RWJBarnabas Health Corporate Services

9 job(s) at RWJBarnabas Health Corporate Services

RWJBarnabas Health Corporate Services West Orange, New Jersey
09/01/2025
Full time
Job Title: Sr Decision Support Analyst Location: Barnabas Health Corp Department: Financial Data and Reporting Req#: Status: Full-Time Shift: Day Pay Range: $75,597.00 - $106,780.00 per year Pay Transparency: The above reflects the anticipated annual wage range for this position if hired to work in New Jersey. The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience. Overview: The Senior Business Analyst, Decision Support provides RWJBH financial and operational analysis, to enable management to make informed decisions. The Sr. Business Analyst, Decision Support will wrangle large complex data sets, leveraging machine learning models, performance analytics tools and other analytics applications to monitor/aid RWJBH strategic initiatives. This position will collect data, conduct appropriate statistical data analyses, verify data accuracy, investigative design, develop dashboards and reports using variety of software tools to measure and trend key performance metrics and present results in an analytical manner for broad audience. Corporate areas supported by this position include, Service Line performance, Strategic Planning initiatives, Compliance, Managed Care Payor performance, Regulatory reporting, Supply Chain initiatives, Purchasing Contract initiatives, and Revenue capture and resource utilization. Analyses include: Responsible for the design and development of on-going Tableau visualizations to support new corporate initiatives, ensuring standardization of criteria across all facilities, efficiency of report design, and complete documentation of process, to facilitate routine updates and cross training to other members of the team. Development and on-going support of Service line performance dashboards and Enterprise-wide Daily Monitor, providing Year over Year and trending analyses of actual and budgeted volumes, cost per case, contribution margin and complications. Working with data extracts from DSS data warehouse to support 3rd party specifications, incorporating automation, reconciliation and audit steps and appropriate secure file transfer processes. Respond to data requests in a timely manner, ensuring appropriate and relevant data is provided in accordance with security and data governance policies. Reconciliation of volumes, charges, net revenue and expenses, ensuring accuracy of reports and system data integrity. Assists with data integrity analyses to ensure accuracy of data within the decision support data warehouse, by auditing results to source system. This position reports to the Manager of Financial Data & Reporting and will work closely with members of the Decision Support team. This position will be hybrid remote, working from home and travel between the RWJBarnabas Health locations may be required. Requirements: Bachelor's degree in Finance/Accounting/Statistics/Engineering or 5-7 years' experience in data analytics, advanced statistical analysis, or predictive analytics required; or an equivalent combination of education and/or experience in Healthcare Industry. Master's degree a plus. Proficient with Patient Accounting billing data and clinical terminology, essential to appropriately analyze patient populations and service line performance. Hospital billing system knowledge, such as EPIC, a plus. Strong experience with structured data and relational databases, and familiarity with unstructured data. High level of proficiency in Tableau for the development of complex, interactive dashboards. Experience with SQL programming software, such as SQL Server, MS Access, Snowflake, and Oracle. Ability to investigate, organize, and merge data from different sources into a single data structure. Hands on experience with data mining, predictive modeling, and machine learning. Experience with Decision Support Analytics tools or ETL/BI tools required (Informatica, SSIS, SSRS, Crystal Reports, Tableau, Power BI, etc.). Experience with using automation/robotics/macros to support business operations Microsoft Office experience with advanced working knowledge of Microsoft Excel, required. Familiarity with programming and/or scripting languages (VBS/VBA, Python, Windows Batch, C, C++, API, etc.) preferred Must be detail-oriented and demonstrate ability to analyze large amounts of data, perform complex analyses for strategic and research projects and present a meaningful format. Responsibilities: Distill complex data into actionable insights that empower others to drive operational strategic initiatives. Design, build, and extract large and complex data sets, including both structured and unstructured data, while thinking strategically about uses of data and how data use interacts with data design. Build, test, and implement machine learning models