Qualifacts
Sr. Implementation Specialist, Billing (EHR billing configuration)
Qualifacts, Nashville, Tennessee, United States, 37247
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.
We are seeking candidates in Nashville or Tampa to work a hybrid schedule in either office location. Remote candidates will not be considered.
Position Summary The Senior Billing Implementation Specialist exhibits advanced wide‑ranging experience, using in‑depth professional knowledge, acumen, concepts and company objectives to develop, resolve complex models and procedures. They provide solutions to issues in creative and effective ways and understand the interrelationships of different disciplines. They direct the application of existing principles and guides development of new policies and ideas and possess wide‑ranging experience, using in‑depth professional knowledge, acumen, concepts and company objectives to develop, resolve complex customer clinical and business requirements.
Responsibilities
Develop implementation tools and guides
Understand and work on complex issues where analysis of situations or data requires an in‑depth evaluation of variable factors
Determine methods and procedures on new assignments
Exercise judgment in selecting methods, evaluating, adapting of complex techniques and evaluation criteria for obtaining results; work is reviewed upon completion and is consistent with departmental objectives
Take on and/or serve as advisor on complex customer issue analysis that requires evaluation of identifiable factors
Devise solutions based on limited information and precedent and adapts existing approaches to resolve issues
Use advanced knowledge to evaluation, judgment, and interpretation to select right course of action
Assess agencies billing requirements, EDI files, and other RCM process, seek collaborative solutions, and prepare and present recommendations
Network with key contacts outside own area of expertise
Adapt style and use persuasion in delivering messages that relate to the wider firm business
Frequently advise others on complex matters
May be accountable through team for delivery of tactical business targets
Lead efforts in assessment of complex RCM billing and reporting requirements, seek collaborative solutions, and prepare and present recommendations
Network with key contacts outside of implementations to identify gaps in functionality and participates with product on new functionality delivery
Conduct 4‑5 large and/or complex implementation projects concurrently
Direct the assignment of less experienced staff assigned to support the larger projects
Work directly with our new customers across the entire implementation life cycle
Advise on, present, and support the configuration of EHR during the implementation
Conduct implementation analysis and training sessions with clients to facilitate solution configurations and workflow set‑up
Resolve client inquiries, maintaining ownership through resolution
Maintain project tool updates and provide direct communication with customer via meeting agendas, minutes, and other project management tools
Participate in the training and mentoring of new team members
Qualifications
Bachelor’s degree in related area or equivalence in combination of prior work or educational experience
8 years of related work experience such as using EHR applications, or conducting software implementations, training facilitation, or medical billing systems experience
Must have at least 2 years CareLogic/Credible system administration/configuration experience with Billing systems expertise
Completed the Qualifacts/Credible Certification program. Successfully leading at least 6 Qualifacts/Credible Implementation.
Knowledge, Skills, and Abilities
Excellent written and oral communication skills
Ability to think quickly and logically to ensure solutions identified
Strong attention to detail and follow‑through skills
Qualifacts is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
Employment Details
Seniority level: Mid‑Senior level
Employment type: Full‑time
Job function: Information Technology
Industries: Software Development
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We are seeking candidates in Nashville or Tampa to work a hybrid schedule in either office location. Remote candidates will not be considered.
Position Summary The Senior Billing Implementation Specialist exhibits advanced wide‑ranging experience, using in‑depth professional knowledge, acumen, concepts and company objectives to develop, resolve complex models and procedures. They provide solutions to issues in creative and effective ways and understand the interrelationships of different disciplines. They direct the application of existing principles and guides development of new policies and ideas and possess wide‑ranging experience, using in‑depth professional knowledge, acumen, concepts and company objectives to develop, resolve complex customer clinical and business requirements.
Responsibilities
Develop implementation tools and guides
Understand and work on complex issues where analysis of situations or data requires an in‑depth evaluation of variable factors
Determine methods and procedures on new assignments
Exercise judgment in selecting methods, evaluating, adapting of complex techniques and evaluation criteria for obtaining results; work is reviewed upon completion and is consistent with departmental objectives
Take on and/or serve as advisor on complex customer issue analysis that requires evaluation of identifiable factors
Devise solutions based on limited information and precedent and adapts existing approaches to resolve issues
Use advanced knowledge to evaluation, judgment, and interpretation to select right course of action
Assess agencies billing requirements, EDI files, and other RCM process, seek collaborative solutions, and prepare and present recommendations
Network with key contacts outside own area of expertise
Adapt style and use persuasion in delivering messages that relate to the wider firm business
Frequently advise others on complex matters
May be accountable through team for delivery of tactical business targets
Lead efforts in assessment of complex RCM billing and reporting requirements, seek collaborative solutions, and prepare and present recommendations
Network with key contacts outside of implementations to identify gaps in functionality and participates with product on new functionality delivery
Conduct 4‑5 large and/or complex implementation projects concurrently
Direct the assignment of less experienced staff assigned to support the larger projects
Work directly with our new customers across the entire implementation life cycle
Advise on, present, and support the configuration of EHR during the implementation
Conduct implementation analysis and training sessions with clients to facilitate solution configurations and workflow set‑up
Resolve client inquiries, maintaining ownership through resolution
Maintain project tool updates and provide direct communication with customer via meeting agendas, minutes, and other project management tools
Participate in the training and mentoring of new team members
Qualifications
Bachelor’s degree in related area or equivalence in combination of prior work or educational experience
8 years of related work experience such as using EHR applications, or conducting software implementations, training facilitation, or medical billing systems experience
Must have at least 2 years CareLogic/Credible system administration/configuration experience with Billing systems expertise
Completed the Qualifacts/Credible Certification program. Successfully leading at least 6 Qualifacts/Credible Implementation.
Knowledge, Skills, and Abilities
Excellent written and oral communication skills
Ability to think quickly and logically to ensure solutions identified
Strong attention to detail and follow‑through skills
Qualifacts is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
Employment Details
Seniority level: Mid‑Senior level
Employment type: Full‑time
Job function: Information Technology
Industries: Software Development
#J-18808-Ljbffr