Coordinator, Resource Management (FT- Brunswick Campus)
Southeast Georgia Health System Brunswick, GA
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Southeast Georgia Health System Brunswick, GA
2 weeks ago
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Southeast Georgia Health System Brunswick, GA
2 weeks ago
See who Southeast Georgia Health System has hired for this role
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Interested in working for the Golden Isles’ healthcare provider and employer of choice?Throughout the many locations that make up the Southeast Georgia Health System network, there is a common thread that pulls everything together: A team of committed professionals like you. These individuals appreciate the value of every person who walks through our doors, and are the key to our culture of Service Excellence.
As a Resource Management Coordinator, you will conduct medical record reviews of all denied inpatient and/or observation encounters. You will function as an administrative assistant as needed by the department Manager and/or Director. For our team members, this is more than a career — it’s a calling.
You Will Be Responsible For:
- Coordinates concurrent and retro precertification processes.
- Assesses payer denials for appropriateness of appeal and initiates the appeal process in a timely manner. Demonstrates proficiency in preparation and follow-up of denial appeals. Maintains denial spreadsheet report-keeps it current & accurate by payer. Works congenially with Patient Financial Services department to ensure open & thorough communication.
- Maintains ongoing knowledge of payer compliance issues and has the ability to convey same to physicians/office staff.
- Assists the Manager with validating that utilization review processes are conducted as outlined in the Utilization Plan.
- Coordinates patient’s appeals to the Quality Improvement Organization (QIO) ensuring timely medical record submission and tracking of QIO decision.
- Responsible for data compilation regarding length-of-stay, avoidable days and readmissions, and the preparation of appropriate statistical information for dissemination to physicians, Quality Management, Health Information Management and Administration.
- Serves as point of contact for all alternate language/communication needs within Health System - assists with accessing services as needed; maintains records of LEP equipment location.
- Maintains time & attendance and PTO requests as approved by department Manager; Assists Case Managers in obtaining DME; Scans paper documentation into patient’s electronic medical record as needed. Other responsibilities as assigned.
What You Will Need:
- Associate’s Degree preferred.
- 3 years healthcare experience preferred.
Why choose Southeast Georgia Health System?
- We are mission-focused to provide safe, quality, accessible, and cost-effective care to meet the health needs of the people and communities it serves
- Our workplace is as pleasant and rewarding as the setting we enjoy outside of work -- imagine stepping out of your workspace and into a world of scenic beauty, outdoor recreational activities, mild winters, natural beaches, fine dining, and a full array of cultural and colonial historic attractions
- The chance to work within a culture that is collegial yet professional, has exceptional career-advancement potential, and work/life balance that is practically unparalleled
- Our facility will allow you to use, sharpen, and add to your skills without having to commute to a large city environment
- The ability to be a part of the prestigious Coastal Community Health, a regional affiliation between Baptist Health and Southeast Georgia Health System. This collaboration forms a highly-integrated hospital network focused on significant initiatives designed to enhance the quality and value of care provided to our contiguous communities
Do you want to make a difference in the lives of others? Join our team today to make a positive impact in the lives of our patients and families!
What You Will Need:
- Associate’s Degree preferred.
- 3 years healthcare experience preferred.
Why choose Southeast Georgia Health System?
- We are mission-focused to provide safe, quality, accessible, and cost-effective care to meet the health needs of the people and communities it serves
- Our workplace is as pleasant and rewarding as the setting we enjoy outside of work -- imagine stepping out of your workspace and into a world of scenic beauty, outdoor recreational activities, mild winters, natural beaches, fine dining, and a full array of cultural and colonial historic attractions
- The chance to work within a culture that is collegial yet professional, has exceptional career-advancement potential, and work/life balance that is practically unparalleled
- Our facility will allow you to use, sharpen, and add to your skills without having to commute to a large city environment
- The ability to be a part of the prestigious Coastal Community Health, a regional affiliation between Baptist Health and Southeast Georgia Health System. This collaboration forms a highly-integrated hospital network focused on significant initiatives designed to enhance the quality and value of care provided to our contiguous communities
Do you want to make a difference in the lives of others? Join our team today to make a positive impact in the lives of our patients and families!
-
Seniority level
Entry level -
Employment type
Full-time -
Job function
Administrative -
Industries
Hospitals and Health Care
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