to aid performance improvement and strategic initiatives by investigating appropriate methods and algorithms. Deliver intelligence and insights to stakeholders within a specified timeframe by applying and demonstrating expertise in the areas of advanced analytics, machine learning, forecasting, data wrangling, and predictive modeling. Evaluate data quality and provide support to data governance activities. Benefits and Perks : At RWJBarnabas Health, our employees are at the heart of everything we do. Driven by our Total Wellbeing promise, our market-competitive offerings include comprehensive benefits and resources to support our employees' physical, emotional, financial, personal, career, and community wellbeing. These benefits and resources include, but are not limited to: Paid Time Off including Vacation, Holidays, and Sick Time Retirement Plans Medical and Prescription Drug Insurance Dental and Vision Insurance Disability and Life Insurance Paid Parental Leave Tuition Reimbursement Student Loan Planning Support Flexible Spending Accounts Wellness Programs Voluntary Benefits (e.g., Pet Insurance) Community and Volunteer Opportunities Discounts Through our Partners such as NJ Devils, NJ PAC, and Verizon .and more! 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 Corporate Services Oceanport, New Jersey
09/01/2025
Full time
Job Title: Inpatient Coding Quality Officer III - (Medicare) Location: Barnabas Health Corp Department: HIM - Coding Quality Req#: Status: Full-Time Shift: Day Pay Range: $75,597.00 - $117,458.00 Annual Pay Transparency: The above reflects the anticipated annual salary range for this position if hired to work in New Jersey. The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience. Job Overview: The Quality Officer 3 is responsible for ensuring accuracy and integrity of ICD-10-CM/PCS coding and DRG assignment for inpatient Medicare encounters. This requires critical thinking and a higher level skill set due to the complexity and risk relative to Medicare patients. Quality Officer 3 must also sustain an excellent organizational average accuracy rate. Adherance to applicable Federal and State Regulations, Compliance Guidelines, and Coding Guidelines set forth by RWJBH, American Hospital Association (AHA) and the American Medical Association (AMA) must be maintained. Qualifications: Required: Bachelor's degree or equivalent in experience. 5+ years acute care coding and/or auditing experience with a concentration on inpatient Medicare records is required with a Bachelor's degree. 9+ years acute coding and/or auditing experience required without a Bachelor's degree. Extensive knowledge of ICD-10-CM/PCS and CPT coding, medical terminology, human anatomy and physiology, clinical indicators associated with disease processes and pharmacology is required. Knowledge of Medicare and Medicaid billing and coding regulations. Must have excellent interpersonal, oral, and written communication skills. Must be capable of critical thinking and analysis and written conveyance of same. Must have excellent organizational and time management skills. Must maintain a professional demeanor . Must be able to work independently and cooperatively with minimal supervision. Must foster positive relationships with fellow co-workers and the coding team. Certifications and Licenses Required: CCS required ICD-I0-CM/PCS proficiency required. Preferred: CPC-H, RHIT, RHIA and/or RN also encouraged. Scheduling Requirements: Position is primarily remote Essential Functions: Ensures the accuracy and integrity of ICD-10-CM/PCS, CPT coding when applicable and DRG assignment for adherence to Federal and State Regulations and Compliance Guidelines. Critically analyzes each Medicare inpatient medical record to apply appropriate coding, DRG judgements, SOI, ROM and POA. Independently manages SMART pending queues for all acute care RWJBarnabas facilities. Reviews ICD-10-CM/PCS coding and DRG assignment of medical records as "flagged" by SMART. Independently manages EPIC SMART WQ's to assure proper workflow of identified accounts. Directs coders with appropriate case-specific recommendations. Educates and coaches coders in the application of coding principles, code assignment and sequencing, DRG assignment and clinical disease processes. Coding advice must be clearly and concisely written with appropriate clinical indicators cited. Additional facilities that may join the System receive the same education and coaching from the Quality Officers to ensure a unified methodology within the RWJBH organization. This results in improved outcomes in DRG assignment, coder education and DNB lag time within all facilities. Sustains an excellent organizational average accuracy rate by leveraging advanced knowledge of coding practices leading to exceptional results. The Quality Officer's coding analysis is reviewed by the Coding Specialists on a biannual