Appeals Coordinator - Remote 

Full-time 

At Lifepoint Behavioral Health, we specialize in compassionate behavioral health services, including crisis stabilization for acute mental health and substance use disorders. Our philosophy is built on a psychosocial model of care and follows the core principles of resilience, recovery and restoration. Our teams are committed to providing superior patient care that exceeds industry standards as well as patient expectations. We are seeking a full-time Appeals Coordinator to be based 100% remotely. 

Benefits:

• Competitive pay rates
• Flexible self-scheduling
• Affordable medical, dental and vision plans provided to meet the needs of full employees and their families
• Up to 16 days of PTO for full time employees
• 6 paid holidays for full time employees
• Tuition reimbursement
• 401(k) retirement plan
• Flexible spending and health savings accounts
• UKG Wallet - We've partnered with UKG Wallet, a voluntary Earned Wage Access benefit, to offer employees access to their pay on their own schedule

What you will do in this role:

• The Appeals Coordinator gathers all information required for an appeal, writes, and submits the appeal to the insurance company, makes follow-up phone calls, and maintains documentation of all steps taken.
• The Appeals Coordinator clinical criteria guidelines and clinical documentation to develop sound and well-supported appeal arguments to support medical necessity.
• The Appeals Coordinator works independently and collaboratively with other departments to positively affect clinical and financial outcomes.

Qualifications:

• Requires Bachelor’s Degree in social work, RN or degree in a related behavioral health field and minimum of 2 years of experience in a managed care/healthcare setting; or any combination of education and experience, which would provide an equivalent background.
• Previous utilization review experience in a psychiatric healthcare facility preferred.
• Computer proficiency in Microsoft Office applications and other software programs essential to perform job functions. May be required to work flexible hours and overtime.