Healthcare Reimbursement Coordinator (Associate)

UK King's Daughters; Ashland (KY); On-site; USD 35,000 - 45,000; Full time

Job summary

UK King's Daughters in Ashland, Kentucky is seeking a Reimbursement Coordinator Associate for an on-site role. The position coordinates insurance authorizations and pre-certifications for medications and lab tests, ensuring timely processing of related documentation and collaboration with clinical and administrative teams.

The successful candidate will track authorizations, document insurance data, obtain payer approvals, and communicate status to providers.

Qualifications

• High school diploma or equivalent experience.
• 0-2 years of experience in a healthcare, clinical setting, or a relevant area.
• An equivalent combination of education and experience may be considered.

Responsibilities

• 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.

Education

High school diploma or equivalent experience

Job description

UK King's Daughters in Ashland, Kentucky is seeking a Reimbursement Coordinator Associate for an on-site role. The position coordinates insurance authorizations and pre-certifications for medications and lab tests, ensuring timely processing of related documentation and collaboration with clinical and administrative teams.

The successful candidate will track authorizations, document insurance data, obtain payer approvals, and communicate status to providers.