Prior Authorization Specialist

Job overview

The Prior Authorization Specialist role is onsite in Nashville, TN. Compensation is not specified. The position supports Charlie Health’s reimbursement cycle and its mission to connect people with life-saving behavioral health treatment. This role manages initial and mid-stay authorization requests, payor notifications, and daily billing-system worklogs. Accurate, timely authorization work helps prevent coverage gaps and administrative denials and supports reimbursement for services.

What you'll do

• Submit and track initial authorization requests through payor decisions
• manage new authorization requests when active clients’ coverage changes
• notify payors of non-admissions within contractual timelines
• triage and prioritize daily tasks in the RCM billing system
• complete additional authorization and billing tasks as directed.

What we're looking for

Skills & competencies

prior authorization

healthcare administration

insurance verification

claims management

payor portals

rcm billing

behavioral health

nashville tn

charlie health

hipaa

authorization requests

Work arrangement

• Weekend coverage required

Benefits & perks

• Comprehensive benefits are offered to full-time, exempt employees
• specific benefits are not detailed in the posting.

Why this role

Hybrid schedule requires four days per week in the Nashville office and residence within a 75-minute commute. The posting requests 2–3 years of related healthcare administrative, billing, authorization, insurance verification, or claims experience.

About the employer

Charlie Health is hiring for this role. Industry: Outpatient Mental Health and Substance Abuse Centers. Sector: 62.