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

## Reimbursement Coordinator AssociateApply: On-site only, not eligible for remote work: UKKD - Main Campus: Full time: Posted Today: R-000004674At 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 SummaryResponsible 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 RequirementHigh school diploma or equivalent experience ## Experience Requirement0-2 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 & LicensuresN/A ## Working ConditionsA. 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. NeverC. 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 computer workstation for extended periods: 4. Regular (> 50% of the time)F. Risk of back injury from moving, lifting or positioning patients, equipment, or materials: 1. NeverG. Repetitive motion: 4. Regular (> 50% of the time)H. Working at heights above 4 feet: 1. NeverI. Working in confined spaces: 1. NeverJ. Risk of injuries from use of equipment on the job: 1. NeverK. Job-related travel: 2. Occasional (< 10% of the time)L. Loud noises: 1. NeverM. Temperature extremes: 1. NeverN. Hazardous chemicals and fumes including waste: 1. NeverO. Radiation: 1. NeverP. Burns: 1. NeverQ. Cuts/Punctures: 1. NeverR. Bloodborne/airborne pathogens: 1. NeverS. Recombinant DNA or viral vectors: 1. NeverT. Combative/violent people: 1. NeverU. Animal handling (including carcasses): 1. NeverV. Please specify other(s) and amount of exposure (i.e. Occasional, Intermittent or Regular): N/A ## Physical DemandsThis position requires regular 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; and occasional lifting, pushing, and/or pulling of objects weighing up to 50 pounds. Occasional job-related travel may also be required. ## Additional Job DescriptionsN/A**Department**:KDIP FAC TriStat Hema-Oncology**Shift**:Day (United States of America)**Time Type**:Full time**Address**:2201 Lexington Avenue**City, State**:Ashland, Kentucky