Full-Time

RCMS Associate 2

Posted on 10/31/2025

Qualifacts

Qualifacts

1,001-5,000 employees

Behavioral health EHR software with subscriptions

No salary listed

Vadodara, Gujarat, India

In Person

Category
Operations & Logistics (2)
,
Requirements
  • Associate's degree or equivalent experience in healthcare administration, medical billing, or a related field.
  • Demonstrated experience in identifying root causes of claim rejection and implementing corrective actions.
  • Proficiency in using advanced features of billing software or analytical tools for data interpretation.
  • Ability to prioritize tasks and manage multiple projects simultaneously.
  • Strong problem-solving and decision-making skills.
Responsibilities
  • 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 rejection rates and improve overall revenue cycle efficiency.
  • Provide training or guidance to Level 1 associates on resolving complex rejection issues.
  • Participate in cross-functional teams or meetings to discuss process improvements and best practices.

Qualifacts provides end-to-end electronic health record (EHR) software tailored to behavioral health. Its cloud-based platform helps behavioral health professionals and agencies manage client journeys, deliver care, and operate more efficiently through features like virtual care, electronic prescriptions (eRx), and automated workflows. The product integrates into existing workflows and is offered on a subscription basis with optional add-ons and service contracts, targeting multi-site, multi-state organizations. Qualifacts differentiates itself by offering a behavior-health‑specific, highly customizable EHR that streamlines care processes across locations and reduces administrative burden, rather than competing on generic or one-size-fits-all healthcare IT. The company aims to improve care delivery and client outcomes while boosting staff efficiency and satisfaction by automating operations and simplifying workflows.

Company Size

1,001-5,000

Company Stage

N/A

Total Funding

N/A

Headquarters

Nashville, Tennessee

Founded

2000

Simplify Jobs

Simplify's Take

What believers are saying

  • Serves 2,700 organizations, 33% of CCBHCs across 50 states.
  • OTPs grow 5.6% CAGR; MethodOne bolsters SUD market penetration.
  • Qualifacts Marketplace integrates Greenspace, Inovalon, Surescripts partners.

What critics are saying

  • Credible|BEH undercuts pricing 20-30%, erodes CCBHC share in 6-12 months.
  • NetSmart myUnity poaches 15-20% clients via superior FHIR in 18-24 months.
  • CMS FHIR Level 2 mandate by Q2 2027 forces $50M rewrites or exodus.

What makes Qualifacts unique

  • Qualifacts iQ AI suite cuts note-taking time 80%, enabling 50% more clients.
  • First EHR with ISO 42001 AI certification for behavioral health.
  • Acquired MethodOne in April 2026 for integrated MAT/MOUD dispensing.

Help us improve and share your feedback! Did you find this helpful?

Benefits

Hybrid Work Options

Growth & Insights and Company News

Headcount

6 month growth

0%

1 year growth

-1%

2 year growth

30%
GlobeNewswire
Apr 7th, 2026
Qualifacts Acquires MethodOne to Fully Integrate Medication-Assisted Treatment into its EHR Platforms for Substance Use Disorder Providers

Acquisition strengthens Qualifacts' position as the leading behavioral health EHR provider, enabling SUD and OTP providers to better manage controlled...

OPEN MINDS
Apr 7th, 2026
Qualifacts acquires MethodOne to fully integrate medication-assisted treatment into its EHR platforms for substance use disorder providers.

