Payer Communications Specialist – Denials & Appeals

UK King's Daughters; Ashland (KY); On-site; USD 36,000 - 48,000; Full time

Job summary

UK King’s Daughters is seeking a Payer Communication Associate for on-site duties in Ashland, KY. You will provide clerical support to case management, manage payer denials and appeals, and ensure accurate documentation across payer portals.

Responsibilities include processing correspondence, educating the team on payer requirements, liaising with payers and nurses, and supporting authorization requests. This role emphasizes accuracy and collaboration within revenue integrity.

Qualifications

• High school diploma or equivalent experience.
• 0-2 years of experience in a healthcare, clinical setting, or a relevant area.

Responsibilities

• Processes incoming mail related to utilization management.
• Communicates denial information to the revenue integrity department.
• Submits appeals for technical denials and supports case managers in appeal cases.
• Researches and confirms payer requirements, educating the case management team and updating shared resources.
• Maintains all payer portals.
• Acts as a liaison for the business office, payers, and onsite nurses regarding claim issues.
• Calculates Medicare Days for patients to support authorization requests.
• Manages payroll and department schedules.
• Performs other duties as assigned.

Education

High school diploma or equivalent experience

0-2 years of experience in a healthcare, clinical setting, or a relevant area

Job description

UK King’s Daughters is seeking a Payer Communication Associate for on-site duties in Ashland, KY. You will provide clerical support to case management, manage payer denials and appeals, and ensure accurate documentation across payer portals.

Responsibilities include processing correspondence, educating the team on payer requirements, liaising with payers and nurses, and supporting authorization requests. This role emphasizes accuracy and collaboration within revenue integrity.