Utilization Review Coordinator

🔥 0 minutes 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

🤝 B2B

📋 Compliance

🔐 Security

B2B • Compliance • Security

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, tracking timelines closely since they directly affect patient care. • Apply knowledge of SUD and behavioral health levels of care, including detox, residential, PHP, IOP, and outpatient, when communicating with payers. • Reference ASAM criteria and medical necessity standards to support authorization requests. • Use systems such as KIPU, Availity, or other payer portals to document and track review activity. • Communicate professionally and consistently with insurance representatives and internal clinical teams. • Work independently while staying aligned with program and compliance expectations.

🎯 Requirements

• High school diploma or equivalent required; associate's or bachelor's degree a plus. • 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 (detox, residential, PHP, IOP, 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

• Salary: $50,000 to $80,000 annually, commensurate with experience. • Schedule: Days, full-time, remote (hybrid option available for the right candidate).