Prior Authorization Specialist

The role

This person will manage initial and mid-stay authorizations, payor notifications, and daily billing system triaging. They will work to secure timely authorizations and maintain precise documentation to ensure revenue flow.

What you will do

• Submitting initial authorization requests and tracking progress through final payor outcome.
• Managing and submitting new policy authorization requests for active clients with coverage changes.
• Issuing timely notifications of non-admission to specific payors.
• Triaging and prioritizing daily worklog tasks within the RCM billing system.
• Executing ad hoc authorization and billing tasks as directed by management.

Required 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 medical billing practices
• Proficiency with RCM billing systems and workflow triaging
• Knowledge of all confidentiality requirements (HIPAA) regarding patients
• Excellent written and verbal communication skills
• Strict attention to detail
• Strong organizational and time-management skills
• Located within 75 minutes' commuting distance of the Nashville office

Benefits

• Comprehensive benefits to all full-time, exempt employees

About the company

Charlie Health delivers personalized, virtual care for mental health conditions, substance use disorders, and eating disorders. The organization aims to connect the world to life-saving behavioral health treatment.