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Gebbs Healthcare Solutions Inc

RCM Scheduling Coordinator (Behavioral Health) - Remote

Posted 2 hours ago
$18 - $24 per hour
2-5 years experience
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AI Summary

The RCM Scheduling Coordinator manages patient appointments, provider calendars, and waitlists while ensuring all prior authorizations are in place. They also handle rescheduling, no-show follow-ups, and provide telehealth support to maintain continuity of care and revenue cycle accuracy.

Responsibilities

Patient Scheduling

  • Manage ongoing patient appointment scheduling following completion of the initial intake and assessment process.
  • Coordinate patient appointments based on provider availability, service requirements, location, and applicable scheduling guidelines.
  • Confirm appointment details with patients, including date, time, provider, location, and telehealth instructions when applicable.
  • Ensure required patient information and documentation are complete prior to scheduled services.
  • Maintain accurate and current provider calendars and appointment information within applicable scheduling and healthcare systems.
  • Coordinate scheduling needs with clinical, intake, authorization, and other operational teams.

Rescheduling and Patient Coordination

  • Respond promptly to patient and provider rescheduling requests and secure appropriate replacement appointments.
  • Manage provider changes, scheduling conflicts, location changes, and transitions between in-person and telehealth services.
  • Document appointment changes and patient communications accurately and in a timely manner.
  • Escalate scheduling issues that may affect patient access, reimbursement, or continuity of services to the appropriate team.

No-Show and Cancellation Management

  • Conduct timely follow-up on missed appointments and cancellations with the goal of rescheduling patients and maintaining continuity of services.
  • Document no-show and cancellation activity within applicable healthcare systems.
  • Identify recurring no-show or cancellation patterns and escalate them according to established workflows.
  • Use cancellations and open appointments to backfill available provider capacity whenever possible.

Waitlist and Provider Utilization

  • Maintain and actively manage patient waitlists across providers and service lines.
  • Identify available appointment capacity and match eligible patients to open appointments.
  • Support provider utilization by minimizing unfilled appointment slots.
  • Monitor scheduling activity for capacity constraints, access issues, and recurring scheduling barriers.
  • Coordinate with operational leadership when scheduling trends indicate provider capacity or workflow issues.

Authorization and Revenue Cycle Coordination

  • Confirm that required prior authorizations are in place before scheduling services subject to payer approval.
  • Coordinate with authorization teams when patients are approaching authorized visit or service limits.
  • Flag expired, pending, or incomplete authorizations before additional services are scheduled.
  • Identify scheduling issues that could create reimbursement risk and escalate them to appropriate RCM teams.
  • Support billing readiness by ensuring scheduling and authorization information is complete and accurate before services are rendered.
  • Work collaboratively with intake, authorization, billing, and other revenue cycle teams to resolve patient access and payer-related issues.

Appointment Reminders and Telehealth Support

  • Manage appointment reminder workflows using applicable phone, text, email, or electronic scheduling tools.
  • Support patients with basic telehealth scheduling and access needs.
  • Provide appointment links, instructions, and basic connection support when applicable.
  • Escalate technical issues outside the scope of scheduling support to the appropriate internal team.

Documentation and Compliance

  • Maintain complete and accurate documentation of scheduling activity, appointment changes, cancellations, no-shows, patient communications, and authorization coordination.
  • Ensure scheduling information within EHR, practice management, and other applicable healthcare systems remains current and accurate.
  • Maintain patient confidentiality and comply with HIPAA and applicable healthcare privacy requirements.
  • Support accurate documentation required for billing, payer audits, operational reporting, and revenue cycle performance monitoring.

Performance and Reporting

  • Track scheduling performance indicators such as appointment fill rates, cancellations, no-show rates, rescheduling activity, and provider utilization.
  • Identify scheduling trends that may affect patient access, provider capacity, or revenue cycle performance.
  • Participate in workflow improvement initiatives designed to improve scheduling efficiency, patient access, utilization, and billing readiness.

Qualifications

  • Minimum of one year of experience in healthcare scheduling, patient access, medical administration, or another front-end Revenue Cycle Management function.
  • Prior scheduling, patient access, or RCM experience supporting behavioral health services is required.
  • Experience managing patient and provider schedules in a healthcare environment.
  • Understanding of healthcare insurance and prior authorization requirements as they relate to scheduling.
  • Experience using EHR, practice management, scheduling, or other healthcare systems.
  • Ability to manage a high volume of appointments, schedule changes, and patient communications accurately.
  • Strong organizational skills and attention to detail.
  • Strong verbal and written communication skills.
  • Ability to work effectively with patients, providers, clinical teams, and revenue cycle teams.
  • Working knowledge of HIPAA and healthcare confidentiality requirements.
  • Associate degree or higher in healthcare administration, business, psychology, social work, or a related field preferred.

Requirements

  • Experience working in a multi-provider or multi-location healthcare environment.
  • Experience managing healthcare waitlists, appointment reminders, and provider utilization.
  • Experience coordinating scheduling with prior authorization requirements.
  • Experience supporting telehealth scheduling workflows.
  • Bilingual English/Spanish communication skills preferred.
  • US based candidates eligible for employment without sponsorship

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