Reimbursement Coordinator Associate

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. Occasional (< 10% of the time) B. Lifting, pushing, and/or pulling objects over 50lbs:

1. Never C. Standing or walking with objects up to 10lbs:
2. Intermittent (10% - 50% of the time) D. Standing or walking with objects up to 25lbs:
3. 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:
5. Never G. Repetitive motion:
6. Regular (> 50% of the time) H. Working at heights above 4 feet:
7. Never I. Working in confined spaces:
8. Never J. Risk of injuries from use of equipment on the job:
9. Never K. Job-related travel:
10. Occasional (< 10% of the time) L. Loud noises:
11. Never M. Temperature extremes:
12. Never N. Hazardous chemicals and fumes including waste:
13. Never O. Radiation:
14. Never P. Burns:
15. Never Q. Cuts/Punctures:
16. Never R. Bloodborne/airborne pathogens:
17. Never S. Recombinant DNA or viral vectors:
18. Never T. Combative/violent people:
19. Never U. Animal handling (including carcasses):
20. 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