Insurance Authorization Specialist/UKHC - Military Veterans

Department Name: H4027: REV Cycle MGT-PFE

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.

Position Time Status: Full-Time

Required Education:

HS

Required Related Experience:

4 yrs

Required License/Registration/Certification :

None

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.

University Community of Inclusion:

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.