RCMS Configuration Specialist I - Revenue Cycle Onboarding

Qualifacts; Nashville (TN); Hybrid; USD 65,000 - 90,000; Full time

Job summary

Qualifacts is seeking an RCMS Configuration Specialist I to support new customer onboarding, revenue cycle implementation, billing configuration, and EDI clearinghouse setup across healthcare technology solutions. The role combines billing expertise, EHR configuration, and strong customer-facing communication to guide customers from kickoff through go-live.

You will assess billing workflows, configure RCM functionality, support training, document requirements, and ensure successful adoption of

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; residential/hospital/ASC billing experience 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.
• CPB certification a plus.

Responsibilities

• Lead and support new customer RCM implementations from kickoff through go-live, ensuring a smooth onboarding experience.
• Assess customer billing workflows and reporting requirements, and recommend configuration solutions.
• Interpret how customers are credentialed with payers and apply knowledge to configure billing and submission workflows.
• Set up and maintain EDI clearinghouse configuration for multiple EHR and RCMS services customers.
• Conduct billing analysis, configuration review, and customer training to support readiness and adoption.
• Advise on RCM-related EHR configurations, including claim setup, payer requirements, workflows, and reporting needs.
• Review and validate software billing configurations with customer teams for accuracy and readiness for training.
• Document and track customer billing, configuration, EDI, and reporting requirements to support compliance.
• Resolve client inquiries and configuration issues, including denials and workflow concerns.
• Maintain project documentation and provide clear communication through agendas and CRM updates.
• Co-facilitate multiple RCM implementation projects concurrently and collaborate on configuration updates.
• Build and maintain relationships with customers and internal stakeholders using a consultative approach.
• Execute Payer Testing for RCMS Payers prior to Go Live and adjust configurations as needed.
• Identify and track Billing Guidelines and Payer Requirements for ongoing RCMS support.

Skills

RCMS configuration

Revenue cycle management

EHR configuration

Customer communication

Project coordination

Education

Bachelor’s degree or equivalent experience; CPB certification a plus

Tools

Qualifacts software platform

Job description

Qualifacts is seeking an RCMS Configuration Specialist I to support new customer onboarding, revenue cycle implementation, billing configuration, and EDI clearinghouse setup across healthcare technology solutions. The role combines billing expertise, EHR configuration, and strong customer-facing communication to guide customers from kickoff through go-live.

You will assess billing workflows, configure RCM functionality, support training, document requirements, and ensure successful adoption of