RCM Intake Specialist - Behavioral Health: Remote

GeBBS Healthcare Solutions is a leading provider of Revenue Cycle Management (RCM) and Risk Adjustment services, helping healthcare organizations optimize operations, improve financial performance, maintain compliance, and enhance the patient experience. Recognized as a KLAS® Top Performer, GeBBS combines innovative technology, industry expertise, and a commitment to excellence to deliver measurable results for clients across the healthcare industry. We are dedicated to being a trusted healthcare partner by upholding the highest standards of quality, information security, and compliance. At GeBBS, we foster a collaborative and growth-oriented culture where employees are empowered to develop their skills, advance their careers, and make a meaningful impact in transforming healthcare. Patient Intake and Referral Management - Manage inbound patient and referral inquiries from patients, families, healthcare providers, care coordinators, discharge planners, payer representatives, and other referral sources. - Conduct standardized intake screening to determine service eligibility, payer requirements, coverage, and appropriate next steps. - Collect and validate patient demographic, insurance, referral, and other information required to support accurate registration and reimbursement. - Coordinate eligible patients through the intake process with the goal of completing registration and scheduling efficiently. - Follow up on incomplete referrals, missing documentation, and outstanding intake requirements. - Communicate clearly with patients and referral sources regarding required documentation, insurance requirements, scheduling, and next steps. Eligibility and Benefits Verification - Verify insurance eligibility and benefits in real time using payer portals and direct payer communication. - Confirm active coverage, plan type, network status, deductibles, copays, out-of-pocket requirements, visit limitations, and other applicable benefit information. - Identify prior authorization requirements and ensure authorization needs are initiated or appropriately routed before services are provided. - Understand and apply the distinction between insurance eligibility, benefits, prior authorization, and medical necessity requirements. - Accurately document verified insurance and benefit information within applicable EHR, practice management, and revenue cycle systems. - Escalate discrepancies in coverage or payer requirements to appropriate revenue cycle or operational teams. Scheduling and Patient Access Coordination - Schedule eligible patients for appropriate services following completion of required intake and payer verification activities. - Provide patients with accurate appointment information and instructions regarding required forms or documentation. - Coordinate with operational, clinical, authorization, and billing teams when additional information or action is required before scheduling. - Track scheduled appointments and support follow-up activities related to cancellations, no-shows, or incomplete intake requirements. - Maintain timely communication with referral sources regarding intake status and outstanding requirements. Revenue Cycle Support - Support clean front-end revenue cycle processes by ensuring demographic, insurance, eligibility, benefit, and authorization information is accurate before services are rendered. - Identify potential reimbursement barriers during intake and escalate them before they result in avoidable denials or delayed payment. - Coordinate with authorization, billing, and other RCM teams to resolve payer-related issues. - Maintain knowledge of payer requirements and workflow changes affecting patient access and reimbursement. - Support process improvements designed to increase intake completion, scheduling conversion, documentation accuracy, and clean claim performance. Documentation and Compliance - Maintain complete and accurate intake documentation within applicable healthcare systems. - Document referral source, payer information, eligibility and benefit verification, authorization status, appointment information, and required follow-up. - Maintain patient confidentiality and comply with HIPAA and applicable healthcare privacy requirements. - Support accurate records for payer audits, internal quality reviews, and revenue cycle reporting. - Follow established documentation standards and quality requirements. Performance and Quality - Meet established performance expectations related to intake completion, conversion, documentation accuracy, call quality, and first-contact resolution. - Maintain accuracy while working in a high-volume environment. - Participate in quality reviews, coaching, training, and workflow improvement initiatives. - Identify recurring intake or payer issues and communicate opportunities for process improvement. Qualifications - Minimum of two years of experience in healthcare intake, patient access, admissions, insurance verification, or another front-end Revenue Cycle Management function. - Prior intake, patient access, or RCM experience supporting behavioral health services is required. - Experience verifying insurance eligibility and benefits using payer portals such as Availity, NaviNet, or similar systems. - Working knowledge of insurance eligibility, benefits, prior authorization, and payer requirements. - Experience working with commercial and managed care insurance plans. - Experience using EHR, practice management, or other healthcare revenue cycle systems. - MediCal experience preferred. - Ability to manage multiple systems and workflows simultaneously while communicating with patients or referral sources. - Strong verbal and written communication skills. - Strong attention to detail and ability to maintain accurate patient and payer information. - Working knowledge of HIPAA and healthcare confidentiality requirements. - Ability to communicate professionally with patients, families, healthcare providers, payer representatives, and internal teams. Requirements - Associate degree or higher in healthcare administration, business, psychology, social work, public health, or a related field. - Experience in patient access, admissions coordination, healthcare call center, or centralized intake operations. - Experience working across multiple payer types and healthcare service lines. - Experience identifying and coordinating prior authorization requirements during the intake process. - Experience working in a performance-driven intake or patient access environment. - Bilingual English/Spanish communication skills preferred. - Candidate will need to be able to support a work schedule in the Pacific time zone. - US based candidates eligible for employment without sponsorship. Originally posted on Himalayas