Hackensack Meridian Health · 1 day ago
Revenue Cycle Process and Quality Specialist
Tinton Falls, NJ
Full-time
Hybrid
Mid, Senior Level
5+ years expHackensack Meridian Health is dedicated to transforming healthcare and supporting its community. The Revenue Cycle Process and Quality Specialist plays a vital role in optimizing team member efficiency and effectiveness in support of revenue maximization, focusing on documentation, training, and quality assurance within the revenue cycle processes.
Medical DeviceHealthcareHospitalAssisted LivingHealth CareHealth DiagnosticsMedical
Responsibilities
Documenting operational processes by developing and maintaining comprehensive, department-specific procedures for all areas of patient financial services, including claims submission, accounts receivable management, and patient financial interactions
Cataloging of procedures and departmental guides; creating and managing a centralized catalog of all revenue cycle procedures, ensuring materials are up-to-date, consistent, and easily accessible for reference by all team members
Act as a key liaison to the Revenue Cycle Training team, assisting in the identification of detailed operational training needs and the development of educational materials in support of new workflow
Perform regular quality reviews and audits as directed by leadership; ensuring adherence to established procedures, to identify trends, and recommend process improvements. Shares audit findings with training for improvement opportunities
Assisting leadership with the training and onboarding of new hires, providing them with the foundational knowledge and resources to succeed
Audits training material and courses put forward by Revenue Cycle Training team to provide feedback, guidance and areas for improvement to ensure effective delivery of course material and content
Preparing and updating clear and concise guide sheets and job aids for facility and program-specific revenue cycle functions
Together with leadership, identify key process areas and control points to build a robust quality assurance framework
Recommends process improvements based on workflow assessment and best practice information
Works closely with Leadership to ensure departmental functions are documented properly and are being followed
Participates in Compliance and Internal Audit reviews as requested by Leadership; provides requested information and assists with development of action plans
Coordinates efforts between departments to ensure workflow is captured correctly
Provides training as directed by Leadership for new hires or new initiatives
Schedules and leads meetings with appropriate personnel to exchange information and document workflow
In collaboration with Leaders and Trainers, develop educational materials stemming from improvement initiatives, new regulations, or quality improvement
Performs other job-related duties as required or assigned including but not limited to assisting in training team members
Other duties and/or projects as assigned
Adheres to HMH Organizational competencies and standards of behavior
Qualification
Required
College credits or industry certifications such as those from the Healthcare Financial Management Association (HFMA) or LinkedIn Learning paths, related to revenue cycle management, and a high school diploma
A minimum 5 years of experience in a hospital revenue cycle role, with a strong understanding of claims, billing, accounts receivable, and patient financial services
Experience with Epic Hospital Billing (HB)
Demonstrated knowledge of hospital billing regulations, payer requirements, and industry best practices
Excellent written and verbal communication skills, with the ability to present complex information clearly and concisely
Keen attention to detail and the ability to organize documentation in an online environment
A collaborative team player with the ability to build and maintain effective working relationships across multiple departments
The ability to evaluate and assess work for accuracy, quality and adherence to established procedures
Outstanding work ethic and reliability
Excellent written and verbal communication skills
Proficient computer skills that include but are not limited to Google Suite and/or Microsoft Office platforms
Preferred
Proven experience in process documentation, curriculum development, or training is highly desirable
Bachelor's degree in Healthcare Administration, Business, or a related field
In depth knowledge of the revenue cycle. (third party follow up, reconciliation, billing and other key areas of patient financial services)
Dedication to continuous learning and expansion of relevant job knowledge
Experience in analysis of accounts in a hospital or physician environment
Knowledge of medical terminology, hospital systems, and insurance processes
Knowledge of Google Docs/Sheets/Slides
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.
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
2026-02-05
bloomberglaw.com
2026-01-20
Company data provided by crunchbase