basis. The consequences of incorrect judgments affecting the DRG may include an increased monitoring, until quality scores of 90% or better for two consecutive months are obtained. The consequences of incorrect coding resulting in erroneous DRGs includes under reporting and/or over reporting. Incorrect coding may result in an incorrect reporting of diagnoses and procedures to the patient's EHR which may affect the patient's future care, insurance claims and coverage. When accounts are not reviewed and released in a timely manner, there is a detrimental impact to the reimbursement flow for the facility (DNB). Productivity Standards must be met for all Quality Officers. Failure to meet productivity standards will result in progressive disciplinary action. Provides Guidance to Quality Officer 1 and 2 as requested. Independently monitors SMART queues to ensure all records imported by SMART are reviewed and properly directed, with/or without coding or other recommendations, or released to billing as appropriate and within department accepted timelines. Works as a team with other Quality Officers to ensure SMART review goals are met for all RWJBarnabas facilities. May review ICD-10-CM/PCS coding associated with RAC audits and/or other additional medical records as needed, and provides appropriate written feedback including rationale, research, and coding guidelines to management and/or the Coding Specialists. Reviews Discharge Status, Admission and Discharge Dates, and other related demographic information coded and entered by affiliate staff for accuracy and completeness. Communicates the need for Case Management review to the RWJBarnabas facilities when appropriate. Reviews Present on Admission (POA) indicators for all diagnosis coded and entered by coders for accuracy and completeness. Reviews Physician Queries submitted by staff for necessity, accuracy and completeness and communicate recommendations to the sites as appropriate. Participates in the review of other payers as directed. Independently reports problems with any and all computer system to RWJBarnabas IT&S or SMART helpdesk for resolution. May perform classroom training in ICD-10-CM/PCS and CPT coding for affiliate staff when needed at the internal RWJ Barnabas Coding School which may be held to train new facility coders. Maintains proper computer and written records of all review activity. Effectively communicates coding recommendations and rationale to Coding team. Performs regulatory coding research as needed. May be required to perform other related duties. 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. At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees' physical, emotional, social, and financial health. Paid Time Off (PTO) Medical and Prescription Drug Insurance Dental and Vision Insurance Retirement Plans Short & Long Term Disability Life & Accidental Death Insurance Tuition Reimbursement Health Care/Dependent Care Flexible Spending Accounts Wellness Programs Voluntary Benefits (e.g., Pet Insurance) Discounts Through our Partners such as NJ Devils, NJ PAC, Verizon, and more! 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 Corporate Services Oceanport, New Jersey
09/01/2025
Full time
Job Title: Inpatient Coding Quality Officer I - (All Other Payer) Location: Barnabas Health Corp Department: HIM - Coding Quality Req#: Status: Full-Time Shift: Day Pay Range: $75,597.00 - $117,458.00 Annual Pay Transparency: The above reflects the anticipated annual salary range for this position if hired to work in New Jersey. The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience. Job Overview: The Quality Officer 1 is responsible for ensuring accuracy and integrity of ICD-10-CM/PCS coding and DRG assignment for inpatient encounters for other payers (not Medicare/Managed Medicare). This requires critical thinking and a skill set above what is expected as a coder. Quality Officers must also sustain an excellent organizational average accuracy rate. Adherence to applicable Federal and State Regulations, Compliance Guidelines, and Coding Guidelines set forth by RWJBH, American Hospital Association (AHA) and the American Medical Association (AMA) must be maintained. Qualifications: Required: Bachelor's degree or equivalent in experience. 4+ years acute care coding and/or auditing experience with a Bachelor's degree. 