RCMS Configuration Specialist I

Tishman Speyer Properties; Tampa (FL); Hybrid; USD 70,000 - 90,000; Full time

Job summary

Qualifacts is seeking an RCMS Configuration Specialist I to support onboarding, revenue cycle implementation, billing configuration, and EDI clearinghouse setup across healthcare technology solutions.

The role combines billing expertise, EHR configuration experience, and strong customer-facing communication to guide customers from kickoff to go-live, assess workflows, and ensure successful adoption of RCMS processes. Travel up to 25% may be required for client engagements.

Qualifications

• Bachelor’s degree or equivalent experience using EHR applications for medical billing.
• Healthcare billing experience required; behavioral health billing preferred.
• Knowledge of CMS Billing Requirements and Formats and UB-04 institutional billing.
• SaaS or cloud implementation experience; EHR/EMR implementation or configuration experience.

Responsibilities

• Lead and support new customer RCM implementations from kickoff through go-live.
• Assess customer billing workflows including insurance, self-pay, institutional billing, and reporting requirements, and recommend configuration solutions.
• Interpret payer credentialing and apply that knowledge to configure systems for accurate billing, claims submission, and reimbursement workflows.
• Set up and maintain EDI clearinghouse configuration for multiple EHR and RCMS services customers.
• Conduct billing analysis, configuration review, workflow sessions, and customer training to support implementation readiness.
• Advise on, present, and support RCM-related EHR configurations, including claim setup, payer requirements, billing workflows, and reporting needs.
• Review and validate software billing configurations with customer implementation teams to ensure quality and readiness for end-user training.
• Document and track customer billing, configuration, EDI, and reporting requirements to support compliance and implementation accountability.

Job description

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 Specialist I

Summary of the RCMS Configuration Specialist I

We are seeking an RCMS Configuration Specialist to support new customer onboarding, revenue cycle implementation, billing configuration, and EDI clearinghouse setup across healthcare technology solutions. This role combines institutional and professional billing expertise, revenue cycle knowledge, EHR configuration experience, and strong customer-facing communication skills. The specialist will guide customers through implementation from kickoff through go-live, assess billing workflows, configure RCM-related functionality, support training, document requirements, and ensure customers are prepared for successful adoption of billing and RCMS processes.

Responsibilities

• Lead and support new customer RCM implementations from kickoff through go-live, ensuring a smooth, organized, and efficient onboarding experience.
• Assess customer billing workflows, including insurance, self-pay, institutional billing, and reporting requirements, and recommend configuration solutions aligned with best practices.
• Interpret how customers are credentialed with payers and apply that knowledge to configure systems for accurate billing, claims submission, and reimbursement workflows.
• Set up and maintain EDI clearinghouse configuration for multiple EHR and RCMS services customers.
• Conduct billing analysis, configuration review, workflow sessions, and customer training to support implementation readiness and adoption.
• Advise on, present, and support RCM-related EHR configurations, including claim setup, payer requirements, billing workflows, and reporting needs.
• Review and validate software billing configurations with customer implementation teams to ensure quality, accuracy, and readiness for end-user training.
• Document and track customer billing, configuration, EDI, and reporting requirements to support compliance and implementation accountability.
• Resolve client inquiries and configuration issues promptly while maintaining ownership through resolution, including billing denials, rejections, and workflow concerns.
• Maintain project documentation and provide clear communication through agendas, meeting minutes, CRM updates, and project management tools.
• Co-facilitate multiple RCM implementation projects concurrently and collaborate with internal teams on configuration updates and issue resolution.
• Build and maintain positive, productive relationships with customers and internal stakeholders while supporting a consultative implementation approach.
• Execute Payer Testing for all RCMS Payers prior to Go Live, addressing any required configuration adjustments in order to successfully complete Payer Testing.
• Identify and Track Billing Guidelines and Payer Requirements to inform RCMS Stakeholders for ongoing support.

Qualifications

• Bachelor’s degree or equivalent experience using EHR applications for medical billing, behavioral healthcare billing, or revenue cycle operations required.
• Healthcare billing experience required; behavioral health billing experience preferred.
• Knowledge of standard CMS Billing Requirements and Formats required
• Knowledge of UB-04 institutional billing requirements required; experience with residential, hospital, ASC, or similar billing environments preferred.
• Basic understanding of clearinghouse EDI relationships, payer enrollment, claims submission, and RCM workflows.
• SaaS or cloud implementation experience preferred; EHR/EMR implementation or configuration experience strongly preferred.
• Basic understanding of at least one Qualifacts software platform preferred.CPB (Certified Professional Biller) certification a plus.

Knowledge, Skills, and Abilities

• Comprehensive understanding of revenue cycle management systems, billing workflows, payer requirements, and EHR configuration principles.
• Ability to synthesize billing, configuration, and workflow requirements into practical implementation plans and customer-ready solutions.
• Strong knowledge of RCM-related system configurations, clearinghouse integrations, claims workflows, denials, rejections, and reporting needs.
• Exceptional customer service, facilitation, and written and verbal communication skills.
• Strong organization, time management, follow-through, and ability to manage multiple implementation priorities concurrently.
• Ability to project manage, coordinate tasks, collaborate across teams, and support delegated configuration activities.
• Strong analytical and problem-solving skills with attention to detail and the ability to recommend alternative approaches when needed.
• Familiarity with CCBHC, HIPAA, and state-specific billing requirements preferred.
• Ability to collaborate effectively in a remote environment and build trusted relationships with customers and internal stakeholders.
• 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.

For more than 20 years, Qualifacts has delivered thoughtful innovation, technology, support, and services to the behavioral health and human services market. Most recently, Qualifacts has been on a mission to expand its portfolio to support the patient continuum, from the initial appointment request to final billing and reporting, and everything in between.

Qualifacts has headquarters in Nashville and Tampa with employees across the globe, many with strong healthcare and clinical backgrounds to help bring you the best solutions possible.