About this role
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 ( 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: Day (United States of America) Time Type: Full time Address: 2201 Lexington Avenue City, State: Ashland, Kentucky