7+ years acute coding and/or auditing experience required without a Bachelor's degree. Extensive knowledge of ICD-10-CM/PCS and CPT coding, medical terminology, human anatomy and physiology, clinical indicators associated with disease processes and pharmacology is required Knowledge of billing and coding regulations. Must have excellent interpersonal, oral, and written communication skills. Must be capable of critical thinking and analysis and written conveyance of same. Must have excellent organizational and time management skills. Must maintain a professional demeanor . Must be able to work independently and cooperatively with minimal supervision. Must foster positive relationships with fellow co-workers and the coding team. Certifications and Licenses Required: CCS required ICD-I0-CM/PCS proficiency required. Preferred: CPC-H, RHIT, RHIA and/or RN also encouraged. Scheduling Requirements: Position is primarily remote. Essential Functions: Ensures the accuracy and integrity of ICD-10-CM/PCS, CPT coding when applicable and DRG assignment for adherence to Federal and State Regulations and Compliance Guidelines. Critically analyzes each inpatient medical record to apply appropriate coding, DRG judgements, SOI, ROM and POA. Independently manages SMART pending queues for all acute care RWJBarnabas facilities. Reviews ICD-10-CM/PCS coding and DRG assignment of medical records as "flagged" by SMART. Independently manages EPIC SMART WQ's to assure proper workflow of identified accounts. Directs coders with appropriate case-specific recommendations. Educates and coaches coders in the application of coding principles, code assignment and sequencing, DRG assignment and clinical disease processes. Coding advice must be clearly and concisely written with appropriate clinical indicators cited. Additional facilities that may join the System receive the same education and coaching from the Quality Officers to ensure a unified methodology within the RWJBH organization. This results in improved outcomes in DRG assignment, coder education and DNB lag time within all facilities. Sustains an excellent organizational average accuracy rate by leveraging advanced knowledge of coding practices leading to exceptional results. The Quality Officer's coding analysis is reviewed by the Coding Specialists on a biannual basis. The consequences of incorrect judgments affecting the DRG may include an increased monitoring, until quality scores of 90% or better for two consecutive months are obtained. The consequences of incorrect coding resulting in erroneous DRGs includes under reporting and/or over reporting. Incorrect coding may result in an incorrect reporting of diagnoses and procedures to the patient's EHR which may affect the patient's future care, insurance claims and coverage. When accounts are not reviewed and released in a timely manner, there is a detrimental impact to the reimbursement flow for the facility (DNB). Productivity Standards must be met for all Quality Officers. Failure to meet productivity standards will result in progressive disciplinary action. Independently monitors SMART queues to ensure all records imported by SMART are reviewed and properly directed, with/or without coding or other recommendations, or released to billing as appropriate and within department accepted timelines. Works as a team with other Quality Officers to ensure SMART review goals are met for all RWJBarnabas facilities. Reviews Discharge Status, Admission and Discharge Dates, and other related demographic information coded and entered by affiliate staff for accuracy and completeness. Communicates the need for Case Management review to the RWJBarnabas facilities when appropriate. Reviews Present on Admission (POA) indicators for all diagnosis coded and entered by coders for accuracy and completeness. Independently reports problems with any and all computer system to RWJBarnabas IT&S or SMART helpdesk for resolution. Maintains proper computer and written records of all review activity. Effectively communicates coding recommendations and rationale to Coding team. Performs regulatory coding research as needed. May be required to perform other related duties. 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. At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees' physical, emotional, social, and financial health. Paid Time Off (PTO) Medical and Prescription Drug Insurance Dental and Vision Insurance Retirement Plans Short & Long Term Disability Life & Accidental Death Insurance Tuition Reimbursement Health Care/Dependent Care Flexible Spending Accounts Wellness Programs Voluntary Benefits (e.g., Pet Insurance) Discounts Through our Partners such as NJ Devils, NJ PAC, Verizon, and more! 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 Corporate Services Oceanport, New Jersey
09/01/2025
Full time
