Hybrid Prior Authorization Specialist – Behavioral Health

Charlie Health, Inc.; United States; Hybrid; USD 45,000 - 60,000; Full time

Job summary

Charlie Health, Inc. is seeking a reimbursement specialist to drive the foundational stages of the authorization and billing cycle. You will manage initial and mid-stay authorizations, payor notifications, and daily billing triage to ensure timely reimbursement and minimize coverage gaps.

This role emphasizes accuracy, HIPAA confidentiality, and collaboration with care teams, with a hybrid Nashville schedule and the chance to impact revenue flow and patient access.

Qualifications

• 2–3 years of related healthcare admin experience, with billing or prior authorizations.
• Strong knowledge of prior authorization processes and payor portals.
• Proficiency with RCM billing systems and workflow triaging.
• HIPAA confidentiality compliance and patient privacy.
• Excellent written and verbal communication for insurer correspondence.
• Strong organizational and time-management skills.
• Hybrid Nashville schedule: 4 days/week within 75 minutes of the office.

Responsibilities

• Submitting initial authorization requests and tracking progress to final payor outcome.
• 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

Medical billing

Prior authorizations

Insurance verification

Claims management

Tools

RCM systems

Job description

Charlie Health, Inc. is seeking a reimbursement specialist to drive the foundational stages of the authorization and billing cycle. You will manage initial and mid-stay authorizations, payor notifications, and daily billing triage to ensure timely reimbursement and minimize coverage gaps.

This role emphasizes accuracy, HIPAA confidentiality, and collaboration with care teams, with a hybrid Nashville schedule and the chance to impact revenue flow and patient access.