Jobs at Qualifacts Systems

Seeking a Manager for DevOps to oversee team and systems, ensuring efficient operations within an inclusive work environment.

Triage and investigate issues in a behavioral-health EHR: reproduce bugs, trace ASP.NET/Classic ASP code and SQL Server data flows, document findings, collaborate with teams, and use AI-assisted tools to accelerate debugging and development.

Investigate and resolve complex accounts receivable and claim denials, analyze denial trends, lead payer escalations, prepare appeals, mentor Level 1 associates, and implement strategies to reduce aging and improve reimbursement.

The RCMS AR Specialist II investigates and resolves complex AR/Denial issues, analyzes trends, leads payer calls, and prepares appeals for denied claims.

The RCMS Denials Analyst II investigates denial issues, analyzes trends, initiates escalated calls, prepares appeals, and collaborates on process improvement.

Build and own backend systems, REST APIs, and data layers powering iOS/Android apps for a HIPAA-compliant behavioral health patient portal. Lead architecture, optimize queries and schemas, implement distributed async/event-driven workflows, and deploy services on AWS.

Lead a backend-focused engineering team owning delivery, quality, hiring, and team health. Drive performance management, partner with product and clinical stakeholders, make architecture decisions, remove blockers, and maintain technical standards.

Manage and oversee customers' RCMS contracts and billing operations across multiple accounts. Ensure revenue cycle processes meet KPIs, perform payer and industry research, create month-end reports, identify trends/root causes, and lead complex RCM problem resolution and process improvements with minimal leadership support.

Support monthly close and financial reporting using US GAAP: prepare journal entries, reconciliations, intercompany allocations, fixed asset and capitalized software schedules, and tax filings. Conduct balance sheet reviews, assist audits, research and resolve variances and tax notices, and collaborate cross-functionally to ensure accurate accounting for the software business.

Develop new features and enhancements for EHR software, troubleshoot bugs, participate in Scrum, and contribute to architecture and design.

Design, scale, and maintain automated test frameworks for API, UI, and backend systems; integrate tests into CI/CD pipelines; collaborate with developers; build and run load, stress, and performance tests; debug failures and analyze results to ensure high-quality releases.

Supervise daily accounts receivable operations, ensure timely follow-up on claims, provide coaching to team members, and track performance indicators.

Manage accounts receivable, denial processes, and team development, ensuring compliance and quality in revenue cycle management while optimizing financial performance.

The role involves posting insurance and patient payments, interpreting EOBs, ensuring compliance with HIPAA, and assisting with team queries in a revenue cycle management context.

As an RCMS Denials Analyst II, you will investigate denial issues, analyze trends, lead payer calls, develop strategies to reduce denials, and maintain documentation.

The role involves resolving complex accounts receivable issues, analyzing denial trends, leading payer calls, and mentoring Level 1 associates in denial management.

The Business Development Representative generates leads for the marketing and sales team, qualifies prospects through calls and emails, and supports the sales pipeline with Account Executives.

The Enterprise Account Manager will manage relationships with enterprise clients, ensuring satisfaction and identifying growth opportunities.

The Business Analyst for Revenue Cycle Management supports the RCM Services department by gathering requirements, optimizing workflows, and analyzing data to enhance revenue performance and compliance.

The Regional Sales Manager will manage a full sales cycle, develop client relationships, drive sales, and exceed performance metrics in behavioral health SaaS solutions.