Reimbursement Coordinator Associate

King's Daughters; Ashland, Northern (KY, KY); Hybrid; USD 32,000 - 46,000; Full time

Job summary

King's Daughters in Ashland, KY seeks a coordinator to manage insurance authorization and pre-certification for scheduled medications and lab tests. You will communicate denials and ensure timely processing of insurance documents, collaborating with clinical and administrative teams to support patient care.

The role requires a high school diploma and 0-2 years in healthcare; equivalent combinations may be considered.

Qualifications

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

Responsibilities

• Coordinate insurance authorization and pre-certification for scheduled meds and laboratory tests.
• Communicate denials to appropriate parties as necessary.
• Ensure timely and accurate processing of all insurance-related documentation.
• Collaborate with clinical and administrative teams to support patient care and access.
• Maintain compliance with regulatory and payer requirements.

Skills

Insurance authorization

Prior authorization

Documentation

Healthcare coordination

Education

High school diploma or equivalent

Job 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.
• B. Lifting, pushing, and/or pulling objects over 50lbs: 1.
• C. 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. 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 (< 10% of the time)
• L. Loud noises: 1. Never
• M. Temperature extremes: 1. Never
• N. Hazardous chemicals and fumes including waste: 1. Never
• O. Radiation: 1. Never
• P. Burns: 1. Never
• Q. Cuts/Punctures: 1. Never
• R. Bloodborne/airborne pathogens: 1. Never
• S. Recombinant DNA or viral vectors: 1. Never
• T. Combative/violent people: 1. Never
• U. Animal handling (including carcasses): 1. Never
• V. Please specify other(s) and amount of exposure (i.e. Occasional, Intermittent or Regular): N/A

Physical Demands

This 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 Descriptions

N/A

Department: KDIP FAC TriStat Hema-Oncology Shift: Days (United States of America) Time Type: Full time Address: 2201 Lexington Avenue City, State: Ashland, Kentucky

Our growth is creating opportunities! Our team is expanding, and we want to hire the most talented people we can.

Continued success depends on it!

Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people.

Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful.