Unit Coordinator

ALLIANCE HEALTHCARE SERVICES, INC•Memphis, TN

17h

About The Position

The Unit Coordinator is responsible for managing front-end insurance authorization processes, facilitating concurrent reviews, and supporting state-specific insurance billing requirements. This role ensures coordinating timely compliance reporting and collaborates closely with leadership and the compliance department to maintain adherence to regulatory standards. The position is integral to optimizing reimbursement, minimizing denials, and ensuring operational and regulatory alignment.

Requirements

High school diploma or equivalent required
Minimum of 2–3 years of experience in insurance authorization, utilization review, or healthcare billing
Experience with state-funded insurance programs and behavioral health settings strongly preferred
Demonstrated experience in compliance-related processes within a healthcare environment
Strong knowledge of insurance authorization processes, medical necessity criteria, and payer requirements
Working knowledge of state insurance billing regulations and compliance standards
High level of attention to detail and organizational effectiveness
Ability to manage multiple deadlines and prioritize in a fast-paced environment
Effective communication and collaboration skills across interdisciplinary teams
Proficiency in electronic health records (EHR) and billing systems

Nice To Haves

Associate’s or Bachelor’s degree in healthcare administration, business, or related field preferred

Responsibilities

Initiate and secure insurance pre-certifications for all admissions in accordance with payer requirements.
Verify eligibility, benefits, and coverage limitations prior to or at the time of admission.
Maintain accurate tracking of authorization status, approved days, and required follow-up actions.
Communicate proactively with payers to prevent authorization gaps and mitigate risk of non-reimbursable days.
Conduct and coordinate concurrent reviews with insurance providers to obtain continued stay approvals.
Collaborate with the treatment team to ensure documentation supports medical necessity.
Submit clinical updates to payers within required timeframes to support ongoing authorization.
Escalate potential denials or insufficient documentation concerns to leadership and appropriate stakeholders.
Implement and facilitate state-specific insurance billing processes in alignment with regulatory requirements.
Ensure accurate and timely submission of billing-related information to support claims processing.
Monitor billing workflows to ensure compliance with payer and state guidelines.
Partner with the business office to resolve billing discrepancies and support revenue cycle integrity.
Coordinate timely compliance reviews related to authorizations, billing, and payer requirements.
Prepare and submit required reports to the compliance department, ensuring accuracy and completeness.
Identify trends, gaps, or risks related to compliance and escalate as appropriate.
Maintain thorough documentation to support internal audits and external regulatory reviews.
Work collaboratively with the compliance department to identify and communicate staff training needs
Ensure training requirements are disseminated to appropriate staff in a timely manner.
Maintain and update training trackers and documentation to ensure compliance with organizational standards
Support leadership in reinforcing compliance expectations and accountability.
Work collaboratively with facility leadership to ensure compliance-related objectives and performance targets are achieved.
Serve as a liaison between admissions, utilization review, clinical teams, billing, and compliance.
Participate in multidisciplinary meetings to provide updates on authorization, billing, and compliance metrics.
Support process improvement initiatives aimed at enhancing efficiency, compliance, and reimbursement outcomes.
Provide oversight and coordination of daily meal counts for the Crisis Stabilization Unit (CSU) and Crisis Assessment Center (CAC).
Ensure accurate and timely communication of meal counts to the designated vendor.
Reconcile discrepancies and maintain documentation related to meal services.
Collaborate with unit staff and vendors to ensure efficient service delivery.
Complete process for patients to receive medication through United Way
Assist/Complete process to enroll patients in safety net.