Utilization Review

About Us

Advaita Health is committed to a sustainable, integrated model of behavioral healthcare where providers, staff, and patients thrive. Our clinical and operational teams work hand-in-hand, ensuring patients receive the best possible care while critical behind-the-scenes processes, like revenue cycle management, are handled with accuracy and integrity. Every role at Advaita Health contributes to our mission of delivering high-quality, accessible behavioral health services—and our revenue cycle team plays an essential part in supporting both our patients and our financial health.

Our goal for you is simple: to create a place where you can build a lasting career, maintain balance, and perform meaningful work without burning out. We support this through:

• Workloads and expectations that protect time for accuracy and growth

• Mentorship, training, and leadership development

• Performance measures based on values and competencies, not just numbers

• Built-in collaboration and transparency across teams

• Technology that supports efficiency rather than obstructs it

Why Join Advaita Health?

• Full-time, hourly, non-exempt position

• Opportunity to work closely with clinical, administrative, and finance teams

• 401(k) with employer match

• 3 weeks of PTO and 10 paid federal holidays

• Flexible health, dental, and vision coverage; HSA/FSA options

• Free life insurance up to $10,000; short- and long-term disability coverage

• Employee Assistance Program (EAP) with therapy and financial support

What We're Looking For

We're seeking a Utilization Review & Revenue Cycle Coordinator who is detail-oriented, organized, and proactive—someone who understands the importance of payer compliance, authorization management, and clean revenue cycle processes in behavioral health and substance use disorder services.

This role has a primary focus on utilization review activities, including insurance verification, authorization tracking, and clinical reviews, while also supporting key revenue cycle functions such as claims follow-up and denial resolution. Success in this role requires strong communication skills, the ability to interpret clinical and billing documentation, and a collaborative mindset.

You'll thrive here if you're someone who:

• Enjoys working cross-functionally with clinical and administrative teams

• Takes ownership of processes and follows through on details

• Values accuracy, compliance, and professionalism

• Wants to contribute to systems that support both patient care and organizational sustainability

Key Responsibilities

• Track and manage authorizations, units, and levels of care in accordance with payer guidelines

• Verify insurance benefits and authorization requirements prior to enrollment

• Submit authorization requests and clinical reviews using appropriate documentation and criteria (including ASAM, when applicable)

• Resolve authorization denials and partial approvals in collaboration with clinical leadership

• Support revenue cycle operations, including claims submission, denial follow-up, and reimbursement tracking

• Communicate with insurance carriers to resolve authorization and billing discrepancies

• Maintain accurate documentation and ensure HIPAA and regulatory compliance

Qualifications

• Bachelor's degree in Healthcare Administration, Business, or a related field—or equivalent experience

• Working knowledge of utilization review and revenue cycle workflows

• Experience with insurance verification, authorizations, and claims follow-up

• Strong organizational skills and attention to detail

• Professional, dependable, and collaborative

Preferred Experience

• 1–3 years of experience with insurance denials and appeals

• Familiarity with ASAM criteria and managed care requirements

• Experience in behavioral health and/or substance use disorder billing

• Experience with EMR systems (AdvancedMD preferred)

We don't expect long hours, but we do expect professionalism, engagement, and a willingness to learn.

Ready to Join Us?

If you're looking for more than just a job—if you want a career where your expertise supports patients, providers, and the sustainability of behavioral healthcare—we'd love to hear from you.