The posting
Job Description:
We are seeking candidates in Nashville or Tampa to work a hybrid schedule in either office location. Remote candidates will not be considered.
RCMS Configuration Associate
Summary of the RCMS Configuration Associate
We are seeking an entry-level RCMS Configuration Associate to support new customer onboarding, revenue cycle implementation activities, billing configuration tasks, and EDI clearinghouse setup across healthcare technology solutions. This role is designed for an individual developing foundational knowledge of revenue cycle workflows, EHR configuration, payer setup, claims processes, and customer-facing implementation support. The Configuration Associate will work under the guidance of experienced team members to gather requirements, assist with system configuration, document customer needs, support implementation readiness, and help customers adopt billing and RCMS processes successfully.
Responsibilities for the RCMS Configuration Associate
- Support new customer RCM implementation activities from kickoff through go-live under the guidance of senior team members and project leadership.
- Assist with gathering, documenting, and tracking customer billing, configuration, EDI, and reporting requirements.
- Learn and apply standard billing workflow concepts, including insurance, self-pay, payer setup, claims submission, and basic reimbursement workflows.
- Assist with EDI clearinghouse setup and related configuration tasks for EHR and RCMS services customers.
- Participate in billing analysis, configuration review, workflow sessions, and customer training activities to support implementation readiness.
- Support RCM-related EHR configuration activities, including claim setup, payer requirements, billing workflows, and reporting needs, with direction from experienced team members.
- Review and validate assigned configuration items to help ensure accuracy, quality, and readiness for customer use.
- Respond to routine client inquiries and configuration questions, escalating more complex issues as appropriate.
- Maintain project documentation and provide clear updates through agendas, meeting minutes, CRM updates, and project management tools.
- Assist with payer testing activities prior to go-live and document required configuration adjustments for review.
- Build positive working relationships with customers and internal stakeholders while developing consultative implementation skills.
Qualifications of the RCMS Configuration Associate
- Bachelor’s degree or equivalent experience using EHR applications, healthcare billing systems, administrative healthcare workflows, or revenue cycle operations preferred.
- 0–2 years of experience in healthcare billing, EHR/EMR systems, customer support, implementation support, or revenue cycle operations preferred.
- Foundational understanding of healthcare billing concepts preferred; behavioral health billing exposure a plus.
- Basic knowledge of CMS billing requirements, claim formats, payer enrollment, claims submission, or clearinghouse workflows preferred.
- Exposure to UB-04 institutional billing, professional billing, residential, hospital, ASC, or similar billing environments a plus.
- SaaS, cloud software, EHR/EMR implementation, configuration, or technical support experience preferred.
- Ability and willingness to learn Qualifacts software platforms, billing workflows, payer setup, claims processing, reporting, and implementation standards.
- CPB (Certified Professional Biller) certification a plus, but not required.
Knowledge, Skills, and Abilities of the RCMS Configuration Associate
- Foundational understanding of healthcare billing, revenue cycle operations, payer requirements, and EHR configuration concepts, with a willingness to develop deeper expertise.
- Ability to follow documented processes, complete assigned configuration tasks, and seek guidance when requirements or workflows are unclear.
- Strong attention to detail and ability to accurately document customer requirements, configuration decisions, and follow-up items.
- Effective customer service, facilitation, and written and verbal communication skills.
- Strong organization, time management, follow-through, and ability to manage assigned tasks across multiple implementation priorities.
- Ability to collaborate with project managers, implementation specialists, credentialing teams, billing teams, and customer stakeholders in a remote environment.
- Analytical and problem-solving skills with the ability to identify issues, document findings, and escalate appropriately.
- Familiarity with CCBHC, HIPAA, and state-specific billing requirements preferred.
- Willingness to travel up to 25% as needed.
Qualifacts is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
