About this role
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 II
Summary of the RCMS Configuration Specialist II
We are seeking an RCMS Configuration Specialist II to support new customer onboarding, revenue cycle implementation, billing configuration, and EDI clearinghouse setup across healthcare technology solutions. This role serves as a fully independent contributor, handles complex projects, coaches and mentors peers, and acts as a subject matter expert for billing and configuration. 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 for the RCMS Configuration Specialist II
Lead and support new customer RCM implementations, inclusive of complex and high-complexity projects, from kickoff through go-live, ensuring a smooth, organized, and efficient onboarding experience.
Coach, mentor, and provide supplementary guidance to internal team members related to RCM implementation processes, billing configuration, project execution, and issue resolution, as needed.
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.
Act as a subject matter expert for billing and configuration by owning complex payer configurations and billing workflows, providing guidance on payer requirements, claims workflows, clearinghouse setup, configuration decisions, and best-practice implementation approaches.
Review and validate software billing configurations with customer implementation teams to ensure quality, accuracy, and readiness for end-user training.
Validate configuration quality prior to go-live approvals by reviewing billing setup, payer configuration, claims readiness, clearinghouse workflows, and customer-specific requirements.
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.
Independently facilitate multiple RCM implementation projects concurrently and serve as an escalation point for complex billing and configuration questions, including support for Configuration Specialist I staff.
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.
Drive process improvement initiatives by identifying configuration gaps, workflow inefficiencies, recurring implementation risks, and opportunities to improve consistency, quality, and scalability.
Identify and Track Billing Guidelines and Payer Requirements to inform RCMS Stakeholders for ongoing support.
Qualifications of the RCMS Configuration Specialist II
Bachelor’s degree or equivalent experience using EHR applications for medical billing, behavioral healthcare billing, or revenue cycle operations required.
2+ years experience in an RCMS Configuration Level I role, or equivalent.
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.
Strong understanding of clearinghouse EDI relationships, payer enrollment, claims submission, and RCM workflows.
Recognized subject matter expertise in billing and configuration, with the ability to advise peers, customers, and internal stakeholders on complex RCM workflows and configuration requirements.
SaaS or cloud implementation experience required; EHR/EMR implementation or configuration experience strongly required.
Demonstrated expertise across multiple Qualifacts software platforms required, including the ability to apply platform-specific configuration knowledge to billing workflows, payer setup, claims processing, reporting, and implementation readiness.
Demonstrated ability to work as a fully independent contributor, including ownership of complex implementation deliverables, configuration decisions, customer-facing recommendations, and cross-functional follow-through.
CPB (Certified Professional Biller) certification a plus.
Knowledge, Skills, and Abilities of the RCMS Configuration Specialist II
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.
Ability to coach and mentor peers, participate in training and onboarding new team members, share billing and configuration expertise, reinforce process standards, and support consistent execution across implementation projects.
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.
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