Qualifacts acquires MethodOne to fully integrate medication-assisted treatment into its EHR platforms for substance use disorder providers. Acquisition strengthens Qualifacts' position as the leading behavioral health EHR provider, enabling SUD and OTP providers to better manage controlled medication dispensing, clinical, and billing workflows in a unified solution NASHVILLE, Tenn., April 7, 2026 - Qualifacts, the leading behavioral health technology partner specializing in AI-powered electronic health record (EHR) and data solutions, today announced the acquisition of MethodOne by Computalogic, a comprehensive controlled-medication dispensing software purpose-built for opioid treatment programs (OTPs) and substance use disorder (SUD) providers. The acquisition brings together Qualifacts' award-winning EHR platforms with MethodOne's best-in-class medication dispensing and inventory management capabilities, creating a single, fully integrated solution for the behavioral healthcare market. The MethodOne integration expands Qualifacts' EHR capabilities, closing a critical gap for SUD and complex mental health providers that increasingly require integrated medication-assisted treatment (MAT) and medications for opioid use disorder (MOUD) dispensing. There are approximately 2,224 OTPs operating in the United States, a segment that has grown at 5.6% CAGR since 2019 and collectively treats over half a billion patients annually, the majority of whom are Medicaid beneficiaries. Qualifacts' existing customer feedback indicates that agencies are actively shifting from office-based opioid treatment (OBOT) models to OTPs to take advantage of simpler billing workflows, accelerating demand for an integrated platform that can support both clinical and dispensing needs. "This acquisition is a direct response to what our customers are telling us they need," said Josh Schoeller, CEO of Qualifacts. "Large SUD and mental health organizations require an integrated MAT and MOUD solution to operate effectively, and until now, that has meant cobbling together multiple systems. Bringing MethodOne into the Qualifacts family means our customers get a more complete behavioral healthcare EHR platform, with a single support relationship and a unified roadmap." OTP providers operate under some of the most demanding regulatory requirements in healthcare, subject to overlapping oversight from the DEA, SAMHSA, and state agencies. With MethodOne fully integrated into Qualifacts EHRs, organizations can significantly reduce compliance and billing burden by unifying clinical documentation and controlled substance dispensing workflows, while eliminating duplicative data entry and the risks that come with managing disconnected systems. Providers can spend less time managing software and more time delivering care. MethodOne has built a strong reputation among SUD treatment providers for feature-rich functionality and ease of use. Its functionality is regarded as superior to existing alternatives in the market. Existing MethodOne customers should expect continuity of service and an enhanced product experience as the integration with Qualifacts' EHR platforms deepens over time. "Joining Qualifacts gives MethodOne the scale and resources to accelerate our roadmap and reach more providers who need a better solution," said Keith Jones, CEO of MethodOne by Computalogic. "Together, we can offer SUD treatment organizations something they haven't had before: a truly integrated solution that handles the full scope of their clinical and dispensing needs, backed by a partner with deep and exclusive behavioral healthcare expertise." Building upon the bi-directional integration partnership between Qualifacts and MethodOne established in 2024, this acquisition allows data to flow seamlessly between Qualifacts EHRs and the MAT/MOUD solution, while accelerating development with a shared roadmap and additional resources. The financial terms of the transaction were not disclosed. Qualifacts offers a variety of native and integrated addiction treatment solutions, including ASAM Continuum and Co-Triage assessments, medication administration, labs, inpatient and residential program support. About Qualifacts Qualifacts is the leading behavioral health technology partner, specializing in AI-powered electronic health record (EHR) software and data solutions. Putting the health of individuals first, its award-winning solutions enable behavioral health providers to spend more time on what matters most: delivering superior care that drives better outcomes. Qualifacts is more than a provider of innovative technology - Open Minds is partners in care, working alongside organizations of all sizes nationwide to simplify the lives of behavioral health providers. Open Minds simplify clinical workflows and ensure compliance, while strengthening client-provider relationships. Today, Open Minds serve more than 2,200 organizations across all 50 states, including 33% of the nation's Certified Community Behavioral Health Centers (CCBHCs), supporting both non-profit and for-profit organizations in delivering superior behavioral healthcare. About MethodOne by Computalogic MethodOne by Computalogic is a comprehensive controlled-medication dispensing solution designed for opioid treatment programs and substance use disorder providers. MethodOne's platform streamlines medication dispensing, inventory management, and regulatory compliance for OTPs operating under DEA, SAMHSA, and state agency oversight, enabling providers to deliver high-quality MAT care with greater efficiency and accuracy.

Qualifacts
Mar 30th, 2026
Qualifacts announces new partnership with SHIELDS for Families in Los Angeles County.