Job Title: Director Location: Barnabas Health Corp Department: Patient Accounts Req#: Status: Full-Time Shift: Day Pay Range: $143,483.00 - $209,501.00 Annual Pay Transparency: The above reflects the anticipated annual salary range for this position if hired to work in New Jersey. The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience. Job Overview: The Revenue Cycle Director of Automation and Optimization leads the strategic identification, evaluation, and deployment of automation technologies-such as Robotic Process Automation (RPA) and Artificial Intelligence (AI)-across the billing, collections, payment posting, and follow-up functions. This role ensures workflow efficiency, quality, and measurable ROI by aligning automation strategies with revenue cycle goals. The director will work cross-functionally with operations, IT, compliance, and vendor partners to implement intelligent automation solutions that reduce manual work, improve accuracy, and accelerate cash flow. Qualifications: Education Bachelor's degree in Healthcare Administration, Business, Information Systems, or related field (required) Master's degree (MBA, MHA, or related field) (preferred) Certifications Epic certification in relevant revenue cycle modules (required) (e.g., Resolute HB/PB, HIM) RPA platform certifications (preferred) (e.g., UiPath, Automation Anywhere, Power Automate) Lean Six Sigma (preferred) Job Qualifications Minimum 7-10 years of experience in healthcare revenue cycle management 3-5 years in a leadership role overseeing revenue cycle operations or automation. Proven experience with Epic revenue cycle modules (e.g., HB, PB, Resolute, Prelude, Cadence, HIM, Claims) Proven success leading enterprise-level automation initiatives with demonstrated ROI. Familiarity with RPA and AI tools (e.g., UiPath, Automation Anywhere) Experience with data visualization/reporting tools (e.g., Power BI, Tableau) Financial modeling and cost-benefit analysis capabilities Strong project management, stakeholder engagement, and cross-functional communication skills Essential Functions: Automation Strategy & Execution Identify high-impact automation opportunities across billing, collections, and payment workflows. Lead the selection, design, implementation, and optimization of automation and AI tools. Develop business cases and ROI models to prioritize initiatives. Manage vendor relationships and cross-functional implementation teams. Monitor and evaluate post-implementation performance metrics (e.g., throughput, accuracy, FTE reduction). Performance Measurement & Reporting Design and maintain dashboards and KPIs to track automation effectiveness. Provide routine performance and ROI reports to executive stakeholders. Conduct root-cause analysis for underperforming solutions and initiate corrective actions. Create a structured intake and evaluation process for ongoing automation opportunities. Stakeholder Engagement & Change Management Partner with RCM operations, IT, finance, and compliance to ensure alignment. Lead change management efforts to support user adoption of new workflows. Foster cultural acceptance of automation technologies across departments. Provide training, documentation, and communication strategies for frontline teams. Innovation & Continuous Improvement Stay current with industry trends in healthcare automation and AI. Continuously evaluate new technologies and methods to improve revenue cycle efficiency. Maintain a forward-looking roadmap for future automation capabilities. Champion a data-driven, innovation-focused culture within the revenue cycle team. Benefits and Perks: At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees' physical, emotional, social, and financial health. Paid Time Off (PTO) Medical and Prescription Drug Insurance Dental and Vision Insurance Retirement Plans Short & Long Term Disability Life & Accidental Death Insurance Tuition Reimbursement Health Care/Dependent Care Flexible Spending Accounts Wellness Programs Voluntary Benefits (e.g., Pet Insurance) Discounts Through our Partners such as NJ Devils, NJ PAC, Verizon, and more Choosing RWJBarnabas Health! RWJBarnabas Health is the premier healthcare 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 Corporate Services Oceanport, New Jersey
09/01/2025
Full time
Job Title: Director Location: Barnabas Health Corp Department: Corporate Reimbursement Req#: Status: Full-Time Shift: Day Pay Range: $144,483.00 - $209,501.00 Annual Pay Transparency: The above reflects the anticipated annual salary range for this position if hired to work in New Jersey. The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience. Job Overview: The Director will serve as a key resource to department leadership for providing Medicare and Medicaid reimbursement support and implementing government payment strategies across all RWJBarnabas Health hospitals. This includes planning, preparing and reviewing of the annual Medicare/Medicaid cost reports filings. In partnership with the Vice President of Corporate Reimbursement , the Director will manage the completion of DSH, Medicare Bad Debts, Wage Index, and Geographic Reclassification projects. In addition, the Director will closely assess, track, and monitor's participation in state level supplemental payments programs and will be asked to assist with regulatory research. The Director will also work closely with finance department personnel at system facilities and will oversee the accurate determination of third party receivables/payables, ensuring