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