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Key skills for this role
Supervise the day-to-day activities of the Charges team to ensure productivity, accuracy, and turnaround time (TAT) goals are achieved.
Monitor charge entry, claim generation, and work queues to ensure timely claim submission.
Review operational metrics and implement action plans to improve performance.
Ensure compliance with payer guidelines, client requirements, and organizational SOPs.
Conduct regular quality audits and identify process improvement opportunities.
Prepare and present daily, weekly, and monthly operational reports.
Act as the primary operational point of contact for assigned clients.
Conduct regular client meetings to review operational performance, discuss concerns, and provide updates.
Build and maintain strong customer relationships through proactive communication.
Resolve client escalations by coordinating with internal stakeholders and providing timely resolutions.
Identify opportunities to improve client satisfaction and operational efficiency.
Lead the operational onboarding of new customers and practices.
Coordinate with Configuration, Credentialing, IT, Eligibility, Claims, AR, and other internal teams to ensure a smooth transition.
Develop and maintain onboarding plans, implementation timelines, and go-live checklists.
Validate workflows, billing guidelines, payer configurations, and documentation before production go-live.
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More from this employer
Vadodara, IND
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Qualifacts is seeking an engineering lead to own delivery, quality, team health, hiring, and performance management for a backend-heavy behavioral health software product team. The role requires hands-on Python, Django,
Vadodara, IND
Vadodara, IND
Vadodara, IND
Vadodara, IND
Vadodara, IND
Vadodara, IND
Vadodara, IND
Vadodara, IND
Conduct onboarding calls, process walkthroughs, and user training sessions where required.
Ensure all onboarding milestones are completed within agreed timelines.
Lead, mentor, and coach team members to achieve individual and team objectives.
Conduct regular performance reviews, feedback sessions, and skill development activities.
Assist in recruitment, onboarding, and training of new team members.
Promote a culture of accountability, collaboration, and continuous improvement.
Identify operational gaps and recommend automation or process enhancements.
Collaborate with Quality, MIS, and technical teams to improve workflows.
Drive initiatives to reduce rework, improve first-pass acceptance rates, and enhance operational efficiency.
Participate in client implementation and process transformation projects.
Experience with customer onboarding and implementation projects.
Exposure to workflow documentation, SOP creation, and process mapping.
Experience working with behavioral health EHRs such as CareLogic, Credible, InSync, or similar platforms is preferred.
Knowledge of claim edits, payer-specific billing requirements, and denial prevention strategies.
Charge Entry Accuracy
Turnaround Time (TAT)
First-Pass Claim Acceptance Rate
Productivity and SLA Compliance
Client Satisfaction Score (CSAT)
Successful Onboarding and Go-Live Timelines
Quality Audit Scores
Team Engagement and Performance Metrics
Escalation Resolution Time
Process Improvement Initiatives Delivered
Customer Focus
Leadership
Operational Excellence
Strategic Thinking
Communication
Accountability
Team Development
Problem Solving
Collaboration
Continuous Improvement
Qualifacts is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
Private healthcare software company providing AI-powered EHR and data solutions to behavioral health and human-services organizations.
Visit company websiteJobs and hiring trendsFull-time
Senior · 5+ years experience
Onsite
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