Revenue Cycle Relationship Manager (EHR platform)

Qualifacts•Tampa, FL

20h•Hybrid

About The Position

Qualifacts is a leading provider of behavioral health software and SaaS solutions, including the CareLogic®, Credible™, and InSync® platforms, serving the behavioral health, rehabilitative, and human services market. The company supports over 2,500 customers and 75,000 providers, serving more than 6 million patients, and has been recognized in the Best in KLAS reports. The Revenue Cycle Relationship Manager is responsible for overseeing a customer's revenue cycle relationship and acting as their advocate within Qualifacts. This role serves as the primary point of contact for RCM clients, managing accounts, driving client engagement, and delivering top-notch service. Key responsibilities include Client Relationship Management, Account Management, Client Onboarding, Performance Monitoring, Client Communication, and Issue Account Resolution. This position typically handles small- and mid-market sized accounts and requires a hybrid schedule in either the Nashville or Tampa office locations, with remote candidates not being considered.

Requirements

Bachelor’s degree, plus 3 years of related experience in client success, account management in healthcare, or RCM industry; or master’s degree and 1 years of related experience
Experience in a customer facing role in healthcare with responsibility using EHR applications for medical billing, or Behavioral Healthcare billing
Experience with state billing requirement and insurance standards across different states
Exhibits strong RCM knowledge
Has strong software knowledge
Possess wide-ranging experience, using in-depth professional knowledge, acumen, concepts and company objectives to develop, resolve customer business requirements
Can proactively analyze the client’s financial health on a monthly basis to identify reimbursement trends, patterns of denials and to develop an intimate understanding of the factors that are contributing to the clients’ financial performance
Understand the interrelationships of different EHR functionality and impacts
Competent with reporting and data analytics in support of engagement requirements
Competent with contractual terms/language, obligations and legal/risk management
Competent in Financial Statement (i.e., P&L, Balance Sheet, revenue & expense) results and terminology
Competent in all aspects of Customer and Qualifacts compliance needs – including GAAP, Medicare/payer requirements, and State and Federal mandates
Serve as advisor on customer issue analysis that requires evaluation of identifiable factors
Devise solutions based on limited information and adapts existing approaches to resolve issues
Use knowledge to evaluation, judgment, and interpretation to select right course of action
Will work across the organization with various key department on Regional model
Excellent customer service skills
Excellent written and oral communication skills
Ability to think quickly and logically to ensure solutions identified
Strong attention to detail and follow-through skills
Deep understanding of revenue cycle management processes and healthcare billing
Strong analytical skills with the ability to interpret data and trends
Strong organizational and project management abilities
Customer-focused mindset with a passion for delivering exceptional client service

Nice To Haves

Exposure to behavioral/mental health care strongly preferred

Responsibilities

Assess agencies’ billing requirements, EDI files, and other RCM process, seek collaborative solutions, and prepare and present recommendations
Resolve concerns with partners and team members with minimal support from leadership to ensure a productive revenue cycle
Responsible for developing a mitigation plan for RCM risks (functional gaps and inefficiencies) associated with the revenue cycle
Navigate all levels of the organization and Qualifacts to meet customer engagement and escalation needs
Accountable for identifying and facilitating growth opportunities
Accountable as primary resource for communication points with existing Customers across all business segments
Accountable for the ongoing satisfaction and growth of Customer engagements
Accountable for support of growth and bookings targets
Navigate all levels of a Customer organization for engagement with all Stakeholders
Navigate Qualifacts to meet Customer engagement needs
Secure in managing change and solutioning for Customer and Qualifacts obstacles/objections including communication and monitoring/controls
Conduct regular ‘partnership reviews’ with Customers to exhibit value in terms of Adoption, Support and Performance
Remain up-to-date and able to navigate industry standards aligned with Customer needs