RCMS Implementation & Revenue Cycle Associate

Qualifacts

Nashville (TN)

Hybrid

USD 52,000 - 80,000

Full time

3 days ago
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Job summary

Qualifacts is seeking an entry-level RCMS Configuration Associate in Nashville or Tampa for a hybrid role. You will support onboarding, billing configuration, and EDI setup for healthcare customers under senior guidance.

You will learn revenue cycle workflows, EHR configuration, payer requirements, and reporting while assisting with configuration tasks and customer training to ensure successful implementations.

Qualifications

  • 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.
  • CPB (Certified Professional Biller) certification a plus, but not required.

Responsibilities

  • 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.

Skills

Healthcare billing
EHR configuration
Customer service
Implementation support
Documentation
Payer setup

Education

Bachelor’s degree or equivalent experience using EHR applications

Job description

Qualifacts is seeking an entry-level RCMS Configuration Associate in Nashville or Tampa for a hybrid role. You will support onboarding, billing configuration, and EDI setup for healthcare customers under senior guidance.

You will learn revenue cycle workflows, EHR configuration, payer requirements, and reporting while assisting with configuration tasks and customer training to ensure successful implementations.

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