Qualifacts announces new partnership with SHIELDS for Families in Los Angeles County. SHIELDS for Families will be empowered by CareLogic's highly configurable, data driven EHR platform - -purpose built for complex reporting and CCBHC operations. Nashville, Tenn. & Los Angeles, Calif., April 2, 2026 - Qualifacts, the leading behavioral health technology provider specializing in AI-powered EHR and data solutions, is proud to announce a new partnership with SHIELDS for Families, a nationally recognized nonprofit serving high-risk families across South Los Angeles. Since 1991, SHIELDS for Families has been dedicated to empowering families through culturally responsive, comprehensive services spanning child development, mental health, child welfare, substance use treatment, and supportive services. Today, the organization serves approximately 20,000 community members a year, supported by over 380 staff across 16 locations. SHIELDS remains a pioneer in innovative service delivery models that promote family reunification, self-sufficiency, and long-term community well-being. As a Certified Community Behavioral Health Clinic (CCBHC) in Los Angeles County, SHIELDS was seeking a modern, scalable, and highly configurable EHR that could meet rigorous reporting, compliance, and operational requirements. After evaluating multiple solutions - SHIELDS selected Qualifacts' CareLogic EHR as its preferred platform. Jonathan Ousley, Chief Administrative Officer at SHIELDS for Families, said, "Partnering with Qualifacts marks an important step forward for SHIELDS for Families. CareLogic gives us the flexibility, reporting power, and CCBHC support we need to better serve our community. We're excited to work with a partner who understands the complexity of our programs and shares our commitment to empowering families across South Los Angeles." Why SHIELDS Selected Qualifacts SHIELDS identified several key strengths that made CareLogic the clear choice: * Greater Control & Configurability: The flexible system architecture will allow SHIELDS to tailor workflows, forms, and processes to their unique operational needs. * Advanced AI Securely Managed by Qualifacts: The organization valued CareLogic's integrated and secure artificial intelligence (AI) capabilities, designed to help staff work smarter, improve documentation quality, and navigate complex requirements. * Robust CCBHC Support: Features supporting CCBHC requirements - including outcomes tracking, NOMs reporting to SAMHSA, and extended near real-time reporting - were central to SHIELDS' decision. * Proven Expertise in Los Angeles County: Qualifacts is well known and highly trusted in LA County, with deep knowledge of IBHIS reporting, Medi-Cal billing, state requirements, and local workflows. * Comprehensive Reporting Capabilities: CareLogic will support essential reporting needs, including: * CCBHC reporting * NOMs export to SAMHSA * LA County IBHIS reporting * Support for Enhanced Care Management (ECM): CareLogic provides configurable workflows and documentation tools designed to meet payer-specific ECM requirements while capturing the full spectrum of medical, behavioral, and social needs. "SHIELDS for Families has been a pillar of support for thousands of families in Los Angeles, and we're thrilled to welcome them into our growing community of California partners," Josh Schoeller, Chief Executive Officer at Qualifacts said. "Their dedication to innovative, community-centered care aligns deeply with our mission at Qualifacts. Through CareLogic, we're proud to help empower their staff with modern, flexible technology that supports their vision and strengthens the communities they serve." ABOUT SHIELDS FOR FAMILIES SHIELDS for Families is a nationally recognized nonprofit committed to empowering high-risk families in South Los Angeles through culturally responsive, comprehensive services. Founded in 1991 through the pioneering GENESIS program, SHIELDS has grown into a multisite organization serving approximately 20,000 community members a year. With integrated programs spanning child development, mental health, substance use treatment, child welfare, and supportive services, SHIELDS helps individuals and families build pathways to stability, self-sufficiency, and long-term well-being. ABOUT QUALIFACTS Qualifacts is the leading behavioral health technology partner specializing in AI-powered EHR and data solutions. Its mission is to enhance the well-being of individuals and its communities and elevate the standard of care through its innovative solutions. Non-profit and for-profit organizations, large and small, partner with Qualifacts to elevate the client experience, improve care delivery, and achieve operational excellence. Qualifacts has cultivated a loyal customer base of more than 2,700 organizations across all 50 states, including 33% of the nation's Certified Community Behavioral Health Centers (CCBHCs).

Business Insider
Jan 14th, 2026
Rincon Family Services Selects Qualifacts to Support CCBHC Expansion and Integrated Care in Illinois