revenue and receivables reporting complies with GAAP. The Director will have advanced level of knowledge of government payment regulation, third party revenue accounting practices, and have excellent communication/staff management skills. Furthermore, promotes a positive atmosphere and maintains a high degree of customer service orientation to include proactive interaction with staff and managers. Qualifications: Required: BS/BA in Accounting, Finance, or Health Administration required. Minimum of 10 years of experience interpreting Medicare and Medicaid payment regulations, ensuring optimization of revenue and completing Medicare and Medicaid cost reports. Expert level of knowledge of Medicare and Medicaid regulation and payment rules is essential. The ability to interpret Medicare and Medicaid payment regulations and develop and implement processes ensuring hospitals are reimbursed for all programs and services is required. Educated on and follows Generally Accepted Accounting Principles (GAAP); Proactively prioritizes needs and effectively manages resources; Delegates and trains appropriately to ensure required deadlines are met; Communication - communicates clearly and concisely; Guides individuals and groups toward desired outcomes with minimal supervision, sets high performance standards and delivers high quality services; Demonstrates appropriate decision-making skills and escalates issues to supervisor as appropriate Establish and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations; Coordinates with leadership and deploys and directs resources appropriately (e.g. Cost Report preparation, Wage Index, etc.) as directed; Demonstrates proficiency in Microsoft Office applications (i.e. Excel, Word) and others as required Preferred: HFMA Certification Scheduling Requirements: Full Time Working Location(s): Hybrid/Remote; Homebase- Oceanport, NJ Essential Functions: Prepares Medicare and Medicaid cost reports and supporting forms/schedules as required Responsible for the completion and review of the annual New Jersey Acute Care Hospital (SHARE) cost reports Monitor and validate State and federal issued reimbursement rates Investigates and responds to audit reviews/questions/adjustments Regularly monitor and evaluate changes in reimbursement regulations and policies to optimize reimbursement opportunities Monitor Medicare and Medicaid appeal and cost report reopening issues. Completed Medicare 855As (and Medicaid) when applicable - such as Change of Ownership (CHOW) and Change of Information applications Completed the annual Medicaid DSH Surveys. Manage and optimize the data collection and reporting process for the Medicare, Medicaid and NJ SHARE cost reports (Physician Time Studies, Contracted Labor, A-6 Reclasses, and B-1 Statistics) Maintains working knowledge of various Medicaid state regulations and Medicare federal regulations. Assists in orientation, training and development of new Financial Analysts as needed. Supervises Financial and Senior Financial Analyst(s) in completion of certain projects when assigned by senior management. Assists in Reimbursement Department projects not listed above. Assists in special projects as needed. Other work duties 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. Benefits and Perks: At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees' physical, emotional, social, and financial health. Paid Time Off (PTO) Medical and Prescription Drug Insurance Dental and Vision Insurance Retirement Plans Short- & Long-Term Disability Life & Accidental Death Insurance Tuition Reimbursement Health Care/Dependent Care Flexible Spending Accounts Wellness Programs Voluntary Benefits (e.g., Pet Insurance) Discounts through our partners, such as NJ Devils, NJ PAC, Verizon, and more! 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 Corporate Services Hamilton, New Jersey
09/01/2025
Full time
Job Title: Financial Counselor Location: RWJ - Hamilton Department Name: Patient Financial Services Req #: Status: Hourly Shift: Evening Pay Range: $20.60 - $25.84 per hour Pay Transparency: The above reflects the anticipated hourly wage range for this position if hired to work in New Jersey. The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience. Job Summary: The Financial Counselor (Customer Services Representative) position supports the reduction of Accounts Receivables for the Patient Financial Services department. The Representative may also perform a variety of duties including assisting patients directly with their bill or other financial aspects of their care, correspondence response, billing and re-billing, certain denial issues, prompt handling of Accounts Receivable credits and trend monitoring. Under limited supervision, determines liability on patient accounts, and works with patients or their representatives to provide financial assistance or secure payment. Facilitates