UR Coordinator

Assembly Health

UR Coordinator managing prior authorizations and clinical documentation for Assembly Health’s behavioral health treatments. Coordinating Spravato and TMS coverage with providers, payers, and billing teams.

Posted 8/18/2026full-timeRemote • 🇺🇸 United StatesJuniorMid-Level💰 $22 - $25 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in managing prior authorizations and clinical documentation for Spravato and TMS services, with a strong understanding of medical necessity criteria and payer policies. Capable of coordinating effectively with clinical and administrative teams while maintaining detailed records and managing multiple priorities.

Highest-signal resume keywords

Medical Prior Authorization ExperienceKnowledge of Medical Necessity CriteriaFamiliarity with CMS and Payer GuidelinesEHR Systems ProficiencyBehavioral Health or Neuromodulation Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Prior Authorization ManagementUtilization ReviewMedical DocumentationInsurance Carrier ExperienceClinical Documentation Standards

Soft Skills

Detailed Communication SkillsOrganizational SkillsAbility to Work IndependentlyCollaborative Teamwork

Tools & Technologies

EHR SystemsPayer Portals

Industry Keywords

SpravatoTMS ServicesBehavioral HealthNeuromodulationMassHealth

About the role

Key responsibilities & impact

Obtain and manage prior authorizations for Spravato and TMS services from commercial and government insurance plans
Ensure timely submission of required clinical documentation, including medical necessity letters, progress notes, rating scales, and treatment plans
Review payer-specific medical policies to determine criteria for Spravato and TMS coverage
Coordinate with providers, clinical staff, and billing teams to ensure complete and accurate information is submitted
Track and follow up on authorization requests, denials, appeals, and renewals
Maintain detailed records of payer communication, submission timelines, and authorizations received
Support new customers during their start-up phase by navigating authorization processes and clinical documentation
Stay current on changes in insurance requirements, payer policies, and clinical documentation standards
Take on additional projects and tasks as assigned

Requirements

What you’ll need

Minimum 2 years of experience in medical prior authorization, utilization review, or billing, preferably in behavioral health or neuromodulation
Strong working knowledge of medical necessity criteria for Spravato and TMS services
Familiarity with CMS, commercial payer, and MassHealth guidelines
Experience with a wide range of insurance carriers, including Massachusetts- and Rhode Island-specific carriers
Comfortable working with EHR systems, payer portals, and medical documentation
Proven ability to manage multiple priorities and tight deadlines
Detailed and organized written and verbal communication skills
Ability to work independently and collaboratively with clinical and administrative staff
Preferred experience with in-network and out-of-network authorization workflows
Preferred prior work with REMS-certified treatment programs

Benefits

Comp & perks

Medical insurance
Dental insurance
Vision insurance
401(k)
Paid time off
Opportunity to participate in company bonus programs
Comprehensive benefits package