Qualifacts Systems

Revenue Cycle Relationship Manager (EHR platform)

Qualifacts Systems • $70K — $95K *
Nashville, TN 37211In-Person
Healthcare
Less than 5 years of experience
Today
Be an Early Applicant
Job Overview by Ladders

Qualifications

  • Bachelor's degree with 3 years related experience in healthcare client success or RCM, or a master's degree with 1 year of experience.
  • Experience in a customer-facing role using EHR applications for medical billing or Behavioral Healthcare billing.
  • Familiarity with state billing requirements and insurance standards across various states.

Responsibilities

  • Assess and recommend solutions for agencies' billing requirements and EDI files.
  • Resolve partner and team concerns independently to maintain revenue cycle effectiveness.
  • Develop mitigation plans for functional gaps and inefficiencies in revenue cycles.
  • Engage with all levels of customer organizations for effective communication and escalation.
  • Identify and facilitate growth opportunities for customer accounts.
  • Conduct partnership reviews to demonstrate value and performance to customers.

Benefits

  • Hybrid work schedule with options in Nashville or Tampa offices.
  • Opportunity to manage small- and mid-market client accounts.
  • Role as a trusted advisor and advocate for clients within Qualifacts.
  • Engagement with cross-functional teams during client onboarding.
  • Access to continuous professional development in revenue cycle management.
Full 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.

Summary of the Revenue Cycle Relationship Manager

The Revenue Cycle Relationship Manager is responsible for providing oversite of a customer's revenue cycle relationship and act as the advocate for the customer in the relationship with Qualifacts. They will serve as the primary point of contact for our RCM clients, managing their accounts, driving client engagement, and delivering top-notch service. The main areas they will be touching on are:

  • Client Relationship Management: Building and maintaining strong, long-lasting relationships with clients, becoming their trusted advisor and advocate within the company
  • Account Management: Proactively managing a portfolio of RCM client accounts, ensuring the timely and effective delivery of our services by way of delegation and direction of work to operations team
  • Client Onboarding: Collaborating with cross-functional teams to ensure a smooth and efficient onboarding process for new RCM clients
  • Performance Monitoring: Continuously monitoring key performance indicators (KPIs) and financial metrics for clients, identifying areas for improvement and recommending strategies to optimize revenue cycles
  • Client Communication: Regularly communicating with clients to provide updates on their account status, share industry insights, and offer best practices; gathering client feedback and insights to drive product improvements and enhancements
  • Issue Account Resolution: Addressing client concerns, inquiries, and issues promptly and effectively, collaborating with internal teams to find solutions


This Revenue Cycle Relationship Manager will generally be assigned to small- and mid-market sized accounts.

Responsibilities for the Revenue Cycle Relationship Manager
  • 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


Qualifications of the Revenue Cycle Relationship Manager
  • 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


Knowledge, Skills, and Abilities of the Revenue Cycle Relationship Manager
  • 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
  • Exposure to behavioral/mental health care strongly preferred

About Qualifacts Systems

Qualifacts Systems, Inc. is a healthcare technology company that provides electronic health record (EHR) software and services to behavioral health and human services organizations. The company's products include CareLogic Enterprise, CareLogic Mobile, and CareLogic Engage. CareLogic Enterprise is a cloud-based EHR software that provides clinical, financial, and administrative tools for healthcare providers. CareLogic Mobile is a mobile application that allows healthcare providers to access patient information and clinical tools on their mobile devices. CareLogic Engage is a patient portal that allows patients to access their health information and communicate with their healthcare providers. Qualifacts Systems, Inc. was founded in 2000 and is headquartered in Brentwood, Tennessee.
Learn more about Qualifacts Systems
Size
300 employees
Industry
Healthcare
Net Income
-$5 million
Founded
2000
5 Year Trend
+20%
Revenue
$30 million
* Ladders Estimates

Similar Jobs

Ad banner background

Get Ready For Your
Next Interview

More Jobs at Qualifacts Systems

More Healthcare Jobs

Find similar Revenue Cycle Relationship Manager (EHR platform) jobs:

NationwideNashville, TN