Prior Authorization Coordinator — Entry Level (Healthcare)

King's Daughters; Ashland, Northern (KY, KY); Hybrid; USD 42,000 - 54,000; Full time

Job summary

King's Daughters in Ashland, KY seeks an Insurance Authorization Coordinator to manage pre-certification for outpatient tests and procedures. You will communicate denials and outcomes, ensuring timely processing and compliance across clinical and administrative teams to support patient access.

Responsibilities include obtaining and extending authorizations, documenting insurance data, and following up on denials or appeals while maintaining accurate EMR records.

Qualifications

• High school diploma or equivalent required.
• 0–2 years in healthcare/clinical setting; equivalent combination of education and experience may be considered.
• All experience must be paid and in the same related field; volunteer/internship not counted.

Responsibilities

• Tracks, obtains, and extends authorizations from insurance carriers.
• Records and documents insurance information throughout the pre-certification and prior authorization process.
• Maintains and utilizes electronic medical records and relevant databases independently.
• Obtains, interprets, and submits clinical documentation required for prior authorization reviews.
• Escalates unresolved or inadequate authorizations to physicians, service areas, or other departments.
• Communicates authorization status and delays professionally to physicians and clinical staff.
• Follows up on denied authorization requests and facilitates appeals or peer-to-peer reviews.
• Supports claim submission and denial appeal efforts by clarifying authorization details.
• Resolves claim denials related to the prior authorization process through account and claim review.
• Performs other duties as assigned.

Skills

Insurance authorization

Pre-certification

Prior authorization

Documentation

Communication with physicians

Education

High school diploma or equivalent

Tools

Electronic Medical Records (EMR)

Job description

King's Daughters in Ashland, KY seeks an Insurance Authorization Coordinator to manage pre-certification for outpatient tests and procedures. You will communicate denials and outcomes, ensuring timely processing and compliance across clinical and administrative teams to support patient access.

Responsibilities include obtaining and extending authorizations, documenting insurance data, and following up on denials or appeals while maintaining accurate EMR records.