Hybrid Prior Authorization Specialist — Behavioral Health

Charlie Health; Nashville (TN); Hybrid; USD 48,000 - 62,000; Full time

Benefits offered by this job

Benefits for full-time employees

Job summary

Charlie Health, a leading behavioral health provider, is hiring a reimbursement specialist in Nashville. You will drive initial and mid-stay authorizations, issue payor notices, and triage daily billing workloads to minimize coverage gaps and denials.

This role supports steady revenue flow and safeguards reimbursement for services. We seek a detail-oriented communicator with 2–3 years in healthcare administration, familiar with HIPAA and payor portals, able to thrive in a hybrid Nashville

Qualifications

• 2–3 years of related work experience in healthcare administrative roles, specialized billing, prior authorizations, insurance verification, or claims management
• Strong knowledge of prior authorization processes, payor portals, and medical billing practices
• Proficiency with RCM billing systems and workflow triaging to effectively navigate and manage daily electronic task queues
• Confidentiality requirements (HIPAA) regarding patients and maintaining proper confidentiality on all such information
• Excellent written and verbal communication skills for professional correspondence with insurance payors
• Strict attention to detail to ensure accurate authorization timelines, dates of service, and policy numbers
• Strong organizational and time‑management skills to balance multiple mid‑stay policy changes and time‑sensitive payor notifications
• Able to work a hybrid schedule in Nashville within 75 minutes' commuting distance

Responsibilities

• Submitting initial authorization requests and tracking progress through final payor outcome to ensure coverage is active prior to service delivery.
• Managing and submitting new policy authorization requests for active clients who experience a change in coverage mid‑treatment stay.
• Issuing timely notifications of non‑admission to specific payors to remain compliant with strict contractual notice requirements.
• Triaging and prioritizing daily worklog tasks within the RCM billing system to resolve bottlenecks and keep claims moving forward.
• Executing ad hoc authorization and billing tasks as directed by management to support general department workflows and revenue capture.

Skills

Healthcare admin experience

Prior authorization processes

Payor portals

Medical billing

HIPAA confidentiality

Written and verbal communication

Attention to detail

Time management

Tools

RCM billing systems

Job description

Charlie Health, a leading behavioral health provider, is hiring a reimbursement specialist in Nashville. You will drive initial and mid-stay authorizations, issue payor notices, and triage daily billing workloads to minimize coverage gaps and denials.

This role supports steady revenue flow and safeguards reimbursement for services. We seek a detail-oriented communicator with 2–3 years in healthcare administration, familiar with HIPAA and payor portals, able to thrive in a hybrid Nashville