Summary
Overview
Work History
Education
Skills
Additional Information
Timeline
Generic

Allison Allinder

Richwood

Summary

Behavioral health and utilization review specialist with 6+ years of experience in mental health, substance abuse treatment, insurance authorizations, case management, and healthcare operations. Skilled in authorization reviews, care coordination, patient advocacy and ability to work collaboratively with clinical teams and insurance providers to secure appropriate levels of care and support successful treatment outcomes.

Overview

5
5
years of professional experience

Work History

Utilization Review Specialist

Element Medical Billing
Port Saint Lucie
02.2025 - Current

Conduct authorizations for initial and concurrent reviews to evaluate medical necessity and secure authorization for treatment.
Collaborate with clinicians and providers to collect and submit required clinical documentation.
Track authorization dates, review deadlines, and insurance requirements to prevent gaps in coverage.
Prepare and submit peer to peer review requests and appeal documentation for any denied services.
Communicate with insurance companies to advocate for appropriate levels of care, including MH and SUD DTX, RTC, PHP, IOP and OP.
Monitor insurance guidelines and medical necessity criteria, including ASAM and LOCUS requirements.

Operations Manager

Live Oak Detox
Fort Pierce
05.2024 - 02.2025
  • Hired, trained, and supervised new employees to uphold treatment standards and enhance service quality.
  • Hired, trained, and supervised new employees to ensure adherence to treatment standards.
  • Coordinated transportation logistics for clients between airports, treatment centers, and aftercare facilities.
  • Coordinated transportation logistics for clients between airports and treatment centers, ensuring timely arrivals for appointments.

Case Manager

1 Solution Detox
West Palm Beach
08.2022 - 06.2024
  • Conducted comprehensive case management assessments to identify client needs and deliver tailored support.
  • Guided clients through FMLA, LOA, and short-term disability paperwork to ensure access to employment protections.
  • Coordinated aftercare planning, reviewed prescription copays, and facilitated benefits enrollment for seamless client transitions.
  • Prepared treatment letters, completion summaries, and coordinated with probation, schools, and employers.

Behavioral Health Technician

1 Solution Detox
West Palm Beach
08.2021 - 08.2022
  • Assisted clients during intake, including searches, documentation, and program orientation.
  • Monitored client behavior, conducted rounds, and completed detailed shift reports.
  • Supported clinical staff in groups, therapy sessions, and activities.
  • Ensured a clean, safe, and supportive recovery environment.

Education

High School Diploma -

Goal Digital Academy
Delaware, OH

Skills

  • Kipu
  • Sunwave
  • Care Coordination
  • Google Workspace
  • Documentation Review
  • Resource Identification
  • Utilization Review
  • Medical Necessity Reviews
  • Behavioral Health
  • Insurance Portals
  • Intake & Discharge Coordination
  • Analysis skills
  • Excel
  • Documentation & Reporting
  • Concurrent Reviews
  • Insurance Coordination
  • Prior Authorizations
  • Patient Support
  • ASAM Criteria
  • LOCUS Criteria
  • Patient Advocacy

Additional Information

Authorized to work in the US for any employer

Timeline

Utilization Review Specialist

Element Medical Billing
02.2025 - Current

Operations Manager

Live Oak Detox
05.2024 - 02.2025

Case Manager

1 Solution Detox
08.2022 - 06.2024

Behavioral Health Technician

1 Solution Detox
08.2021 - 08.2022

High School Diploma -

Goal Digital Academy
Allison Allinder