Manager, Specialty Claims and Accounts Receivable

Our team members are the heart of what makes us better.

At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community.

Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.

The Manager of Specialty Services, Claims & Accounts Receivable is responsible for overseeing the full spectrum of billing operations and third-party account follow-up across all facilities within the HMH network. This role ensures that pre-billing, billing, and follow-up processes are executed efficiently, accurately, and in compliance with local, state, and federal regulations, as well as organizational revenue cycle goals. Key responsibilities include managing multiple Supervisors, Analysts, and billing team members and providing strategic oversight of claims submission, electronic data interchange (EDI) transactions, and clearinghouse applications.

The Manager leads testing and validation efforts for system upgrades, modifications, and regulatory changes, while ensuring timely and accurate claims processing. Additionally, this role directs third-party follow-up activities across all payers including but not limited to HMO, Blue Cross, Commercial, Government, and Managed Care payers, Specialty and Client billing ensuring accounts are resolved promptly and effectively. The Manager collaborates closely with the Vice President and Patient Financial Service (PFS) Directors to identify operational issues, recommend solutions, and implement initiatives that enhance productivity, maximize cash collections, and improve overall revenue cycle performance.

This is a full time position in Patient Financial Services (PFS) - Claims Management overseeing 2 direct reports and approximately 20 team members in total!

This a hybrid role - requires one day per week or as needed for mandatory meetings in Edison NJ.

• Bachelor's degree; or equivalent relevant experience at 4 years or more.
• Minimum of 5+ years of experience plus prior management experience in healthcare accounts receivable to health insurance receivable environment.
• Minimum of three years of Hospital/facility claims experience working in an automated environment.
• Excellent communication, interpersonal, and analytical skills.
• Ability to work in a fast paced and dynamic environment.
• Computer proficiency.
• Excellent written and verbal communication skills.
• Proficient computer skills that include but are not limited to Google Suite and/or Microsoft Office platforms.

• MS/MA/MBA degree.
• Working knowledge of UB/837i Claim specifications and requirements.
• Knowledge of EPIC and/or the Change Healthcare Assurance Claims Scrubber application.

• Healthcare Financial Management Association (HFMA), Coding, EPIC or similar certification.

If you feel that the above description speaks directly to your strengths and capabilities, then please apply today!