Utilization Review Coordinator

🔥 10 hours ago

🐊 Florida – Remote

🐊 Florida – Remote

💵 $50k - $80k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Atlantic Health Strategies™

WebsiteLinkedInAll Job Openings

11 - 50 employees

Founded 2020

💼 Consulting

⚖️ Legal

📦 Logistics

Consulting • Legal • Logistics

Atlantic Health Strategies™ is a full-service operations and compliance partner for behavioral health, mental health, eating disorder, freestanding psychiatric, and addiction treatment providers. The company offers outsourced managed services and hands-on operational support — including compliance and accreditation, state licensure, HR outsourcing and payroll, EMR implementation and support, IT managed services and HIPAA/security, payer contracting, revenue integrity, and regulatory/M&A advisory — to help providers launch, scale, and remain payer- and regulator-ready while improving patient outcomes.

📋 Description

• Conduct daily phone contact with insurance companies to secure authorizations for behavioral health and substance use disorder treatment • Manage a caseload of active authorizations and track timelines closely • Apply knowledge of SUD and behavioral health levels of care when communicating with payers • Reference ASAM criteria and medical necessity standards to support authorization requests • Use KIPU, Availity, or other payer portals to document and track review activity • Communicate with insurance representatives and internal clinical teams • Work independently while staying aligned with program and compliance expectations

🎯 Requirements

• High school diploma or equivalent required • Less than one year of relevant experience required; training provided for the right candidate • Experience in utilization review, insurance authorization, or behavioral health billing preferred • Familiarity with SUD/behavioral health levels of care, including detox, residential, PHP, IOP, and OP, is a strong plus • Knowledge of ASAM criteria and medical necessity standards a plus • Experience with KIPU, Availity, or payer portals preferred • Strong organizational skills and attention to detail • Clear, professional communication skills • Comfortable working independently and managing a caseload • Reliable home internet and a private, HIPAA-compliant workspace for remote work

🏖️ Benefits

• Training will be provided for the right candidate • Remote work • Hybrid schedule option available for the right candidate