[Hiring] Utilization Review Coordinator @Northpoint Recovery Holdings, LLC

Role Description

As a key member of the Northpoint team, the Utilization Review Coordinator supports Northpoint’s Utilization Review (UR) function by coordinating the administrative and operational components of the authorization process and providing direct support to Utilization Review Specialists across assigned markets. This position serves as a centralized resource for:

• Authorization tracking
• Payer correspondence
• Clinical documentation coordination
• Payer portal activity
• Record submission
• Routine payer follow-up

The UR Coordinator helps ensure authorization-related information is complete, submitted timely, accurately documented, and effectively communicated. The position is designed to increase the capacity and effectiveness of the Utilization Review team by reducing administrative burden on UR Specialists, allowing them to focus more heavily on:

• Concurrent review
• Medical necessity
• Complex payer communication
• Authorization risk
• Denial prevention

The UR Coordinator will also develop foundational knowledge of utilization management, behavioral health levels of care, payer requirements, and authorization processes, creating an opportunity for professional development within the Utilization Review function.

Qualifications

• High school diploma or equivalent required; associate or bachelor’s degree in healthcare administration, behavioral health, business administration, health information management, or related field preferred.
• Previous experience in behavioral health, healthcare administration, utilization management, revenue cycle management, insurance verification, medical billing, payer authorization, or a related healthcare environment preferred.
• Experience working with commercial insurance, Medicaid, Medicare, or managed-care organizations preferred.
• Familiarity with behavioral health levels of care, including residential, PHP, IOP, and outpatient services, preferred.
• Experience with electronic medical records, payer portals, and healthcare revenue-cycle systems preferred.
• Experience with KIPU or similar behavioral-health EMR platforms is a plus.

Requirements

• Strong organizational and time-management skills with the ability to manage multiple deadlines simultaneously.
• Exceptional attention to detail and accuracy.
• Ability to identify time-sensitive authorization issues and appropriately escalate concerns.
• Strong written and verbal communication skills.
• Ability to communicate professionally with payers and internal stakeholders.
• Working knowledge of healthcare insurance terminology, authorizations, medical necessity, and payer requirements.
• Ability to learn and interpret payer-specific authorization requirements.
• Strong computer skills and ability to work across multiple systems, payer portals, and tracking tools.
• Ability to maintain accurate documentation and detailed records.
• Strong problem-solving skills and willingness to independently research routine issues before escalation.
• Ability to work collaboratively in a fast-paced, multi-market environment.
• Demonstrated professionalism and discretion when handling confidential patient and organizational information.

Benefits

• Subsidized Health Insurance Coverage for Employee, Spouse, & Dependent(s)
• 100% Employer Paid Basic Life Insurance equal to 1x annual salary, up to $100,000
• 100% Employer Paid Employee Assistance Program
• Voluntary Dental, Vision, Short-Term Disability, Supplemental Life & AD&D, Critical Illness, Accident, and Hospital Indemnity Insurance.
• Pre-tax Savings Accounts for all IRS-allowable medical and dependent care expenses
• Generous Paid Time Off plan
• Employee Referral Bonuses
• 401K Retirement Plan & Employer Match