Title: Insurance Authorization Coordinator Location: Remote-KY Work Type: Remote, Full Time Job ID: R-000002376 Job Description: At UK St. Claire, our staff is our greatest asset in the mission to create a healthier and more prosperous population. We strive to foster the talent and potential of our employees and prioritize safe working conditions and equal compensation rates to ensure that continual growth is possible. UKSC is a nurturing workplace for all healthcare professionals. We invite you to explore our current job openings and see if our opportunities could be the right fit for you. Job Description: Responsible for ensuring accurate and timely insurance authorizations for diagnostic imaging as well as surgical and in clinic procedures. Provides expertise in payer guidelines, coding conventions, and authorization processes to minimize delays and denials. Coordinates with providers, payers, and pre-registration to validate eligibility, and secure approvals. Maintains compliance with institutional, state, and federal regulations while promoting service excellence and operational efficiency. Essential Functions &bull; Obtains prior authorizations for diagnostic imaging as well as surgical and in clinic procedures from insurance payers within required timelines. &bull; Reviews medical records and documentation to determine appropriate clinical information needed for authorization requests. &bull; Applies knowledge of ICD-10, CPT, and HCPCS coding conventions to support accurate authorization submissions. &bull; Confirms patient eligibility and coverage through payer portals and systems to ensure service approval. &bull; Monitors payer guideline updates, and communicates changes to providers and staff. &bull; Maintains HIPAA compliance and safeguards patient information when handling clinical and financial data. &bull; Resolves escalated authorization issues by collaborating with providers, payers, and patients to identify alternatives. &bull; Participates in quality assurance, training, and professional development activities &bull; Performs other duties as assigned. Education Requirement: High school diploma or equivalent Experience Requirement: 2-3 years of experience An equivalent combination of education and experience may be considered. All experience must be paid and in the same related field. Part-time and PRN experience will be prorated based on hours worked per week. Volunteer work and internships for academic credit are not counted. Certifications & Licensures: N/A Working Conditions A. Lifting, pushing, and/or pulling objects up to 50lbs:2. Occasional (< 10% of the time) B. Lifting, pushing, and/or pulling objects over 50lbs:1. Never C. Standing or walking with objects up to 10lbs:3. Intermittent (10% - 50% of the time) D. Standing or walking with objects up to 25lbs:2. Occasional (< 10% of the time) E. Sitting at the computer workstation for extended periods:3. Intermittent (10% - 50% of the time) F. Risk of back injury from moving, lifting or positioning patients, equipment, or materials:2. Occasional (< 10% of the time) G. Repetitive motion:3. Intermittent (10% - 50% of the time) H. Working at heights above 4 feet:1. Never I. Working in confined spaces:1. Never J. Risk of injuries from use of equipment on the job:2. Occasional (< 10% of the time) K. Job-related travel:2. Occasional (< 10% of the time) L. Loud noises:1. Never M. Temperature extremes:1. Never N. Hazardous chemicals and fumes including waste:2. Occasional (< 10% of the time) O. Radiation:1. Never P. Burns:1. Never Q. Cuts/Punctures:2. Occasional (< 10% of the time) R. Bloodborne/airborne pathogens:2. Occasional (< 10% of the time) S. Recombinant DNA or viral vectors:1. Never T. Combative/violent people:1. Never U. Animal handling (including carcasses):1. Never V. Please specify other(s) and amount of exposure (i.e. Occasional, Intermittent or Regular): N/A Physical Demands This position requires intermittent sitting at a computer workstation for extended periods of time; performing tasks with repetitive motions (such as typing); intermittent standing or walking with objects weighing up to 10 pounds; occasional standing or walking with objects weighing up to 25 pounds; and occasional lifting, pushing, or pulling objects weighing up to 50 pounds. Department: Clearance Shift: Days (United States of America)

