Impact Life · 21 hours ago
Utilization Review & Billing Specialist
Seaford, Delaware, United States
Full-time
Hybrid
Mid Level
3+ years expImpact Life is seeking a detail-oriented and mission-driven Utilization Review & Billing Specialist to support their behavioral health and recovery-oriented programs. This role is essential to ensuring access to care by managing insurance authorizations, utilization review activities, 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, compliant utilization review 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
Assist with insurance verification and benefits checks
Support admissions workflows as needed
Clearly communicate coverage information to support informed decision-making
Benefits
Health Care Plan - Medical, Dental & Vision
Retirement Plan - 401k & ROTH 401k
Paid Time Off
11 Paid Holidays Yearly
Training & Development
Wellness Resources
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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