Revenue Cycle Process And Quality Specialist

Revenue Cycle Process and Quality Specialist

HMH HOSPITALS CORPORATION, Borough of Tinton Falls, New Jersey

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.

This position is hybrid and requires onsite meetings and training as needed—generally 2-4 times per month. Location can be Hackensack, Edison, or Tinton Falls.

Monday-Friday days 8:00am – 4:30pm or 8:30am – 5:00pm.

• 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.
• Catalog procedures and departmental guides; create and manage 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; ensure adherence to established procedures, identify trends, and recommend process improvements.
• Assist leadership with training and onboarding of new hires, providing them with the foundational knowledge and resources to succeed.
• Audit training material and courses put forward by Revenue Cycle Training team to provide feedback and guidance for effective delivery.
• Prepare and update clear and concise guide sheets and job aids for facility and program‑specific revenue cycle functions.
• Identify key process areas and control points to build a robust quality assurance framework.
• Recommend process improvements based on workflow assessment and best practice information.
• Work closely with leadership to ensure departmental functions are documented properly and followed.
• Participate in compliance and internal audit reviews as requested; provide information and assist with action plan development.
• Coordinate efforts between departments to ensure workflow is captured correctly.
• Provide training as directed by leadership for new hires or new initiatives.
• Schedule and lead meetings with appropriate personnel to exchange information and document workflow.
• Develop educational materials in collaboration with leaders and trainers stemming from improvement initiatives, new regulations, or quality improvement.
• Perform other job‑related duties as required or assigned, including but not limited to assisting the training team with members.
• Adhere to HMH organizational competencies and standards of behavior.

• College credits or industry certifications such as HFMA or Linked In Learning paths related to revenue cycle management, and a high school diploma.
• 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.
• Excellent attention to detail and ability to organize documentation in an online environment.
• Collaborative team player with ability to build and maintain effective relationships across multiple departments.
• Ability to evaluate and assess work for accuracy, quality and adherence to established procedures.
• Outstanding work ethic and reliability.
• Proficient computer skills that include but are not limited to…