportunities for qualified persons in all aspects of institutional operations and does not discriminate on the basis of race, color, national origin, ethnic origin, religion, creed, age, physical or mental disability, veteran status, uniformed service, political belief, sex, sexual orientation, gender identity, gender expression, pregnancy, marital status, genetic information or social or economic status.

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.

Posting Specific Questions

Required fields are indicated with an asterisk (*).

1. * Please choose the answer that best describes your years of full-time paid employment experience related to medical terminology, prior authorization, and/or working in a physician practice.
   • None
   • More than 0, up through 1 year
   • More than 1 year, up through 3 years
   • More than 3 years, up through 5 years
   • More than 5 years
2. * Please describe in essay format your approach to customer service. Specifically address how your skills and actions made a bad situation better.

   (Open Ended Question)

Applicant Documents
Required Documents

1. Resume

Optional Documents

1. Cover Letter

PI280313906