Advaita Health
Utilization Review & Revenue Cycle Management
Advaita Health, Raleigh, North Carolina, United States, 27601
3 days ago Be among the first 25 applicants
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 behind‑the‑scenes processes such as 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 discrepanciesMaintain 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.
#J-18808-Ljbffr
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 behind‑the‑scenes processes such as 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 discrepanciesMaintain 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.
#J-18808-Ljbffr