Utilization Review Coordinator

Atlantic Health Strategies™

Utilization Review Coordinator at Lotus Healthcare Billing securing authorizations for behavioral health treatments. Handling caseloads and collaborating with insurance representatives for patient care.

Posted 7/1/2026full-timeRemote • Florida • 🇺🇸 United StatesMid-LevelSenior💰 $50,000 - $80,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in securing authorizations for behavioral health and substance use disorder treatment, utilizing knowledge of ASAM criteria and medical necessity standards. Proficient in managing caseloads and communicating effectively with insurance representatives and clinical teams.

Highest-signal resume keywords

Utilization ReviewInsurance AuthorizationBehavioral Health BillingASAM Criteria KnowledgeKIPU Experience

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Behavioral Health Levels Of CareSubstance Use Disorder KnowledgeAuthorization TrackingMedical Necessity StandardsCaseload Management

Soft Skills

Organizational SkillsAttention To DetailProfessional CommunicationIndependent Work

Tools & Technologies

KIPUAvailityPayer Portals

Industry Keywords

DetoxResidential TreatmentPHPIOPOutpatient

Tech Stack

Tools & technologies

PHP

About the role

Key responsibilities & impact

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

What you’ll need

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

Comp & perks

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