processing of Medicaid and other financial assistance application and initiates eligibility determination for Health System's charity care fund. Essential Functions: Take actions that will support maximization of collection of balances due or account resolution from all sources. Meets Quality and Productivity expectations Facilitate account resolution. Accurately identify, follow-up on, or correct billing errors, lower than expected reimbursement, or denials for correction for submission or resubmission to patients and/or insurance carriers. Accurately perform actions on accounts that will result in the least amount of time and effort to bring an account to resolution based on job specific priority matrix Timely identify, research, and resolution any issues that may cause delays in payment or account resolution. Identify and recommend opportunities to improve collections and follow-up activities Work collaboratively across teams, with peers, and revenue cycle departments Job Requirements: HS diploma Bilingual- Spanish and English required (Please indicate on application/resume) 1-2 years' experience in healthcare insurance billing or account follow-up Strong knowledge of Patient Accounting systems Strong customer service skills Must be able to work in a team environment that requires quick turnaround and quality output Preferred: Prior experience with Medicaid and Charity Care Scheduling Requirements: Full-time, Evenings 3pm-11pm off on Wednesday and Thursday Rotating holiday requirement 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. At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees' physical, emotional, social, and financial health. Paid Time Off (PTO) Medical and Prescription Drug Insurance Dental and Vision Insurance Retirement Plans Short & Long Term Disability Life & Accidental Death Insurance Tuition Reimbursement Health Care/Dependent Care Flexible Spending Accounts Wellness Programs Voluntary Benefits (e.g., Pet Insurance) Discounts Through our Partners such as NJ Devils, NJ PAC, Verizon, and more!
RWJBarnabas Health Corporate Services Lakewood, New Jersey
09/01/2025
Full time
Job Title:Financial Counselor Location:Kimball Medical Center Department Name:Patient Financial Services Req #: Status: Shift:Evening Pay Range: $20.14 - $25.47 per hour Pay Transparency: The above reflects the anticipated hourly wage range for this position if hired to work in New Jersey. The Compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience. At RWJBarnabas Health, our employees are at the heart of everything we do. Driven by our Total Wellbeing promise, our market-competitive offerings include comprehensive benefits and resources to support our employees' physical, emotional, financial, personal, career, and community wellbeing. These benefits and resources include, but are not limited to: Paid Time Off including Vacation, Holidays, and Sick Time Retirement Plans Medical and Prescription Drug Insurance Dental and Vision Insurance Disability and Life Insurance Paid Parental Leave Tuition Reimbursement Student Loan Planning Support Flexible Spending Accounts Wellness Programs Voluntary Benefits (e.g., Pet Insurance) Community and Volunteer Opportunities Discounts Through our Partners such as NJ Devils, NJ PAC, and Verizon .and more!
RWJBarnabas Health Corporate Services West Orange, New Jersey
09/01/2025
Full time
Job Title: Senior Cost Analyst - West Orange, NJ Location: Barnabas Health Corp Department: Decision Support Req#: Status: Full-Time Shift: Day Pay Range: $91,000 - $130,000 Annual Pay Transparency: The above reflects the anticipated annual salary range for this position if hired to work in New Jersey. The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience. RWJBarnabas Health Overview: The Senior Cost Analyst utilizes the STRATA Cost Accounting application to process general ledger, payroll and statistical data, to develop consistent costing models across the enterprise. A comprehensive understanding of GL expenses, overhead allocation methods, and alignment of expenses with revenue is leveraged to accurately calculate the cost of services, to be used to analyze the financial performance of service lines, comparing system-wide procedural cost and utilization. A thorough understanding of patient billing data is also essential in this role as it is used to develop some of the advanced costing allocations and spreads. The understanding of both the GL and Patient billing data is key in being able to effectively develop cost models and apply them to the patient data. Job Responsibilities include: Maintains cost accounting rules for each facility, to ensure consistent handling of direct and indirect expenses, and appropriate alignment of expenses with revenue. Develop an efficient process to facilitate timely GL cost updates and consistency across the sites. Responsible for maintaining department