Precertification & Authorization Specialist

UofL Health, Inc.; Louisville (KY); On-site; USD 42,000 - 56,000; Full time

Job summary

UofL Health in Louisville, Kentucky is seeking a Precertification Specialist to support prior authorizations and medical necessity determinations for scheduled procedures and tests across multiple service lines.

You will verify eligibility, contact payers, and document communications in the patient record while maintaining HIPAA compliance and delivering a positive patient experience. This full-time role emphasizes accuracy, productivity, and timely updates to payers, physicians, and patients.

Qualifications

• High School Diploma or equivalent.
• At least one year of patient access, insurance verification, prior authorization, or related experience.
• Three years of prior authorization or related experience (preferred).

Responsibilities

• Identifies clinical documentation to support medical necessity for scheduled procedures and medications.
• Submits authorizations and information to payers in a timely fashion per plan rules.
• Verifies eligibility and coverage for procedures; coordinates patient encounters across multiple systems.
• Documents findings and communications in the patient record accurately and completely.
• Maintains HIPAA privacy and security standards while supporting a positive patient experience.

Skills

Patient access

Insurance verification

Prior authorization

Medical terminology

HIPAA compliance

Customer service

Education

High School Diploma

Tools

Electronic Health Record (EHR)

CMS IP Only list

EIPC knowledge

Job description

UofL Health in Louisville, Kentucky is seeking a Precertification Specialist to support prior authorizations and medical necessity determinations for scheduled procedures and tests across multiple service lines.

You will verify eligibility, contact payers, and document communications in the patient record while maintaining HIPAA compliance and delivering a positive patient experience. This full-time role emphasizes accuracy, productivity, and timely updates to payers, physicians, and patients.