Reimbursement Coordinator Associate
Description
At UK King's Daughters, we’re not just a healthcare facility — we’re a family of dedicated professionals who share a passion for making a meaningful difference in the lives of our patients. We’re more than just a place to work; we’re a place to grow, thrive, and contribute to our community.
Job Description :
Job Summary
Responsible for coordinating insurance authorization and pre-certification for scheduled medications and laboratory tests. Communicates denials to appropriate parties as necessary. Ensures timely and accurate processing of all insurance-related documentation. Collaborates with clinical and administrative teams to support patient care and access. Maintains compliance with regulatory and payer requirements.
Essential Functions
- Tracks, obtains, and extends authorizations in a timely manner.
- Records insurance information using standardized documentation practices.
- Obtains, interprets, and submits clinical documentation for prior authorization.
- Obtains and documents prior authorization approvals from insurance companies.
- Communicates authorization status or delays to providers and clinical staff.
- Follows up on denied authorization requests.
- Facilitates peer-to-peer conversations between insurance carriers and providers.
- Supports claim denial appeal efforts related to prior authorizations.
- Performs other duties as assigned.
Education Requirement
High school diploma or equivalent experience
Experience Requirement
0-2 years of experience in a healthcare, clinical setting, or a relevant area
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 ( 50% of the time)
F. Risk of back injury from moving, lifting or positioning patients, equipment, or materials: 1. Never
G. Repetitive motion: 4. Regular (> 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: 1. Never
K. Job-related travel: 2. Occasional ( Department :
KDIP FAC TriStat Hema-Oncology
Shift :
Day (United States of America)
Time Type :
Full time
Address :
2201 Lexington Avenue
City, State :
Ashland, Kentucky