RCM Specialist (Behavioral Health)

Location: Hybrid schedule with 4 days per week in the Nashville, TN office; must live within 75 minutes' commuting distance

Company

hirify.global provides personalized virtual behavioral healthcare for people navigating mental health conditions, substance use disorders, and eating disorders.

What you will do

• Submit initial authorization requests and track payor outcomes to confirm coverage before services begin.
• Manage new policy authorization requests when active clients experience coverage changes during treatment.
• Send timely non-admission notifications to payors in line with contractual requirements.
• Triage and prioritize daily tasks in the RCM billing system to resolve bottlenecks and keep claims moving.
• Complete additional authorization and billing tasks to support department workflows and revenue capture.

Requirements

• 2–3 years of experience in healthcare administration, specialized billing, prior authorizations, insurance verification, or claims management.
• Strong knowledge of prior authorization processes, payor portals, and medical billing practices.
• Experience with RCM billing systems and electronic workflow queues.
• Knowledge of HIPAA confidentiality requirements and accurate handling of patient information.
• Excellent written and verbal communication, attention to detail, organization, and time-management skills.
• Ability to work four days per week from the Nashville office and live within 75 minutes of the office.

Culture & Benefits

• Work alongside professionals focused on expanding access to life-saving behavioral healthcare.
• Values include connection, curiosity, evidence-based work, urgency, and persistence.
• Comprehensive benefits are offered to full-time, exempt employees.