Insurance Authorization Specialist/UKHC

$36,400 - $56,805/Yr

University of Kentucky - Lexington, KY

Full-time - Entry Level

Lexington, KY

Educational Services

About the position

The Insurance Authorization Specialist at UKHC is responsible for providing standardization, quality, and customer service focus to medical departments. This role involves working with third-party payers and providers to ensure the approval of tests and procedures prior to administration, while maintaining compliance with institutional, state, and federal practices. The specialist will engage with customers, patients, faculty, and physicians, confirming necessary information for billing and authorization processes.

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 perform and identify billing information for compliance.
• Maintain frequent contact with customers/patients, faculty, physicians, and University personnel.
• Work with third-party payers and providers to ensure payer approval of tests and procedures.

Requirements

• High school diploma or GED required.
• 4 years of related experience in healthcare or insurance authorization.
• Basic coding knowledge (CPT, HCPCS, ICD-10) preferred.
• Proficiency in medical terminology.
• Excellent communication skills and customer service skills.

Nice-to-haves

• Associate degree in a healthcare-related field preferred.
• Experience working in a physician practice preferred.
• At least three years of healthcare employment experience preferred.

Benefits

• Full-time position with a salary range of $17.50 - $27.31 per hour.
• Opportunities for professional development and training.