mapping tables, GL account to component mapping rules, payroll account to component mapping rules and, overhead allocation rules to ensure allocated costs are appropriately aligned to encounter data. Communicates effectively with site Finance department managers to gain understanding of GL expenses, research GL changes, make recommendations for indirect allocations and review costing results. Reconcile GL Revenue to Charge data within Strata application to ensure that data is accurately captured and aligns with the cost allocated. Prepare work papers to reconcile Strata GL data to Financial Statements, audit GL account to component mappings, Indirect step-down results and document the costing model. Develop an efficient process to facilitate timely GL cost updates and consistency across the sites. Performs weekly audit of costing results applied to encounter data to ensure completeness of encounter cost data. Participates in Cost Accounting user group discussions to learn about costing system enhancements and stay abreast on trends in industry costing methods. Development of costing model for new entities and training new staff on cost accounting module. Generates reports in response to ad hoc requests, ensuring accuracy and timeliness of the data. This position reports to the Manager of Decision Support and will work closely with other members of the Decision Support team. This position will be hybrid remote, working from home and travel between the RWJBarnabas Health locations may be required. Bachelor's degree in Finance/Accounting required. 7-10 years of Healthcare Finance or Decision Support experience with at least 5 of those years focused in Healthcare Cost Accounting. A Masters degree a plus. Expert understanding of cost accounting principles needed to accurately measure and analyze costs associated with patient care. Ability to distinguish between direct costs tied to a specific service, and those that are allocated across operations. Proficiency in applying various costing methods such as Ratio of Cost to Charge (RCC), Relative Value Unit (RVU) or Activity Based Costing (ABC) to accurately allocate costs to specific services. Proficiency with Healthcare clinical procedures and operations, and resource utilization to understand accurate cost attribution. Proficient with Patient Accounting billing data is essential to appropriately analyze patient services to calculate the cost of care and evaluate service line performance. Hospital and Physician billing system knowledge, such as EPIC, a plus. Proficient in Healthcare Cost Accounting analytical tools, such as STRATA Jazz. Proficient in Microsoft Excel, and strong analytical skills required. Must be detail-oriented and demonstrate ability to analyze large amounts of data and present a meaningful format. Benefits and Perks : At RWJBarnabas Health, our employees are at the heart of everything we do. Driven by our Total Wellbeing promise, our market-competitive offerings include comprehensive benefits and resources to support our employees' physical, emotional, financial, personal, career, and community wellbeing. These benefits and resources include, but are not limited to: Paid Time Off including Vacation, Holidays, and Sick Time Retirement Plans Medical and Prescription Drug Insurance Dental and Vision Insurance Disability and Life Insurance Paid Parental Leave Tuition Reimbursement Student Loan Planning Support Flexible Spending Accounts Wellness Programs Voluntary Benefits (e.g., Pet Insurance) Community and Volunteer Opportunities Discounts Through our Partners such as NJ Devils, NJ PAC, and Verizon .and more! 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
RWJBarnabas Health Corporate Services Somerville, New Jersey
09/01/2025
Full time
Job Title: Financial Counselor Location: Somerset Department: Patient Financial Services Req#: Status: Full-Time Shift: Day Pay Range: $20.14 - $25.47 per hour Pay Transparency: The above reflects the anticipated hourly wage range for this position if hired to work in New Jersey. The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience. At RWJBarnabas Health, our employees are at the heart of everything we do. Driven by our Total Wellbeing promise, our market-competitive offerings include comprehensive benefits and resources to support our employees' physical, emotional, financial, personal, career, and community wellbeing. These benefits and resources include, but are not limited to: Paid Time Off including Vacation, Holidays, and Sick Time Retirement Plans Medical and Prescription Drug Insurance Dental and Vision Insurance Disability and Life Insurance Paid Parental Leave Tuition Reimbursement Student Loan Planning Support Flexible Spending Accounts Wellness Programs Voluntary Benefits (e.g., Pet Insurance) Community and Volunteer Opportunities Discounts Through our Partners such as NJ Devils, NJ PAC, and Verizon .and more!