Billing and Referral Clerk Coordinator

United Way of Greenville County; Little Rock (AR); On-site; USD 60,000 - 80,000; Full time

Job summary

Gardens of Arkansas is seeking a Behavioral Utilization Review Specialist to coordinate new client referrals, support prior authorization, and maintain referral and eligibility records. The role requires collaboration with discharge planners, program administrators, clinical directors, and billing teams on-site in Little Rock, AR.

The ideal candidate has 2–4 years in utilization review or related behavioral health roles, strong terminology knowledge, and excellent communication and

Qualifications

• Bachelor’s degree required in nursing, social work, counseling, or related field.
• Master’s degree in behavioral health preferred.
• 2–4 years in utilization review, case management, or related behavioral health roles.

Responsibilities

• Coordinate new client referrals and support the prior authorization process.
• Maintain referral records and complete routine Medicaid eligibility screenings.
• Collaborate with discharge planners, program administrators, clinical directors, and billing teams.
• Monitor behavioral health records for clinical appropriateness and discharge planning.
• Communicate effectively with healthcare teams and providers; support administrative processes.

Skills

Medical terminology

Behavioral health terminology

Data analysis

Regulatory compliance

Verbal and written communication

Organization and prioritization

Education

Bachelor’s degree in nursing, social work, counseling, or related field

Master’s degree preferred in behavioral health

Job description

Little Rock, AR 72211

Job ID: GA1095-1

Advertised Job Type: Permanent - Full-time regular employment

Work Type: On Site

Job Description

The Behavioral Utilization Review Specialist is responsible for coordinating new client referrals, supporting the prior authorization process, maintaining referral records, and completing routine Medicaid eligibility screenings. This position works closely with discharge planners, Program Administrators, Clinical Directors, and other members of the referral and billing teams.

The ideal candidate will be highly organized, detail-oriented, comfortable reviewing behavioral health documentation, and able to manage multiple deadlines across all Gardens of Arkansas locations.

Clinical Review & Assessment: Evaluate care related to mental health before, and during services to determine medical appropriateness

Prior Authorization Reviews: Assess and submit requests for behavioral health services to ensure they meet regulatory and clinical criteria

Concurrent Review: Monitor behavioral health records to assess treatment needs, and discharge planning.

Education : Bachelor’s degree in nursing, social work, counseling, or related field; Master’s degree preferred for behavioral health clinicians

Licensure : LMHC, LPC, LMHP, or LPN ,RN licensure.

Experience : 2–4 years in utilization review, case management, or related behavioral health roles preferred

Strong understanding of medical and behavioral health terminology

Proficiency in data analysis and regulatory compliance.

Excellent verbal and written communication and collaboration skills with healthcare teams and providers.

Excellent organizational skills and ability to prioritize a workload

• Participate in meetings, training, and process-improvement activities as required.
• Provide administrative support to the referral, clinical, billing, and leadership teams as needed.
• Prolonged periods of sitting and working at a computer.
• Ability to communicate by telephone, email, video conferencing, and in person.
• Ability to organize, review, scan, upload, and maintain electronic and paper records.
• Ability to work in a fast-paced environment with frequent deadlines and interruptions.

The Gardens of Arkansas is an equal opportunity employer. Employment decisions are made without regard to race, color, religion, sex, national origin, age, disability, veteran status, or any other characteristic protected by applicable law.