Impact Life · 1 month ago
Utilization Review (UR) & In-House Billing Sp
United States
Full-time
Hybrid
Mid Level
3+ years expImpact Life is a mission-driven organization seeking a detail-oriented Utilization Review (UR) & In-House Billing Specialist to support their behavioral health and recovery-oriented programs. This role is essential for navigating insurance authorizations, utilization review, and billing processes with accuracy, integrity, and compassion.
Government Administration
Responsibilities
Complete initial, concurrent, and continued stay reviews with insurance providers
Submit clinical documentation that clearly supports medical necessity
Track authorizations, approvals, extensions, denials, and appeals
Communicate authorization status with admissions and clinical teams
Maintain accurate and compliant UR records
Submit clean, accurate insurance claims in a timely manner
Review claims for accuracy and compliance prior to submission
Monitor claim status and follow up on unpaid, denied, or delayed claims
Post payments and assist with account reconciliation
Collaborate to resolve billing issues using a solutions-focused approach
Assist with insurance verification and benefits checks
Support admissions workflows as needed
Clearly communicate coverage information to support informed decision-making
Qualification
Required
Minimum of 3 years of experience in utilization review and/or in-house billing
Experience with insurance authorizations and claims submission
Strong attention to detail and organizational skills
Ability to manage multiple priorities and work independently
Teachable mindset with openness to learning and feedback
Commitment to confidentiality, ethics, and compassionate care
Preferred
Behavioral health and/or substance use treatment experience strongly preferred
Admissions or intake experience is a plus
Benefits
Hybrid work environment with flexibility
Mission-driven, peer-led organization rooted in compassion and dignity
Collaborative and supportive team culture
Opportunity to be part of an organization actively changing the recovery landscape in Delaware
Company
Impact Life
Recovery support services, harm reduction services and recovery residences
11-50 employees
Funding
Current Stage
Early StageLeadership Team
Brian Dietz
Chief Operations & Compliance Officer
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