Market Authorization Coordinator FT Days - Hilton Head Regional Medical Center

About Hilton Head Regional Healthcare
Hilton Head Regional Healthcare provides comprehensive healthcare to the Lowcountry at four locations including Coastal Carolina Hospital, Hilton Head Hospital, the Bluffton Medical Campus and the Bluffton-Okatie Outpatient Center. Coastal Carolina Hospital (CCH) is a 41-bed acute care hospital located in Hardeeville, S.C., serving the medical and healthcare needs of Jasper and Beaufort counties since November 2004. Hilton Head Hospital (HHH) is a 109-bed acute care hospital located on Hilton Head Island, S.C. Opened in 1974, HHH serves Hilton Head Island, Bluffton, Okatie and surrounding counties. All facilities are owned and operated by Dallas-based Tenet Healthcare Corp. Both hospitals are accredited by The Joint Commission, the nation’s oldest and largest hospital accreditation agency. Learn more about Hilton Head Regional Healthcare at www.hiltonheadregional.com.

About Hilton Head Hospital
Hilton Head Hospital (HHH) is a 109-bed acute care hospital located at 25 Hospital Center Boulevard in Hilton Head Island, SC. Opened in 1974, HHH serves Hilton Head Island, Bluffton, Okatie and surrounding counties through its care team of over 600 colleagues and over 100 physicians. The hospital provides a continuum of services through its centers and programs, including a 24-hour emergency department, critical care, cardiac care ranging from minimally invasive to open heart surgery, obstetrics/gynecology, urology, a nationally accredited breast health center, spine care, gastroenterology, surgical services, cardiac and physical rehabilitation, and a 12-bed geriatric psychiatric inpatient unit. To learn more about Hilton Head Hospital, please visit www.hiltonheadregional.com.

Market Authorization Coordinator Full Time Days Position Summary

The individual in this position works under direction of Social Worker or Case Manager RN. The individual’s responsibilities include but not limited to the following actions:
a) Follow up on patient accounts for when authorization for stay is required, Fax numbers to Send clinical reviews
b) Follow up on each account during the stay, and on discharge for authorization - document in the electronic system
c) Escalate any potential disputes or denial of accounts to director of Case Management or designee
d) Trends disputed claims by at least payor and physician
e) Assist in obtaining authorization for patient discharged to Skilled Facilities or other post-acute care that require authorization
f) Trend by payor and service any authorization not obtained by end of day
g) Trend and Track on denial prevention
h) Other duties as assigned.

Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.