RCMS - Configuration Analyst I

Job Description:

Qualifacts is a leading provider of behavioral health software and SaaS solutions for clinical productivity, compliance and state reporting, billing, and business intelligence. Its mission is to be an innovative and trusted technology and end-to-end solutions partner, enabling exceptional outcomes for its customers and those they serve. Qualifacts’ comprehensive portfolio, including the CareLogic®, Credible™, and InSync® platforms, spans and serves the entire behavioral health, rehabilitative, and human services market supporting non-profit Certified Community Behavioral Health Clinics (CCBHC) as well as for-profit large enterprise and small business providers. Qualifacts has a loyal customer base, with more than 2,500 customers representing 75,000 providers serving more than 6 million patients. Qualifacts was recognized in the 2022 and 2023 Best in KLAS: Software and Services report as having the top ranked Behavioral Health EHR solutions.

As one of the largest EHR companies in the country, Qualifacts offers revolutionary support for behavioral health, human services, and rehabilitative services. The technology and solutions that we provide enhance how our customers deliver quality care, make it possible for them to achieve exceptional outcomes, and improve the lives of the individuals they serve. We draw upon 20 years of experience to inform our products and services, and the result is solutions that empower our customers to achieve interoperability goals, optimize efficiency, improve productivity, and maximize reimbursement.

Qualifacts supports three platforms: CareLogic, Credible, and InSync. The EHR platforms, each uniquely positioned, allow us to serve all segment sizes within the market.

If you want to work inside an atmosphere where innovation has purpose, and your ambition works to support our customers and those they serve, please apply today!

This is an onsite position, 5 days/week, in the Vadodara office working the NIGHT SHIFT. Hours are 6:30pm-3:30am IST. Remote applicants will not be considered.

Responsibilities:

• Setup, enrollment, and maintenance of EDI clearinghouse integrations for multiple EHR and RCMS service customers.
• Collaborate with the Configuration team and Account Managers to manage initial access, enrollment, mapping, and transition of EDI connections.
• Handle routine problems of minimal scope, applying judgment within defined procedures.
• Apply learned techniques and contribute to analysis, investigation, and problem resolution.
• Work under guidance with instructions for day-to-day tasks and general directions for new assignments.
• Coordinate with team members on configuration updates and process improvements.
• Support RCMS EDI enrollment and configuration activities across multiple EHR platforms and clearinghouses.
• Resolve client inquiries with ownership through to resolution, ensuring customer satisfaction.
• Responsible for closing QCC Salesforce tickets within defined TAT, ensuring timely resolution and compliance with process standards.

Qualifications:

• Bachelor’s degree or equivalent experience in medical billing, healthcare administration, or a related field.
• Experience with EHR applications, preferably in medical billing or behavioral healthcare billing.
• Basic understanding of at least one Qualifacts software platform.
• Foundational knowledge of clearinghouse EDI relationships and workflows.

• Knowledge, Skills, and Abilities

• Familiarity with EHR application implementation principles and practices.
• Strong understanding of software functionalities related to billing and configuration.
• Ability to integrate knowledge of Revenue Cycle Management systems with billing practices to effectively plan and execute configuration updates.
• Analytical problem-solving skills with attention to detail.
• Strong communication and collaboration skills for cross-team coordination.

Qualifacts is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.