Jobs at Qualifacts Systems

Provides advanced Level 2 EHR billing support, resolves complex escalations, and delivers frontline customer service through ticketing, chat, and phone channels. Leads SOP compliance, KPI reporting, SLA/SLO adherence, customer satisfaction, and continuous improvement. Serves as a subject matter expert, coaches team members, coordinates with support management, and provides training and consultation while independently analyzing and resolving high-complexity issues.

Processes and maintains customer contracts, amendments, statements of work, vendor agreements, and related commercial records. Reviews documents and Salesforce data for accuracy, applies contract policies and approval requirements, identifies discrepancies, coordinates with Sales, Finance, Legal, Billing, and Account Management, and maintains complete audit-ready contract files. The role also performs quality assurance, queue management, issue resolution, template maintenance, basic analysis, and cross-training. This is an onsite, night-shift position in Vadodara.

Leads and mentors a 15+ member full-stack engineering team in an Agile/Scrum environment. Oversees software delivery from architecture and development through deployment and maintenance, contributes to technology roadmaps, and drives scalable SaaS solutions using Microsoft technologies, AWS, microservices, SQL Server, and AI-assisted development tools. Collaborates with product, architecture, QA, stakeholders, and US-based teams while managing people, delivery priorities, quality standards, and continuous improvement.

Leads quality assurance for complex applications by creating test strategies, plans, and cases; executing functional, regression, integration, system, performance, and API testing; documenting defects; and supporting release sign-off. Mentors junior QA engineers, reviews testing deliverables, drives process improvements, conducts risk analysis, communicates quality metrics, and collaborates with development, product, DevOps, management, and stakeholders in an Agile environment.

Configure, enroll, maintain, and troubleshoot EDI clearinghouse integrations across multiple EHR and RCMS platforms. Collaborate with configuration teams and account managers on access, mapping, transitions, and process improvements. Resolve client inquiries and Salesforce tickets within defined turnaround times while ensuring accurate billing configuration, customer satisfaction, and compliance with established procedures.

Troubleshoot and resolve low- to moderate-complexity customer issues across cases, phone, and live chat. Document interactions, maintain case quality, meet SLA and customer satisfaction targets, create solution articles, reduce escalations, and communicate professionally with customers and internal teams. The role requires sound judgment, collaboration, customer empathy, and the ability to seek guidance when handling complex issues.

Generates and qualifies cold and warm leads through outbound calls and email, schedules discovery calls and demos, and nurtures prospects with Account Executives. Maintains accurate Salesforce records, supports CRM data integrity, meets lead-generation KPIs, and contributes to sales pipeline growth. The role requires strong communication, relationship-building, organization, motivation, and the ability to learn healthcare and SaaS terminology.

Generates and qualifies cold and warm leads through phone and email outreach, schedules discovery calls and demos, and nurtures prospects for Account Executives. Maintains accurate Salesforce records, supports CRM data integrity, meets lead-generation KPIs and opportunity quotas, and collaborates with marketing and sales. The role requires strong communication, research, relationship-building, organization, and the ability to learn healthcare and SaaS terminology.

Oversee customer revenue cycle management contracts across multiple business accounts. Lead billing operations, monitor KPIs, analyze payer and industry requirements, resolve complex EHR and EDI issues, coordinate teams, identify root causes, develop solutions, and prepare monthly performance reports for provider practices.

Analyzes and resolves revenue cycle management denials. The provided description contains no further responsibilities or qualification details.

Processes commercial contracts for new sales, renewals, amendments, service changes, and vendor agreements. Reviews documents and Salesforce records for accuracy, applies established policies and approval requirements, identifies discrepancies, coordinates with Sales, Finance, Legal, Billing, and Account Management, and maintains complete contract records. Performs quality assurance, manages processing queues, researches routine issues, supports reporting and audits, and maintains templates and process documentation.

Manage and secure hybrid on-premises and AWS infrastructure, including application deployments, OpenShift containers, configurations, patches, monitoring, audit logs, and runbook documentation. Collaborate with IT and cross-functional teams on releases, change control, system optimization, technology evaluation, and operational procedures. Support enterprise Java applications and application servers while using Linux, scripting, and automation tools to maintain reliability and security.

Supports monitoring and management of server and service alerts, coordinates alert escalations, performs scheduled maintenance, and maintains technical documentation. The role requires on-site availability in Lima and a minimum six-month professional internship. Candidates should understand cloud computing, Linux, networking, system administration, containers, version control, and preferably scripting or Infrastructure as Code.

Leads enterprise software architecture, engineering delivery, technical standards, and organizational modernization. The role manages architects, technical leads, engineering managers, and cross-functional teams while ensuring scalability, performance, security, reliability, observability, and predictable delivery. It also establishes KPIs, mentors engineering leaders, modernizes legacy platforms into cloud-native architectures, and partners with Product, QA, DevOps, and Infrastructure teams.

Administer and support the VisiQuate revenue cycle analytics and workflow platform. Configure dashboards, KPIs, reports, alerts, workflows, user access, and permissions; validate data and troubleshoot integrations. Coordinate testing, releases, UAT, and change documentation. Provide user support, training, and job aids while partnering with Revenue Cycle, IT, Business Analysts, Product Owners, and vendors to improve analytics, workflows, and operational performance.

Develop and maintain full-stack SaaS applications using Microsoft technologies. Analyze requirements, estimate work, write maintainable code, develop RESTful APIs, optimize SQL queries, and follow secure coding standards. Collaborate with product owners, QA, development, and operations teams throughout Agile sprints and releases. Use AI-assisted development tools, automated testing, source control, and technical documentation to deliver reliable software on schedule.

Investigates and resolves complex claims denials, analyzes denial trends, leads payer calls, submits appeals, and develops strategies to improve reimbursement. The role collaborates with internal stakeholders to address denial root causes, documents activities and outcomes, and supports process improvements within the healthcare revenue cycle.

Investigates and resolves complex accounts receivable and denial issues, analyzes denial trends, leads payer disputes, prepares claim appeals, reduces aging and denial rates, documents outcomes, collaborates on root-cause improvements, and mentors junior associates.

Provide technical and customer support for behavioral health software by researching questions, troubleshooting issues, optimizing performance, delivering training and consultation, and resolving moderate- to high-complexity requests. The role requires clear communication, proactive issue ownership, dependable follow-through, collaboration, and expanding knowledge across service offerings including live chat, concierge, and phone support.

Configure, enroll, and maintain EDI clearinghouse integrations for EHR and RCM software customers. Co-facilitate concurrent RCM implementations, analyze billing workflows, configure systems, train clients, resolve inquiries, and communicate project updates. The role requires knowledge of EHR implementation principles, revenue cycle management, medical or behavioral healthcare billing, software configuration, and clearinghouse relationships, along with the ability to coordinate projects and delegate tasks.