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RCM Supervisor (Behavioral Health)

GeBBS

12 ч назад

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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.
GeBBS Healthcare Solutions is seeking an experienced, bilingual Revenue Cycle Management (RCM) Supervisor to provide day-to-day leadership and operational oversight for teams supporting patient intake, insurance verification, prior authorization, and scheduling functions.
The Supervisor will oversee multiple team members across Intake, Authorization, and Scheduling workflows and will be responsible for ensuring work is completed accurately, efficiently, and in accordance with established client, payer, and operational requirements. This position will serve as the primary point of escalation for team members, monitor productivity and quality, provide coaching and training, and coordinate work across the different front-end revenue cycle functions.
The ideal candidate has strong healthcare Revenue Cycle Management experience, prior team leadership or supervisory experience, and a thorough understanding of how intake, eligibility and benefits verification, prior authorization, scheduling, patient access, and reimbursement work together. Prior RCM experience supporting behavioral health services and fluency in both English and Spanish are required.
Key Responsibilities
Team Leadership and Daily Operations
Provide day-to-day leadership and direction to team members supporting Intake, Authorization, and Scheduling functions.
Coordinate daily workloads, assignments, priorities, and coverage to ensure operational requirements and service expectations are met.
Serve as the first point of escalation for workflow questions, complex cases, payer issues, patient access concerns, and other operational challenges.
Monitor team productivity, quality, attendance, responsiveness, and adherence to established processes.
Conduct regular team meetings, individual coaching sessions, and performance discussions.
Support onboarding and training of new team members and provide ongoing education as workflows, payer requirements, and client expectations change.
Identify performance gaps and provide appropriate coaching, retraining, and performance development to ensure consistent service delivery.
Promote accountability, collaboration, and consistent execution across the team.
Ensure staff consistently follow established client procedures, service expectations, and escalation protocols.
Training and Employee Development
Lead initial onboarding and training for newly hired intake coordinators and scheduling staff.
Ensure employees demonstrate a thorough understanding of assigned workflows, patient communication expectations, and client-specific procedures.
Evaluate employee knowledge, competency, and readiness before transitioning to independent patient interactions.
Provide ongoing refresher training and individualized coaching based on employee performance and quality findings.
Identify training gaps and collaborate with operational leadership to develop corrective training plans.
Reinforce appropriate communication techniques when interacting with patient experiencing emotional distress or sensitive behavioral health concerns.
Ensure employees understand established patient safety screening questions, escalation criteria, and warm-transfer procedures.
Maintain documentation of employee training, competency assessments, coaching, and development progress.
Collaborate with client representatives to ensure training aligns with established expectation and operational requirements.
Intake and Patient Access Oversight
Oversee intake and referral workflows to ensure patient demographic, insurance, referral, and required documentation is collected accurately and timely.
Ensure eligibility and benefits verification is completed appropriately before services are provided.
Monitor incomplete referrals and outstanding intake requirements and ensure appropriate follow-up occurs.
Support escalation of complex eligibility, coverage, referral, and patient access issues.
Ensure team members accurately identify and route prior authorization requirements during the intake process.
Reinforce compassionate, patient-centered communication throughout the intake process.
Ensure employees demonstrate active listening, empathy, professionalism, and sensitivity when interacting with behavioral health patients and their families.
Monitor adherence to established patient safety screening and escalation protocols.
Ensure appropriate escalation and warm transfer to designated clinical personnel when patient safety concerns are identified.
These responsibilities reflect the Intake Specialist workflow, which covers referrals, eligibility and benefits, authorization identification, scheduling coordination and front-end reimbursement readiness. RCM Intake Specialist RCM Intake Specialist
Authorization and Payer Management Oversight
Oversee prior authorization workflows, including eligibility verification, authorization submission, tracking, renewals, concurrent reviews, denial follow-up, and appeals.
Ensure authorization requests are complete, accurate, and submitted within applicable payer timelines.
Monitor pending and expiring authorizations and ensure appropriate follow-up occurs before services or authorized limits are impacted.
Support team members with complex payer requirements, authorization issues, denials, and escalations.
Monitor authorization-related denial trends and work with operational leadership to identify opportunities for process improvement.
Ensure accurate documentation of authorization numbers, approved services, effective dates, expiration dates, visit limits, and other payer requirements.
The underlying Authorization Specialist role specifically owns authorization submission and tracking, continued-stay reviews, denial follow-up, appeals and payer coordination, making this an important technical competency for the lead.
Scheduling and Capacity Oversight
Oversee ongoing patient scheduling, rescheduling, cancellations, no-show follow-up, waitlists, and appointment reminder workflows.
Ensure scheduling activity appropriately considers provider availability, service requirements, patient needs, and authorization status.
Monitor provider utilization and open appointment capacity and work with the team to minimize unfilled appointment slots.
Ensure pending, expired, or incomplete authorizations are identified before affected services are scheduled.
Support escalation of scheduling issues that may affect patient access, provider utilization, reimbursement, or continuity of care.
Monitor scheduling trends and work with operational leadership to address capacity constraints and recurring workflow issues.
The Scheduling Coordinator profile makes provider utilization, waitlists, authorization coordination and billing readiness core parts of that function, so I would absolutely include those in the lead's oversight. RCM Scheduling Coordinator
Performance, Quality and Reporting
Monitor team performance against established productivity, quality, accuracy, turnaround time, and service-level expectations.
Track and report key operational metrics across Intake, Authorization, and Scheduling functions.
Conduct routine call monitoring and quality audits to evaluate employee performance, accuracy, professionalism, empathy, and adherence to established workflows.
Assess patient interactions for effective communication, active listening, appropriate tone, and compassionate service delivery.
Identify trend

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