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An established industry player is seeking a Quality Review Representative to enhance its Revenue Cycle processes. In this pivotal role, you will act as both an auditor and trainer, ensuring compliance and efficiency while developing targeted training programs. You will monitor performance metrics, conduct audits, and provide essential training to staff. This position offers a unique opportunity to impact healthcare delivery positively, making a difference in local communities. Join a team dedicated to patient-centered care and innovative strategies in healthcare, where your contributions will be valued and recognized.
Job Overview:
The Revenue Cycle Quality Review Representative acts as both an auditor and trainer, ensuring accuracy and efficiency in Revenue Cycle processes. This role is responsible for evaluating workflow compliance, identifying areas of improvement, and developing standard and targeted training programs. The Revenue Cycle Quality Trainer is responsible for providing training, curriculum development, project organization and implementation, as well as quality assurance functions across the Revenue Cycle enterprise at all locations. The incumbent will be knowledgeable in all end-user systems and applications relative to Revenue Cycle management for the purpose of educating and training Revenue Cycle staff on systems and operational processes.
Qualifications:
Required:
Essential Functions:
Quality Assurance
Monitor and analyze revenue cycle performance metrics to identify areas for improvement. Conduct audits and quality checks to ensure compliance with regulations and best practices. Identify and resolve quality issues and errors in the revenue cycle. Develop and implement quality improvement plans.
Training and Development
Develop and deliver training programs for new and existing staff on revenue cycle processes, policies, and procedures. Conduct one-on-one training and provide ongoing support to staff. Identify training needs and develop strategies to address them. Evaluate the effectiveness of training programs and make recommendations for improvement.
Support to Leadership Team
Acts as support to leadership team to oversee and ensure overall department methodology, strategy and objectives are met. Coach and mentor existing and newly hired members of the team as needed.
When asked, performs other duties as assigned
Other duties and responsibilities as assigned
Other Duties:
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
Additional Information:
At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees physical, emotional, social, and financial health.
Choosing RWJBarnabas Health!
RWJBarnabas Health is the premier health care destination providing patient-centered,
high-quality academic medicine in a compassionate and equitable manner, while delivering
a best-in-class work experience to every member of the team. We honor and appreciate the privilege of creating and sustaining healthier communities, one person and one community at a time. As the leading academic health system in New Jersey, we advance innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants of health.
RWJBarnabas Health aims to truly make a unique impact in local communities throughout New Jersey. From vastly improving the health of local residents to creating educational and career opportunities, this combination greatly benefits the state. We understand the growing and evolving needs of residents in New Jersey whether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and education.
Equal Opportunity Employer
RWJBarnabas Health is an Equal Opportunity Employer