RCMS Configuration Specialist I

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 I

Summary of the RCMS Configuration Specialist I

We are seeking an RCMS Configuration Specialist to support new customer onboarding, revenue cycle implementation , billing configuration, and EDI clearinghouse setup across healthcare technology solutions. 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 I

• Lead and support new customer RCM implementations from kickoff through go-live, ensuring a smooth, organized, and efficient onboarding experience.
• 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.
• Review and validate software billing configurations with customer implementation teams to ensure quality, accuracy, and readiness for end-user training.
• 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.
• Co-facilitate multiple RCM implementation projects concurrently and collaborate with internal teams on configuration updates and issue resolution.
• 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.
• Identify and Track Billing Guidelines and Payer Requirements to inform RCMS Stakeholders for ongoing support.

Qualifications of the RCMS Configuration Specialist I

• Bachelor’s degree or equivalent experience using EHR applications for medical billing, behavioral healthcare billing, or revenue cycle operations required.
• 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.
• Basic understanding of clearinghouse EDI relationships, payer enrollment, claims submission, and RCM workflows.
• SaaS or cloud implementation experience preferred; EHR/EMR implementation or configuration experience strongly preferred.
• Basic understanding of at least one Qualifacts software platform preferred.
• CPB (Certified Professional Biller) certification a plus.

Knowledge, Skills, and Abilities of the RCMS Configuration Specialist I

• 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.
• 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.