Utilization Review Coordinator

Our Mission

At Interface Billing Solutions, we empower behavioral healthcare organizations through innovative Revenue Cycle Management solutions. We proudly partner with substance abuse treatment centers, mental health providers, and other healthcare organizations to strengthen their financial health so they can focus on delivering exceptional patient care.

Driven by integrity, collaboration, and innovation, we are committed to creating value for our clients while fostering a supportive, growth-oriented workplace where our employees can build meaningful careers and make a lasting impact.

Job Summary
We are seeking a highly motivated and detail-oriented Utilization Review Coordinator to join our dynamic team. In this vital entry-level role, you will help assist our Utilization Review Specialist in obtaining authorizations for patients that are being treated for substance abuse and mental health. Your role will support clinical teams by coordinating with managed care organizations, and maintaining accurate documentation within electronic health record (EHR) systems. This position offers an exciting opportunity to contribute to quality patient care while navigating complex healthcare policies and coding standards.

Responsibilities

• Process patient admissions and discharges by transferring and verifying data between KIPU and the CRM system
• Follow up on active UR cases to track authorization status, deadlines, and outstanding documentation
• Support UR Specialists with administrative tasks, freeing them to focus on clinical case review and decision-making
• Maintain accurate, up-to-date patient records across all relevant systems Sort, organize, and distribute facility mail
• Assist with other administrative duties as needed to support the UR department's workflow.

Skills

• Excellent organizational and time-management skills.
• Works with a sense of duty – values strong attention to detail.
• Works with a sense of urgency and prioritizes time-sensitive deadlines.
• Some knowledge of managed care processes and utilization management principles (preferred).
• Some knowledge in EMR/EHR systems such as Kipu; familiarity with electronic health records management is essential (preferred).
• Strong understanding of medical coding including CPT codes, ICD-9/ICD-10 coding systems; experience with DRG assignment is preferred.
• Knowledge of Medicare regulations, long-term care regulations, CMS policies, and health regulation policies.
• Excellent documentation skills
• Excellent customer service skills
• Strong communication skills for collaborating across multidisciplinary teams and ensuring compliance with HIPAA and other privacy standards.

Join us in making a meaningful impact on patient outcomes through meticulous utilization review! We value energetic professionals who thrive in fast-paced environments dedicated to excellence in healthcare delivery.

Pay: $25.00 - $28.00 per hour

Work Location: In person