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!