RCMS Solutions Consultant (EHR/medical billing strategies)

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 primarily seeking candidates in Nashville or Tampa to work a hybrid schedule in either office location.

Summary of the RCMS Solutions Consultant

The RCMS Solutions Consultant plays a critical role in ensuring customer success, satisfaction, and growth within Qualifacts’ Revenue Cycle Management Services (RCMS). Reporting to the Director of Customer Operations, this role combines deep knowledge of revenue cycle best practices with hands-on experience in behavioral health EHR platforms (Credible, CareLogic, and/or InSync). The RCMS Solutions Consultant partners with internal and external stakeholders to solve customer challenges, optimize EHR clinical and billing workflows, and recommend strategies that drive customer growth and retention. This position requires strong consultative skills, the ability to translate complex RCM and EHR requirements into practical solutions, and a customer-first mindset.

Responsibilities for the RCMS Solutions Consultant

• Consult with customers and internal teams to analyze revenue cycle challenges, identify root causes, and recommend best practice solutions
• Provide expertise on clinical and billing workflows within behavioral health EHR systems (Credible, CareLogic, InSync) to optimize operational efficiency, accuracy and payments
• Partner with the Director of Customer Operations and cross-functional teams to ensure alignment of customer strategies with RCMS strategic objectives
• Deliver best practices, both onsite and virtual, to support customer adoption, retention, and operational success
• Support customer escalations by providing SME input on RCM processes, payer rules, and EHR functionality
• Collaborate with RCM Operations, Implementation, Customer Success, Product, and Support teams to share customer insights, influence product improvements, and promote best practices
• Assist with customer-facing training, documentation, and other events to strengthen customer knowledge and engagement
• Contribute to the overall growth of the RCMS portfolio by helping identify opportunities for expansion and improved retention

Success Metrics of the RCMS Solutions Consultant

• Measurable improvements in customer RCM performance (e.g., AR days, net collection rate, denial reduction)
• Increased customer adoption of RCMS best practices and EHR optimization strategies
• Reduction in escalations and resolution time due to proactive SME involvement
• Growth and retention of customer accounts supported by consulting initiatives

Qualifications of the RCMS Solutions Consultant

• Bachelor’s degree in healthcare administration, Business, or related field (or equivalent experience)
• 3+ years of experience in revenue cycle management, healthcare consulting, or EHR optimization
• Hands-on experience with behavioral health EHR platforms (Credible, CareLogic, and/or InSync) is required

Knowledge, Skills, and Abilities of the RCMS Solutions Consultant

• Strong knowledge of front, middle, and back-end RCM processes and payer rules. 
• Understanding both clinical and billing workflows in behavioral health EHRs
• Proven consultative skills, with ability to engage stakeholders, facilitate discussions, and influence outcomes
• Strong organizational skills, with the ability to manage multiple customer engagements and deliverables
• Excellent communication skills (verbal and written), with the ability to present to executives, staff, and customers

Qualifacts is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.