RCM Intake Specialist (Behavioral Health) - Remote

Gebbs Healthcare Solutions Inc

7d•$18 - $24•Remote

About The Position

The RCM Intake Specialist will be responsible for managing inbound patient and referral inquiries, conducting standardized intake screenings, collecting and validating patient information, and coordinating eligible patients through the intake process to ensure efficient registration and reimbursement. This role involves verifying insurance eligibility and benefits, scheduling appointments, and supporting front-end revenue cycle processes. The specialist will also maintain accurate documentation, ensure patient confidentiality, and meet performance expectations in a high-volume environment.

Requirements

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.
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.

Nice To Haves

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.
US based candidates eligible for employment without sponsorship

Responsibilities

Manage inbound patient and referral inquiries from various sources.
Conduct standardized intake screening to determine service eligibility, payer requirements, and coverage.
Collect and validate patient demographic, insurance, referral, and other necessary information.
Coordinate eligible patients through the intake process to complete registration and scheduling.
Follow up on incomplete referrals, missing documentation, and outstanding intake requirements.
Communicate clearly with patients and referral sources regarding required documentation, insurance, scheduling, and next steps.
Verify insurance eligibility and benefits in real time using payer portals and direct communication.
Confirm active coverage, plan type, network status, deductibles, copays, out-of-pocket requirements, visit limitations, and other benefit information.
Identify prior authorization requirements and ensure initiation or appropriate routing.
Understand and apply the distinction between insurance eligibility, benefits, prior authorization, and medical necessity requirements.
Accurately document verified insurance and benefit information within applicable systems.
Escalate discrepancies in coverage or payer requirements to appropriate teams.
Schedule eligible patients for appropriate services after intake and payer verification.
Provide patients with accurate appointment information and instructions.
Coordinate with operational, clinical, authorization, and billing teams when additional information is needed.
Track scheduled appointments and support follow-up activities for cancellations and no-shows.
Maintain timely communication with referral sources regarding intake status.
Support clean front-end revenue cycle processes by ensuring accuracy of demographic, insurance, eligibility, benefit, and authorization information.
Identify potential reimbursement barriers during intake and escalate them.
Coordinate with authorization, billing, and other RCM teams to resolve payer-related issues.
Maintain knowledge of payer requirements and workflow changes.
Support process improvements to increase intake completion, scheduling conversion, documentation accuracy, and clean claim performance.
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 healthcare privacy requirements.
Support accurate records for payer audits, internal quality reviews, and revenue cycle reporting.
Follow established documentation standards and quality requirements.
Meet established performance expectations for 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.