Utilization Review Coordinator

Northpoint Recovery Holdings • Meridian, ID

1d • Remote

About The Position

The Utilization Review Coordinator supports Northpoint’s Utilization Review function by coordinating administrative and operational components of the authorization process and providing direct support to Utilization Review Specialists across assigned markets. The role is a centralized resource for authorization tracking, payer correspondence, clinical documentation coordination, payer portal activity, record submission, routine payer follow-up, and other activities needed to support timely authorization of patient services.

Working with Utilization Review Specialists, Clinical Operations, the Assessment Department, Revenue Cycle Management, and other internal stakeholders, the Coordinator helps ensure authorization information is complete, submitted on time, accurately documented, and communicated effectively. The role reduces administrative workload for Utilization Review Specialists so they can focus on concurrent reviews, medical necessity, complex payer communication, authorization risk, and denial prevention. It also provides an opportunity to develop foundational knowledge of utilization management, behavioral health levels of care, payer requirements, and authorization processes.

The position is remote and listed as a 90-day temporary-to-direct-hire role, with a Monday–Friday schedule from 8:00 a.m. to 5:00 p.m. Compensation is $20–$25 per hour.

Requirements

• High school diploma or equivalent.
• Strong organizational and time-management skills, including the ability to manage multiple deadlines simultaneously.
• Exceptional attention to detail and accuracy.
• Ability to identify time-sensitive authorization issues and appropriately escalate concerns.
• Strong written and verbal communication skills and the ability to communicate professionally with payers and internal stakeholders.
• Working knowledge of healthcare insurance terminology, authorizations, medical necessity, and payer requirements.
• Ability to learn and interpret payer-specific authorization requirements.
• Strong computer skills and ability to work across multiple systems, payer portals, and tracking tools.
• Ability to maintain accurate documentation and detailed records.
• Strong problem-solving skills and willingness to independently research routine issues before escalation.
• Ability to work collaboratively in a fast-paced, multi-market environment.
• Professionalism and discretion when handling confidential patient and organizational information.

Nice To Haves

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

Responsibilities

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

Benefits

• Subsidized health insurance coverage for employee, spouse, and dependents.
• Employer-paid basic life insurance equal to 1x annual salary, up to $100,000.
• Employer-paid Employee Assistance Program.
• Voluntary dental, vision, short-term disability, supplemental life and AD&D, critical illness, accident, and hospital indemnity insurance.
• Pre-tax savings accounts for IRS-allowable medical and dependent care expenses.
• Paid time off plan.
• Employee referral bonuses.
• 401(k) retirement plan with employer match.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED