RCM Intake Specialist - Behavioral Health: Remote

Gebbs Healthcare Solutions Inc

10h•Remote

About The Position

The RCM Intake Specialist supports behavioral health patient access and front-end revenue cycle operations. The role manages inbound patient and referral inquiries, conducts standardized intake screening, gathers and validates patient and insurance information, and coordinates eligible patients through registration and scheduling. It also includes following up on missing referral documentation and communicating intake requirements and next steps to patients and referral sources. The specialist verifies insurance eligibility and benefits through payer portals and direct payer communication, confirms coverage and cost-sharing details, identifies prior authorization requirements, and documents findings in healthcare systems. The role coordinates with operational, clinical, authorization, and billing teams to resolve payer-related issues, address reimbursement barriers, and support accurate information before services are provided. The position maintains complete intake documentation, protects patient confidentiality in accordance with HIPAA and applicable privacy requirements, and supports audits, quality reviews, and revenue cycle reporting. The specialist is expected to meet performance standards for intake completion, conversion, accuracy, call quality, and first-contact resolution; work accurately in a high-volume environment; and participate in coaching, training, and process improvement. Candidates must be able to support a work schedule in the Pacific time zone and be U.S.-based and eligible to work without sponsorship.

Requirements

At least 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.
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 with commercial and managed care insurance plans.
Experience using EHR, practice management, or other healthcare revenue cycle systems.
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.
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 intake.
Experience working in a performance-driven intake or patient access environment.
Able to support a work schedule in the Pacific time zone.
U.S.-based and eligible for employment without sponsorship.

Nice To Haves

MediCal experience.
Bilingual English/Spanish communication skills.

Responsibilities

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 assess service eligibility, payer requirements, coverage, and next steps.
Collect and validate patient demographic, insurance, referral, and other registration and reimbursement information.
Coordinate eligible patients through intake, registration, and scheduling, and follow up on incomplete referrals, missing documentation, and outstanding requirements.
Communicate documentation, insurance, scheduling, and next-step requirements clearly to patients and referral sources.
Verify insurance eligibility and benefits in real time using payer portals and direct payer communication.
Confirm coverage, plan type, network status, deductibles, copays, out-of-pocket requirements, visit limitations, and other applicable benefits.
Identify prior authorization requirements and ensure needs are initiated or appropriately routed before services are provided.
Document insurance, benefits, eligibility, authorization status, referral source, appointments, and follow-up in applicable healthcare systems.
Escalate discrepancies in coverage and payer requirements to revenue cycle or operational teams.
Schedule eligible patients after required intake and payer verification activities and provide appointment information and instructions.
Coordinate with operational, clinical, authorization, and billing teams when additional information or action is needed before scheduling.
Track scheduled appointments and support follow-up for cancellations, no-shows, and incomplete intake requirements.
Support accurate front-end revenue cycle processes and identify potential reimbursement barriers before they cause avoidable denials or payment delays.
Coordinate with authorization, billing, and other revenue cycle teams to resolve payer-related issues.
Maintain knowledge of payer requirements and workflow changes affecting patient access and reimbursement.
Support process improvements for intake completion, scheduling conversion, documentation accuracy, and clean claim performance.
Maintain complete and accurate intake records, protect patient confidentiality, and follow HIPAA, privacy, documentation, and quality requirements.
Support payer audits, internal quality reviews, and revenue cycle reporting.
Meet performance expectations for intake completion, conversion, documentation accuracy, call quality, and first-contact resolution.
Maintain accuracy in a high-volume environment, participate in quality reviews, coaching, and training, and communicate recurring issues and process improvement opportunities.