Title: Insurance Authorization Coordinator Location: -KY time type Full time Remote job requisition id R-000002376 Job Description: At UK King's Daughters, we&rsquo;re not just a healthcare facility &mdash; we&rsquo;re a family of dedicated professionals who share a passion for making a meaningful difference in the lives of our patients. We&rsquo;re more than just a place to work; we&rsquo;re a place to grow, thrive, and contribute to our community. Job Description: Job Summary Responsible for ensuring accurate and timely insurance authorizations for diagnostic imaging as well as surgical and in clinic procedures. Provides expertise in payer guidelines, coding conventions, and authorization processes to minimize delays and denials. Coordinates with providers, payers, and pre-registration to validate eligibility, and secure approvals. Maintains compliance with institutional, state, and federal regulations while promoting service excellence and operational efficiency. Essential Functions &bull; Obtains prior authorizations for diagnostic imaging as well as surgical and in clinic procedures from insurance payers within required timelines. &bull; Reviews medical records and documentation to determine appropriate clinical information needed for authorization requests. &bull; Applies knowledge of ICD-10, CPT, and HCPCS coding conventions to support accurate authorization submissions. &bull; Confirms patient eligibility and coverage through payer portals and systems to ensure service approval. &bull; Monitors payer guideline updates, and communicates changes to providers and staff. &bull; Maintains HIPAA compliance and safeguards patient information when handling clinical and financial data. &bull; Resolves escalated authorization issues by collaborating with providers, payers, and patients to identify alternatives. &bull; Participates in quality assurance, training, and professional development activities &bull; Performs other duties as assigned. Education Requirement: High school diploma or equivalent Experience Requirement: 2-3 years of experience An equivalent combination of education and experience may be considered. All experience must be paid and in the same related field. Part-time and PRN experience will be prorated based on hours worked per week. Volunteer work and internships for academic credit are not counted. Certifications & Licensures: N/A Working Conditions A. Lifting, pushing, and/or pulling objects up to 50lbs:2. Occasional (< 10% of the time) B. Lifting, pushing, and/or pulling objects over 50lbs:1. Never C. Standing or walking with objects up to 10lbs:3. Intermittent (10% - 50% of the time) D. Standing or walking with objects up to 25lbs:2. Occasional (< 10% of the time) E. Sitting at the computer workstation for extended periods:3. Intermittent (10% - 50% of the time) F. Risk of back injury from moving, lifting or positioning patients, equipment, or materials:2. Occasional (< 10% of the time) G. Repetitive motion:3. Intermittent (10% - 50% of the time) H. Working at heights above 4 feet:1. Never I. Working in confined spaces:1. Never J. Risk of injuries from use of equipment on the job:2. Occasional (< 10% of the time) K. Job-related travel:2. Occasional (< 10% of the time) L. Loud noises:1. Never M. Temperature extremes:1. Never N. Hazardous chemicals and fumes including waste:2. Occasional (< 10% of the time) O. Radiation:1. Never P. Burns:1. Never Q. Cuts/Punctures:2. Occasional (< 10% of the time) R. Bloodborne/airborne pathogens:2. Occasional (< 10% of the time) S. Recombinant DNA or viral vectors:1. Never T. Combative/violent people:1. Never U. Animal handling (including carcasses):1. Never V. Please specify other(s) and amount of exposure (i.e. Occasional, Intermittent or Regular): N/A Physical Demands This position requires intermittent sitting at a computer workstation for extended periods of time; performing tasks with repetitive motions (such as typing); intermittent standing or walking with objects weighing up to 10 pounds; occasional standing or walking with objects weighing up to 25 pounds; and occasional lifting, pushing, or pulling objects weighing up to 50 pounds. Department: Clearance Shift: Days (United States of America)

Role Description Inviting applications for the role of Insurance Claims Sr. Associate. - General administrative duties such as scanning, photocopying, profiling, issuing documentation, and mailbox monitoring. - Accurate, timely, and efficient data entry and quality checking of claims information as per the standards. - Open a new “account” for each claim into the system to help with efficient processing of the claim – throughout the claim lifecycle. - Prepare the payment of claims in the system. - Process and dispatch standard letters and emails as required. - Support data cleansing and mass change processing projects. - Keep the relevant KPIs updated. - Liaising with internal and external parties to respond to and resolve queries within processing deadlines. - General contact with underwriters and clients (if applicable) always providing a great customer experience. - Preparing management information reports as requested using various reporting tools and methods. - Participate and provide support to process improvement projects. - Delivers exceptional service standards/KPIs. - Participating and support the implementation in continuous improvement or change project work. - Providing support to other teams to cover absences and peak workloads. - Contributing to technical support and procedural best practice and support. - Provide new ideas and support the team leader and coordinator regarding execution. - Ensure telephony service availability in line with defined working hours and required languages. - Answer all incoming calls received through the claims telephony lines. - Identify