"Insurance Authorization Specialist/UKHC"

Job Details

Job Title: Insurance Authorization Specialist/UKHC

Requisition Number: RE50464

Department Name: M3350:Radiation Medicine Services

Work Location: Lexington, KY

Grade Level: 07

Salary Range: $17.50-27.31/hour

Type of Position: Staff

Position Time Status: Full-Time

Required Education: HS

Required Related Experience: 4 yrs

Required License/Registration/Certification: None

Physical Requirements: Sitting for long periods.

Shift: 8a-430p

Job Summary: The Radiation Medicine Clinic is currently seeking an Insurance Authorization Specialist to provide standardization, quality, expertise and customer service focus to our medical departments. This position will have frequent contact with customers/patients, faculty, physicians, and University personnel. The role will work with third party payers and providers to ensure payment of tests and procedures prior to administration of test and/or procedures. 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 is preferred and recommended. Excellent customer service skills are required. Primary responsibilities will include obtaining pre-certification and pre-authorization of test 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.

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.

Does this position have supervisory responsibilities?: No

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 highly preferred.

Deadline to Apply: 09/22/2025