Rincon Family Services selects Qualifacts to support CCBHC expansion and integrated care in Illinois. Nashville, Tenn. & Chicago, Ill., Jan. 14, 2026 (GLOBE NEWSWIRE) - Qualifacts, a leading technology partner for behavioral health and human services organizations, specializing in AI-powered electronic health record (EHR) and data solutions, is proud to announce a new partnership with Rincon Family Services (Rincon), a Chicago-based nonprofit dedicated to providing culturally responsive mental health care, substance use treatment, and supportive services for individuals, youth, and families. As the first Latino-based agency in Illinois to provide Certified Community Behavioral Health Clinic (CCBHC) services, Rincon is committed to advancing integrated care and expanding access to behavioral health services. To support this mission, Rincon has selected the Qualifacts Credible EHR platform to optimize operations, enhance reporting, and ensure compliance with state and federal requirements. "Our partnership with Qualifacts marks a significant milestone for Rincon Family Services," said Eddy Borrayo, President and CEO of Rincon Family Services. "As we expand our services under the CCBHC model, we need a technology partner that understands our unique challenges and shares our commitment to community health. Qualifacts brings the knowledge, tools, and support we need to deliver integrated care and improve outcomes for the individuals and families we serve." Rincon's decision to partner with Qualifacts was driven by their need for a comprehensive, robust, scalable EHR solution that could consolidate multiple systems, improve efficiency, and deliver advanced reporting capabilities. Qualifacts' expertise in Illinois state reporting, including IM+CANS and DARTS, and its proven track record with CCBHCs were key factors in the selection. * Strengthen admissions and program management workflows * Integrate mental health and substance use data across multiple locations * Enhance billing and reporting capabilities for compliance and fiscal transparency * Support growth and scalability under the CCBHC model * Simplify staff's workflows, reduce manual processes, and provide secure, integrated access to client data Together, Rincon Family Services and Qualifacts are paving the way for more accessible, integrated behavioral health care in Illinois. "Rincon Family Services is entering an exciting new chapter as a CCBHC provider," said Josh Schoeller, CEO of Qualifacts. "In my initial conversations with Eddy, it was clear that our organizations share a deep commitment to improving community health through innovation and collaboration. We are honored to partner with Rincon and support their vision for integrated, culturally responsive care." Rincon Family Services (RFS), a 501 (c)(3) not-for-profit organization, was established in 1972 by community residents and individuals recovering from substance use on the west side of Chicago. Originally one of the first Latino-focused substance use treatment centers, they have expanded their mission to address the needs of the larger community. With over 50 years of experience, they provide counseling, case management, prevention, and treatment services for both individuals and families across Chicagoland. Qualifacts is the leading provider of end-to-end electronic health record (EHR) software and data solutions designed specifically for behavioral health and human services organizations. Our mission is to enhance the well-being of individuals and our communities and elevate the standard of care through innovative solutions, including our award-winning EHRs Credible, CareLogic, and InSync. Non-profit and for-profit organizations, large and small, partner with Qualifacts to elevate the client experience, improve care delivery, and achieve operational excellence. Qualifacts has cultivated a loyal customer base of more than 2,700 organizations across all 50 states, including 33% of the nation's Certified Community Behavioral Health Centers (CCBHCs). Markets Insider and Business Insider Editorial Teams were not involved in the creation of this post.

Qualifacts
Dec 3rd, 2025
Qualifacts Pledges Support for CMS Effort to "Kill the Clipboard" and Advance Healthcare Technology Interoperability

Qualifacts pledges support for CMS effort to "kill the clipboard" and advance healthcare technology interoperability. Nashville, Tenn., December 3, 2025 - Qualifacts, the leading provider of AI-powered electronic health record (EHR) and data solutions for behavioral health and human services, today announced its pledge of support for the Centers for Medicare & Medicaid Services' (CMS) Health Technology Ecosystem and Interoperability Framework, joining a growing coalition of healthcare and technology leaders committed to building a more connected, patient-centered healthcare system. As part of this commitment, Qualifacts is participating in the CMS EHR Workgroup, bringing the only behavioral healthcare-specific viewpoint to the table. This representation ensures that the unique needs of behavioral and mental health providers and the individuals they serve are incorporated into national efforts to modernize data sharing and reduce administrative burden. "Behavioral health providers care for some of the nation's most vulnerable populations," said Josh Schoeller, CEO of Qualifacts. According to the National Institute of Mental Health (NIH), nearly one in five US adults live with mental illness. "Including a behavioral-health-focused EHR provider in this effort makes sure their voices are heard and their needs are prioritized as CMS builds the framework for the next generation of interoperable, patient-centered tools. This pledge underscores our commitment to this initiative and ensures Qualifacts is leading our market in interoperability, focused on patient safety and optimized outcomes." The Administration's efforts focus on two broad areas: * Promoting a CMS Interoperability Framework to easily and seamlessly share information between patients and providers. * Increasing the availability of personalized tools so that patients have the information and resources they need to make better health decisions. For behavioral health organizations, many of which face chronic staffing shortages and funding constraints, this work has the potential to give them much-needed relief. CMS's effort to "kill the clipboard" aligns closely with Qualifacts' mission to enhance the human connection at the heart of behavioral health care and lessen the burden for providers and staff through technology. Qualifacts' solutions, including its newest Qualifacts(R) iQ suite of AI products, are designed to work alongside clinicians, reducing the administrative load. "Technology should strengthen care, not complicate it," added Schoeller. "We're committed to supporting CMS in creating tools that help providers spend more time with clients and less time on paperwork." As a technology partner with solutions purpose-built for behavioral healthcare, Qualifacts is collaborating with CMS and industry-leading colleagues to advance secure, standards-based interoperability that improves outcomes, enhances coordination, and delivers a more seamless, efficient experience for patients and staff. More on the CMS Health Ecosystem Interoperability Framework, here. By Qualifacts December 3, 2025 |

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