Hackensack Meridian Health · 16 hours ago
Transitions Assistant, TOC
Edison, NJ
Full-time
Onsite
New Grad, Entry Level
$23.97/hr - $23.97/hrHackensack Meridian Health is dedicated to helping patients live better, healthier lives while fostering a collaborative work environment. The Transitions Assistant plays a crucial role in coordinating care for patients, auditing clinical data, and ensuring compliance with quality metrics to facilitate safe patient transitions across the healthcare continuum.
Assisted LivingHealth CareHealth DiagnosticsHospitalMedical
Responsibilities
Audits clinical records for gaps in quality care metrics and follows a corrective plan with guidance from TOC Navigator to facilitate collections and reporting of required quality metrics
Assist in workflow design that promotes compliance to TOC standards and clinical quality metrics
Provide weekly reports to TOC Navigator to assist with quality metrics performance that will maximize metrics compliance
Will work with providers, care coordinators and hospital staff to ensure safe patient transitions
Accountable for preventative care metric documentation
Contacts TOC patients to make appointments for outstanding provider follow ups, transportation and discharge phone calls under the direction of the TOC Navigator
Performs both inpatient and outpatient audits for Managed Medicaid HMO payers. Communicates gaps in quality metrics to Regional Manager and TOC Navigator on a weekly basis
Assist practice in scheduling appointments and referrals which improves accessibility of office services and patient satisfaction. In addition to the timely transmission of Electronic Health Records to the next level of care provider
Travel to other assigned HMH hospitals to ensure compliance with TOC policies, procedures and initiatives as directed by the Regional Manager
Work with management and TOC Navigator to utilize EPIC software to create and report on TOC outcome measures such as ER, inpatient and outpatient quality metric results
Audit medical records to ensure documentation conforms to TOC standards for inclusion and exclusionary clinical guidelines
Identifies the needs of the patient population served and modifies and delivers care that is specific to those needs (i.e., age, culture, language, hearing and/or visually impaired, etc.). This process includes communicating with the patient, parent, and/or primary caregiver(s) at their level (developmental/age, educational, literacy, etc.)
Adheres to the standards identified in the Medical Center's Organizational Competencies
Qualification
Required
Associate`s degree or relevant years in healthcare, medical insurance billing, auditing or related field
Excellent analytical skills
Good reasoning and problem solving ability
Highly developed interpersonal skills
Proficient at multitasking and prioritization
Ability to work independently as well as in a team environment
Highly organized
Good presentation skills
Demonstrated proficiency with PC and Google Docs skills
Ability to learn and become proficient in electronic medical records and software applications
Preferred
Registry skills
Experience with auditing commercial medical insurance payers
Bilingual preferred
Experience in a variety of patient settings
Benefits
Health
Dental
Vision
Paid leave
Tuition reimbursement
Retirement benefits
Company
Hackensack Meridian Health
Hackensack Meridian Health is a health care organization that offers research and medical services.
Founded in 2016
10001+ employees
Funding
Current Stage
Late StageTotal Funding
$36.3MKey Investors
Baldrick's FoundationNational Institutes of Health
2023-11-21Grant
2023-02-24Grant· $3M
2019-05-10Grant· $33.3M
Leadership Team
Robert C. Garrett
Chief Executive Officer
Michael Allen
President, Financial Services Division and CFO
Recent News
bloomberglaw.com
2026-01-20
2025-12-15
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