Remote Utilization Review Coordinator: Behavioral Health

Northpoint-Recovery-Holdings,-LL; Meridian (ID); Remote; USD 28,000 - 34,000; Full time

Benefits offered by this job

Subsidized Health Insurance Coverage

Employer Paid Life Insurance

Employee Assistance Program

Dental, Vision, STD, Life & AD&D

Pre-tax Savings Accounts

Generous Paid Time Off

Job summary

Northpoint Recovery Holdings, LLC is seeking an experienced Utilization Review Coordinator to support the UR function by coordinating authorization workflows and payer communications across markets. You will partner with UR Specialists, Clinical Operations, Admissions, Billing, and other RCM functions to ensure timely authorizations and complete documentation.

Responsibilities include monitoring work queues, collecting clinical records, submitting documents through payer portals, and maintaining

Qualifications

• High school diploma or equivalent required; associate or bachelor’s degree in healthcare administration, behavioral health, business administration, health information management, or related field preferred.
• Previous experience in behavioral health, healthcare administration, utilization management, revenue cycle management, insurance verification, medical billing, payer authorization, or a related healthcare environment preferred.
• Experience working with commercial insurance, Medicaid, Medicare, or managed-care organizations preferred.
• Familiarity with behavioral health levels of care, including residential, PHP, IOP, and outpatient services, preferred.
• Experience with electronic medical records, payer portals, and healthcare revenue-cycle systems preferred.
• Experience with KIPU or similar behavioral-health EMR platforms is a plus.

Responsibilities

• Monitor authorization work queues, fax queues, and tracking tools to assist with the management of pending, approved, denied, and expiring authorizations.
• Track authorization dates, approved units/days, expiration dates, payer reference numbers, and other required authorization information.
• Proactively identify upcoming authorization expirations and communicate deadlines or outstanding requirements to the appropriate UR Specialist.
• Coordinate the timely collection and submission of clinical documentation required by payers, including progress notes, treatment plans, assessments, discharge summaries, and other requested records.
• Upload, fax, electronically transmit, or submit clinical documentation through designated payer portals and verify successful receipts.
• Perform routine payer follow-up regarding authorization status, receipt of documentation, outstanding information requests, and other administrative requirements.
• Support UR Specialists in preparing and organizing documentation required for initial and concurrent authorization reviews.
• Assist with payer portal activity, authorization status verification, and other non-clinical payer communication.
• Maintain accurate and timely authorization information, payer correspondence, and supporting documentation within KIPU and other designated systems.
• Coordinate administrative requirements associated with peer‑to‑peer reviews, payer escalations, and authorization appeals, including scheduling and documentation preparation.
• Support discharge‑related UR documentation and ensure appropriate discharge summary of authorization records.
• Maintain organized payer reference materials, authorization requirements, workflows, and departmental resources.
• Assist with the development and maintenance of UR standard operating procedures, payer guides, workflows, and training materials.
• Provide cross‑market support based on authorization volume, staffing needs, and departmental priorities.
• Partner with Clinical Operations, Admissions, Billing, and other RCM functions to resolve routine authorization‑related issues and ensure continuity of information throughout the patient revenue cycle.
• Participate in departmental meetings, training, payer education, and process‑improvement initiatives.
• Maintain confidentiality of patient information and comply with HIPAA, organizational policies, payer requirements, and applicable regulatory standards.
• Perform other duties as assigned to support the Utilization Review and Revenue Cycle Management functions.

Skills

Healthcare administration

Utilization management

Revenue cycle management

Payer authorization

Communication

Organizational skills

Education

High school diploma

Associate or Bachelor’s degree in healthcare administration or related field

Tools

KIPU EMR

EMR systems

Job description

Northpoint Recovery Holdings, LLC is seeking an experienced Utilization Review Coordinator to support the UR function by coordinating authorization workflows and payer communications across markets. You will partner with UR Specialists, Clinical Operations, Admissions, Billing, and other RCM functions to ensure timely authorizations and complete documentation.

Responsibilities include monitoring work queues, collecting clinical records, submitting documents through payer portals, and maintaining