UK HealthCare
Insurance Authorization Specialist / UKHC
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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.
Responsibilities
Obtain pre-certification and pre-authorization of tests and medication requests by medical providers.
Work with medical providers to find suitable alternatives to tests or medications that do not meet pre-certification or pre-authorization requirements.
Confirm all necessary information needed to properly perform and identify billing information to maintain compliance with institutional, state, and federal practices.
Maintain up-to-date guidelines and share current guidelines with third party payers and providers.
Work in a fast-paced, team-oriented environment while sitting for long periods of time.
Skills / Knowledge / Abilities Excellent communication skills and the ability to multi-task and stay organized in a fast-paced environment are needed. Knowledge of the insurance authorization process and exceptional customer service skills are required.
Preferred Education / Experience Associate degree in a healthcare-related field and at least three years of healthcare employment experience preferred. Experience working in a physician practice and basic coding (CPT, HCPCS, and ICD‑10) knowledge is also preferred.
Deadline to Apply 12/09/2025
EEO Statement 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.
Seniority level
Mid‑Senior level
Employment type
Full‑time
Job function
Other
Industries
Hospitals and Health Care
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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.
Responsibilities
Obtain pre-certification and pre-authorization of tests and medication requests by medical providers.
Work with medical providers to find suitable alternatives to tests or medications that do not meet pre-certification or pre-authorization requirements.
Confirm all necessary information needed to properly perform and identify billing information to maintain compliance with institutional, state, and federal practices.
Maintain up-to-date guidelines and share current guidelines with third party payers and providers.
Work in a fast-paced, team-oriented environment while sitting for long periods of time.
Skills / Knowledge / Abilities Excellent communication skills and the ability to multi-task and stay organized in a fast-paced environment are needed. Knowledge of the insurance authorization process and exceptional customer service skills are required.
Preferred Education / Experience Associate degree in a healthcare-related field and at least three years of healthcare employment experience preferred. Experience working in a physician practice and basic coding (CPT, HCPCS, and ICD‑10) knowledge is also preferred.
Deadline to Apply 12/09/2025
EEO Statement 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.
Seniority level
Mid‑Senior level
Employment type
Full‑time
Job function
Other
Industries
Hospitals and Health Care
#J-18808-Ljbffr