Insurance Authorization Specialist/UKHC
Posting Details Job Title Insurance Authorization Specialist/UKHCRequisition Number RE40145Working TitleDepartment Name H4027:
REV Cycle MGT-PFEWork Location Lexington, KYGrade Level 07Salary Range $17.
50-27.
31/hourType of Position StaffPosition Time Status Full-TimeRequired Education HSClick here for more information about equivalencies:
https:
//hr.
uky.
edu/employment/working-uk/equivalencies Required Related Experience 4 yrsRequired License/Registration/Certification NonePhysical 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 and be able to communicate with a diverse patient/customer population.
This position has been identified as supporting UK HealthCare, which receives funding from the Centers for Medicare and Medicaid Services ( CMS ).
Therefore, all individuals hired into this position must comply with the federal CMS mandate issued in March of 2022.
This mandate requires all new hires to provide proof of COVID -19 vaccination or obtain an approved medical or religious exemption as a condition of employment.
Start of employment cannot occur until two weeks after receiving the full COVID -19 vaccination series or upon obtaining an approved exemption.
Only vaccines approved by the World Health Organization can be accepted.
Skills / Knowledge / Abilities 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? NoPreferred Education/Experience Associate 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 Apply 08/07/2023University Community of Inclusion The University of Kentucky is committed to a diverse and inclusive workforce by ensuring all our students, faculty, and staff work in an environment of openness and acceptance.
We strive to foster a community where people of all backgrounds, identities, and perspectives can feel secure and welcome.
We also value the well-being of each of our employees and are dedicated to creating a healthy place 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.
Recommended Skills Customer Service Administration Confidentiality Health Insurance Data Entry Insurance Policies Estimated Salary: $20 to $28 per hour based on qualifications.
REV Cycle MGT-PFEWork Location Lexington, KYGrade Level 07Salary Range $17.
50-27.
31/hourType of Position StaffPosition Time Status Full-TimeRequired Education HSClick here for more information about equivalencies:
https:
//hr.
uky.
edu/employment/working-uk/equivalencies Required Related Experience 4 yrsRequired License/Registration/Certification NonePhysical 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 and be able to communicate with a diverse patient/customer population.
This position has been identified as supporting UK HealthCare, which receives funding from the Centers for Medicare and Medicaid Services ( CMS ).
Therefore, all individuals hired into this position must comply with the federal CMS mandate issued in March of 2022.
This mandate requires all new hires to provide proof of COVID -19 vaccination or obtain an approved medical or religious exemption as a condition of employment.
Start of employment cannot occur until two weeks after receiving the full COVID -19 vaccination series or upon obtaining an approved exemption.
Only vaccines approved by the World Health Organization can be accepted.
Skills / Knowledge / Abilities 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? NoPreferred Education/Experience Associate 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 Apply 08/07/2023University Community of Inclusion The University of Kentucky is committed to a diverse and inclusive workforce by ensuring all our students, faculty, and staff work in an environment of openness and acceptance.
We strive to foster a community where people of all backgrounds, identities, and perspectives can feel secure and welcome.
We also value the well-being of each of our employees and are dedicated to creating a healthy place 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.
Recommended Skills Customer Service Administration Confidentiality Health Insurance Data Entry Insurance Policies Estimated Salary: $20 to $28 per hour based on qualifications.
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