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Sr. Implementation Specialist, Billing

1 day ago

Tampa, Florida, United States Qualifacts Full time

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

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 Senior Billing Implementation Specialist

The Senior Billing Implementation Specialist exhibits advanced wide-ranging experience, using in-depth professional knowledge, acumen, concepts and company objectives to develop, resolve complex models and procedures. They provide solutions to issues in creative and effective ways and understand the interrelationships of different disciplines. They direct the application of existing principles and guides development of new policies and ideas and posses wide-ranging experience, using in-depth professional knowledge, acumen, concepts and company objectives to develop, resolve complex customer clinical and business requirements. 

Responsibilities for the Senior Billing Implementation Specialist

  • Develop implementation tools and guides
  • Understand and work on complex issues where analysis of situations or data requires an in-depth evaluation of variable factors
  • Determine methods and procedures on new assignments
  • Exercise judgment in selecting methods, evaluating, adapting of complex techniques and evaluation criteria for obtaining results; work is reviewed upon completion and is consistent with departmental objectives
  • 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
  • Network with key contacts outside own area of expertise
  • Adapt style and use persuasion in delivering messages that relate to the wider firm business
  • Frequently advise others on complex matters
  • May be accountable through team for delivery of tactical business targets
  • Lead efforts in assessment of complex RCM billing and reporting requirements, seek collaborative solutions, and prepare and present recommendations
  • Network with key contacts outside of implementations to identify gaps in functionality and participates with product on new functionality delivery
  • Conduct 4-5 large and/or complex implementation projects concurrently
  • Direct the assignment of less experienced staff assigned to support the larger projects
  • Work directly with our new customers across the entire implementation life cycle
  • Advise on, present, and support the configuration of EHR during the implementation
  • Conduct implementation analysis and training sessions with clients to facilitate solution configurations and workflow set-up
  • Resolve client inquiries, maintaining ownership through resolution
  • Maintain project tool updates and provide direct communication with customer via meeting agendas, minutes, and other project management tools
  • Participate in the training and mentoring of new team members

Qualifications of the Senior Billing Implementation Specialist

  • Bachelor's degree in related area or equivalence in combination of prior work or educational experience
  • 8 years of related work experience such as using EHR applications, or conducting software implementations, training facilitation, or medical billing systems experience
  • Must have at least 2 years CareLogic/Credible system administration/configuration experience with Billing systems expertise
  • Completed the Qualifacts/Credible Certification program. Successfully leading at least 6 Qualifacts/Credible Implementation.

Knowledge, Skills, and Abilities of the Senior Billing Implementation Specialist

  • 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.