the nature of the enquiry and confirm whether it relates to an existing claim or a new notification. - Resolve simple customer or broker enquiries when the information is readily available in the system. - Redirect calls to the correct handler team or department when the query cannot be resolved at first contact. - Log call details in the claim file or relevant system to maintain a clear and accurate audit trail. - Escalate urgent or risk-related calls following internal escalation routes. - Manage call backs by logging the request and ensuring it is assigned or completed within required timeframes. - Monitor telephony metrics such as wait times, call volumes, and abandonment and escalate issues when service levels are at risk. Qualifications - Bachelors - Actuarial Science - Bachelors - Economics - Bachelors - Finance - Bachelors - Risk Management and Insurance - Masters - Statistics Requirements - Claims Management - Data Management - Insurance - Property & Casualty Insurance - Language: German (Required) - Language Proficiency - Advanced - C1 Benefits - Lead AI-powered transformation – Drive innovation and solve real-world business challenges that matter. - Make an impact – Help global enterprises solve business challenges that matter. - Accelerate your career – Gain hands-on experience, mentorship, and world-class learning opportunities to stay ahead. - Work with the best – Join 140,000+ bold thinkers and problem-solvers who push boundaries every day. - Thrive in a values-driven culture – Our courage, curiosity, and incisiveness - built on a foundation of integrity and inclusion - allow your ideas to fuel progress.

Role Description We are currently seeking an AI Strategy & GTM Consultant - Insurance to join our team in Plano, Texas (US-TX), United States (US). The AI Consultant is a client-facing advisor within the AI Go-to-Market organization responsible for identifying, shaping, and mobilizing AI transformation opportunities. This role combines strategy acumen, AI fluency, structured consulting methods, and commercial orientation to help clients define AI value cases, operating models, roadmaps, and adoption approaches. The AI Consultant partners with AI Architects, Forward-Deployed Engineering, Delivery, Sellers, ecosystem partners, and Geo and Industry leaders to convert client priorities into qualified opportunities and successful engagements. - Act as a trusted client advisor to identify AI transformation opportunities, business pain points, and value cases. - Shape AI strategy, target operating model, governance, adoption, responsible AI, and transformation roadmaps for clients. - Translate client needs into practical AI solutions in partnership with architects, FDE, delivery, and partner teams. - Develop proposals, business cases, ROI models, proof-of-concept plans, and executive-ready client materials. - Support opportunity qualification, deal shaping, solutioning, mobilization, and transition into delivery. - Lead and support structured consulting activities, including workshops, stakeholder interviews, assessments, prioritization exercises, and roadmap development. - Bring a strategic lens to client conversations, connecting AI use cases to operating model change, business outcomes, adoption, and measurable enterprise value. - Reuse and improve global GTM assets, offering content, credentials, delivery patterns, and client-facing narratives. - Stay current on AI, agentic AI, enterprise adoption trends, responsible AI, and partner capabilities to strengthen client advisory quality. Qualifications - 8+ years of professional experience in consulting, professional services, strategy, transformation, AI, data, analytics, or related client-facing roles. - 3+ years of experience shaping or delivering AI, data science, machine learning, GenAI, agentic AI, analytics, or digital transformation initiatives in the insurance domain. - Bachelor's degree or equivalent work experience. Requirements - Master's degree, MBA, data science degree, AI/ML certification, or equivalent practical AI experience. - Experience in one or more industries such as financial services, insurance, manufacturing, healthcare and life sciences, public sector, automotive, or commercial sectors. - Familiarity with cloud and AI platforms such as Azure, AWS, GCP, OpenAI, Anthropic, Mistral, Google/Gemini, Databricks, or Snowflake. - Strong executive communication, structured problem solving, facilitation, stakeholder management, and collaborative teaming skills. - Ability to travel as required for client and internal engagements. Benefits - Starting pay range for this remote role is $111,172.00-$257,344.00. - Eligible for incentive compensation based on individual and/or company performance. - Medical, dental, and vision insurance with an employer contribution. - Flexible spending or health savings account. - Life and AD&D insurance. - Short and long term disability coverage. - Paid time off. - Employee assistance program. - Participation in a 401k program with company match. - Additional voluntary or legally-required benefits.