Revenue Cycle Analyst

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.

If you want to work inside an atmosphere where innovation has purpose, and your ambition works to support our customers and those they serve, please apply today!

This is an onsite position, 5 days/week, in the Vadodara office working the NIGHT SHIFT. Hours are 6:30pm-3:30am IST. Remote applicants will not be considered.

Summary of the Revenue Cycle Analyst

This job is responsible for overseeing a customers RCMS contract, ensuring the smooth functioning of the revenue cycle across multiple business accounts, and ensuring key performance indicators (KPIs) are met. The ideal candidate should have advanced RCM knowledge, problem-solving abilities, and experience in resolving complex customer issues. They will collaborate with teams, lead billing operations, and report monthly performance.

Responsibilities for the Revenue Cycle Analyst

• Oversee a customers RCMS contract
• Ensure the smooth functioning of the revenue cycle across multiple business accounts
• Ensure key performance indicators (KPIs) are met
• Collaborate with teams
• Lead billing operations
• Report monthly performance
• Provide oversite of a customers RCMS contract
• Address multiple Markets of business accounts
• Ensure the revenue cycle is processing appropriately and KPIs are within expected parameters
• Maintain and coordinate billing operations and support actions with other team members
• Lead efforts in payer and industry research impacting customers businesses
• Coordinate with team members to ensure metrics are met for contracts assigned
• Maintain skills of Senior Billing Specialist; step in and help team members to maintain contractual KPIs
• Monitor accounts for KPI performance and escalations
• Creation of Month End Reporting and submission to provider practices
• Assist in process development

Qualifications of the Revenue Cycle Analyst

• Bachelors degree and 4-6 years of medical billing experience are required
• Excellent Excel skills and the ability to identify trends and design solutions independently
• Advanced RCM knowledge
• Problem-solving abilities
• Experience in resolving complex customer issues
• Has substantial understanding of medical billing, revenue cycle, and applies knowledge and skills to oversee the customer(s)s contract(s)
• Can identify trends, identify root causes, and design solutions with minimal support from leadership

Knowledge, Skills, and Abilities of the Revenue Cycle Analyst

• Exhibit advanced RCM knowledge
• Possess wide-ranging experience, using in-depth professional knowledge, acumen, concepts and company objectives to develop, resolve complex customer business requirements
• Provide solutions to issues in creative and effective ways. Understands the interrelationships of different EHR functionality and impacts
• 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
• Resolve concerns with team members with minimal support from leadership to ensure a productive revenue cycle
• Lead an identified effort of complex RCM billing and reporting requirements, seek collaborative solutions, and prepare and present recommendations
• 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.