About the Company:
Qualifacts is one of the largest Behavioral Health and Rehabilitative EHR providers in the U.S. today, and we're here to help you better serve your patients through our powerful tools that save you time and resources. We empower providers like you using innovative and trusted technology solutions to achieve exceptional outcomes for those you serve.
Revenue Success Analyst:
This job description outlines a role responsible for overseeing a customer's RCMS contract, ensuring the smooth functioning of the revenue cycle across multiple business accounts, and ensuring key performance indicators (KPIs) are met.
About the Role:
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:
- Oversee a customer's 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
- Responsible for providing oversite of a customer's RCMS contract.
- They should have the ability to address multiple Markets of business accounts.
- They will ensure the revenue cycle is processing appropriately and KPIs are within expected parameters.
Knowledge & Application
- Exhibits advanced RCM knowledge.
- Posses wide-ranging experience, using in-depth professional knowledge, acumen, concepts and company objectives to develop, resolve complex customer business requirements.
- Provides solutions to issues in creative and effective ways. Understands the interrelationships of different EHR functionality and impacts.
- Complexity & Problem SolvingTakes on and/or serves as advisor on complex customer issue analysis that requires evaluation of identifiable factors.
- Devises solutions based on limited information and precedent and adapts existing approaches to resolve issues.
- Uses 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.
- Resolves concerns with team members with minimal support from leadership to ensure a productive revenue cycle.
- Collaboration & InteractionLeading 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.
Duties and Responsibilities
- Maintain & 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
- Has substantial understanding of medical billing, revenue cycle, and applies knowledge and skills to oversee the customer(s)s contract(s).
- Is able to identify trends, identify root causes, and design solutions with minimal support from leadership.
Qualifications:
A Bachelor's degree and 4-6 years of medical billing experience are required, along with excellent Excel skills and the ability to identify trends and design solutions independently.
Required Skills:
- Advanced RCM knowledge
- Problem-solving abilities
- Experience in resolving complex customer issues
This position is based at Vadodara, Gujarat, India and requires work from office.
Shift time - 06:30 PM IST to 03:30 AM IST.
