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RCM Specialist - Prior Authorization (Behavioral Health/Psychiatry) at xponentiate. About Careforce.  . Careforce is reimagining outpatient care. Backed by a multi-million-dollar seed round from W Health Ventures and incubated by 2070 Health, we're building a next-gen Holdco of asset-light MSOs, purpose-built for physician-led specialty practices. Our platform is designed to streamline operations, enhance clinical quality, and accelerate growth. We're starting with Interventional Psychiatry-bringing modern infrastructure, operational excellence, and scalable support. . About the Role. We are seeking a detail-oriented and experienced . RCM Specialist.  with a strong background in . Prior Authorization (PAR) workflows.  within the behavioral health domain, specifically . interventional psychiatry.  services such as . Transcranial Magnetic Stimulation (TMS).  and . Spravato (Esketamine). .. This is a . clinical-facing administrative role.  that involves processing complex prior authorizations that require understanding clinical documentation, payer requirements, and the nuances of behavioral health treatment protocols.. . Prepare, submit, and track prior authorization requests for behavioral health treatments including TMS, Spravato, and other psychiatric interventions. . Review medical records and clinical notes to extract relevant documentation required for insurance approval. . Understand and apply payer-specific guidelines (including Medicare, Medicaid, and commercial carriers) for psychiatric services. . Coordinate with onshore teams to obtain missing information and clarify clinical documentation. . Follow up on submitted authorizations to ensure timely approvals or manage denials. . Maintain accurate records in practice management or EMR systems and payer portals. . Communicate professionally with internal stakeholders regarding the status and next steps for each case. . Requirements. Qualifications. . Minimum 6.  years of hands-on experience.  in . RCM/PAR.  workflows within the . U.S. behavioral health.  or . interventional psychiatry.  space. . Strong familiarity with . insurance guidelines.  for TMS, Spravato, and similar interventions. . Proven ability to work with . clinical documentation. , including reviewing physician notes and extracting key information for payers. . Experience using EMR and prior auth submission platforms (e.g., Availity, CoverMyMeds, payer portals). . Excellent attention to detail and time management in a fast-paced setting. . Strong written and verbal English communication skills. . Preferred Experience. . Exposure to U.S. Medicare LCDs or medical necessity criteria for psychiatric procedures. . Experience working with U.S. based teams or clinicians. . Familiarity with appeals and peer-review processes for denied authorizations. . Company Location: India.