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.
Job Title: Revenue Cycle Management (RCM) Reporting Analyst - I
Overview
The Reporting Analyst (I) is responsible for preparing, maintaining, and distributing accurate and timely reports to support RCM operations. This role focuses on data collection, validation, basic analysis, and reporting related to revenue cycle metrics such as billing, AR, collections, denials, and productivity. The analyst will work closely with operations, quality, and leadership teams to ensure data integrity and reporting consistency.
Key Responsibilities
- Reporting & MIS Activities:
- Prepare daily, weekly, and monthly MIS reports for RCM operations (Billing, AR, Denials, Posting, Credentialing, etc.).
- Maintain standard dashboards and trackers for productivity, quality, SLA, and TAT.
- Ensure accuracy, completeness, and timeliness of all reports shared with stakeholders.
- Extract data from multiple systems (EMR, PM tools, RCM platforms, trackers).
- Data Management & Validation:
- Perform basic data validation and reconciliation to ensure report accuracy.
- Identify data gaps, inconsistencies, or anomalies and flag them to supervisors.
- Maintain historical data and ensure proper version control of reports.
- Update master trackers and ensure data hygiene.
- Operational Support:
- Support operations teams with ad-hoc data requests and analysis.
- Assist in audit preparation by sharing required MIS and supporting documents.
- Coordinate with team leaders and managers to understand reporting requirements.
- Follow defined SOPs for report generation and distribution.
- Process Adherence & Improvement
- Adhere to reporting timelines and escalation protocols.
- Document report logic, definitions, and SOPs.
- Suggest basic improvements in report formats or automation opportunities.
- Always ensure confidentiality and data security.
Key Metrics Tracked (not Exhaustive)
- Productivity and utilization
- AR aging and follow-ups
- Collections and cash posting
- Denials volume and trends
- SLA / TAT adherence
- Quality and error rates
Required Skills & Qualifications
Education
- Bachelor's degree in commerce, Business Administration, Statistics, Finance, or related field.
Experience
- 0–2 years of experience in MIS / reporting / data support role.
- Prior exposure to RCM or healthcare operations is preferred but not mandatory.
Technical Skills
- Strong knowledge of MS Excel (VLOOKUP/XLOOKUP, Pivot Tables, basic formulas).
- Working knowledge of MS PowerPoint and Word.
- Basic understanding of databases, reporting tools, or dashboards is a plus.
- Exposure to RCM workflows (Billing, AR, Denials) is an advantage.
Should demonstrate functional knowledge or strong ability to learn-
- MS Excel- advanced formulae, lookups, filtering, sorting, identifying anomalies
- Power BI- AI assisted DAX coding and debugging
- Power Query- Data ingestion and clean up
- Power Pivot- For summarization of power query outputs
- Python- AI assisted debugging (not coding) and manual checks for data pulling
- Copilot- Should be able to write great prompts for data analysis
Behavioral & Functional Skills
- High attention to detail and accuracy.
This is an onsite position, 5 days/week, in the Vadodara office working the NIGHT SHIFT. Hours are 5:30pm-2:30am IST. Remote applicants will not be considered.
Join our team and play a crucial role in driving data-driven decision-making and optimizing revenue cycle management processes through insightful reporting and analysis.
Qualifacts is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
