RCMS Associate II
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!
This is an onsite position, 5 days/week, in the Vadodara office. Remote applicants will not be considered.
Responsibilities for the RCMS Associate II
- Utilize clearing house to process claims
- Work claims within a 24 hour time period
- Identify rejection trends and work towards reducing them for customers
- Work with managed care networks and insurance carriers to process claims
Qualifications of the RCMS Associate II
- Minimum of 3 years of experience in medical billing terminology; should be able to adhere to practice policies, procedures, and protocol
- Understanding of the entire medical billing cycle, clearinghouse rejections, coding, diagnoses, and modifiers
Knowledge, Skills, and Abilities of the RCMS Associate II
- Ability to prioritize and multi-task and communicate effectively in a professional manner with patience
- Excellent written and verbal communication skills and strong customer service skills
- Average, or above average typing speed
- Experience working with managed care networks and insurance carriers
- Understanding of the current Medicare Compliance and HIPAA regulations
- Proficiency MS Office, specifically Excel
Qualifacts is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, disability, military status, national origin, or any other characteristic protected under federal, state, or applicable local law.