History of Qualifacts For more than 20 years, Qualifacts has delivered thoughtful innovation, technology, support, and services to the behavioral health and human services market. Most recently, Quali
Job Description: Key ResponsibilitiesManage day to day operations of the credentialing team in India, ensuring timely and accurate completion of credentialing and re credentialing activities. Supervise staff, provide coaching, and ensure adherence to standard operating procedures and best practices. Optimize…
Job Description:(Mandatory): JS Based Frameworks/Tools like Playwright, Cypress/ Hybrid Frameworks with Selenium. Test Planning, Agile/Scrum, DevOps Basic Workflow Understanding Follow the automation strategy and roadmap, work based on priorities Collaborate with cross functional teams to identify automation opportunities, undefined Develop…
Job Description: Review and analyze rejected claims or invoices.Identify the reasons for claim rejection, such as coding errors, missing information, or billing discrepancies. Communicate with internal departments or external parties to resolve issues causing claim rejection. Update databases or software…
Job Description: Key Responsibilities: 1. Accurate Payment Posting:Accurately post all insurance and patient payments by line item using medical claim billing software. 2. Meeting Payment Posting Deadlines:Meet deadlines for posting payments to ensure timely reconciliation of accounts receivable. 3. Interpretation…
Job Description: Responsibilities: Supervision and Leadership:Lead and mentor a team of RCM Charges Associates. Provide training on billing procedures, software systems, and compliance standards. Conduct regular performance evaluations and provide feedback for professional development. Foster a collaborative and supportive work…
Job Description: Responsibilities for the Software Engineer IIDevelop software solutions and deliver product enhancements Troubleshoot software applications, provide technical support to achieve development objectives. Participate in the design and development of complex web based EHR systems. Ensure the best practices…
Job Description: Key Responsibilities: 1. Accurate Payment Posting:Accurately post all insurance and patient payments by line item using medical claim billing software. 2. Meeting Payment Posting Deadlines:Meet deadlines for posting payments to ensure timely reconciliation of accounts receivable. 3. Interpretation…
Job Description: Key Responsibilities: 1. Accurate Payment Posting:Accurately post all insurance and patient payments by line item using medical claim billing software. 2. Meeting Payment Posting Deadlines:Meet deadlines for posting payments to ensure timely reconciliation of accounts receivable. 3. Interpretation…
Job Description: Key Responsibilities: 1. Accurate Payment Posting:Accurately post all insurance and patient payments by line item using medical claim billing software. 2. Meeting Payment Posting Deadlines:Meet deadlines for posting payments to ensure timely reconciliation of accounts receivable. 3. Interpretation…
Job Description: Revenue Success Analyst: This job description outlines a role responsible for overseeing a customer’s RCMS contract, ensuring the smooth functioning of the revenue cycle across multiple business accounts, and ensuring key performance indicators (KPIs) are met. About the…
Job Description: Key Responsibilities: 1. Accurate Payment Posting:Accurately post all insurance and patient payments by line item using medical claim billing software. 2. Meeting Payment Posting Deadlines:Meet deadlines for posting payments to ensure timely reconciliation of accounts receivable. 3. Interpretation…
Job Description: Key Responsibilities:Supervise daily AR operations for assigned clients/projects. Monitor AR aging buckets and ensure timely follow up on outstanding claims. Drive resolution of denials (Authorization, Eligibility, Credentialing, Coding, etc.). Ensure compliance with TAT, productivity, and quality SLAs. Provide…
Job Description: Key Responsibilities: 1. Ensuring the team meets Payment Posting Deadlines:Meet deadlines for posting payments to ensure timely reconciliation of accounts receivable. 2. Attendance at Staff Meetings and Educational Sessions:Regularly attend monthly staff meetings and participate in continuing educational…
Job Description: Experience Required: Minimum 1–2 years of work experience in the same domain (RCM Rejection/AR/Denial Management). Work Schedule: Must be available to work in the EST time zone. Key Responsibilities:Min 1 2 years of work experience in the same…
Job Description: Responsibilities:Create and update test scenarios/cases on a regular basis . Conduct thorough manual testing, including functional, regression, integration, and system testing, to identify defects and ensure the stability of the softwareDevelop and execute test cases, test scripts, and…
Job Description: Job Description: RCM Rejection Associate (Intermediate Level) Experience Required: Minimum 1–2 years of work experience in the same domain (RCM Rejection/AR/Denial Management). Work Schedule: Must be available to work in the EST time zone. Key Responsibilities:Min 1 2…
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…
Job Description: Job Description: RCM Rejection Associate (Intermediate Level) Experience Required: Minimum 1–2 years of work experience in the same domain (RCM Rejection/AR/Denial Management). Work Schedule: Must be available to work in the EST time zone. Key Responsibilities:Min 1 2…
Job Description: RCM Rejection Associate (Intermediate Level)Handle more complex rejection cases that require in depth analysis or investigation. Collaborate with billing specialists or healthcare providers to address systemic issues contributing to claim rejection. Develop and implement strategies to reduce claim…
Job Description: Responsibilities:Coordinating and communicating between support, engineering, and product teams to ensure timely resolution of customer issues. Take ownership of issues reported by customers. Conduct root cause analysis for technical issues involving multiple systems. Participates in regular review discussions/calls…
Job Description: ResponsibilitiesDevelop software solutions and deliver product enhancements Troubleshoot software applications, provide technical support to achieve development objectives. Oversee day to day activities of a sprinting team, sprint planning and release milestone planning and performance management Works alongside other…
Job Description: Responsibilities:Develop and optimize compliance reporting and deployment automation software, ensuring high performance, security, and maintainability. Collaborate closely with Product Owners to shape requirements, refine technical specifications, and assess feasibility. Contribute to architectural discussions, ensuring software solutions align with…
Job Description: ResponsibilitiesProvide hardware and software support for both remote and in office users. Provide direct service for IT networks. Maintain a work log of job tickets and maintenance tasks. Remains current with technology trend and computing technologies. Maintain and…
Job Description: Contracts Processor Responsibilities for the Contracts ProcessorProcess all Service Change Forms, Statements of Work, Amendments, and additional contract documents for Qualifacts Systems' three platforms within Salesforce, customer folders, and master file templates. QA work daily through Salesforce report/dashboard…
Job Description:Summary of the Lead (Manual) of Quality Engineering The Lead (Manual) of Quality Engineer is both a tactical and strategic leadership member of the Quality Engineering department and responsible for all Quality Engineering services. The leader will be responsible…
Job Description: Senior Accountant I, Revenue Summary of Senior Accountant I, Revenue The Senior Accountant I, Revenue will support all aspects of the revenue cycle within the organization. This position has specific responsibility in ensuring billing is timely and accurately…