Advaita Health · 1 day ago
Utilization Review & Revenue Cycle Management
Raleigh, NC
Full-time
Onsite
Entry, Mid Level
1+ years expAdvaita Health is committed to a sustainable, integrated model of behavioral healthcare where providers, staff, and patients thrive. They are seeking a Utilization Review & Revenue Cycle Coordinator who will focus on utilization review activities, insurance verification, authorization tracking, and support key revenue cycle functions.
Mental Health Care
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
Qualification
Required
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
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)
Benefits
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
Company
Advaita Health
We provide integrated, human-centered healthcare that prioritizes connection, purpose, and well-being—ensuring that both patients and providers thrive.
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
Tripp Johnson
Chief Executive Officer
Devin Rogers
Executive Assistant To Chief Executive Officer
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