Description

This position is incentive eligible.

Introduction

Do you have the career opportunities as a Division Denial Prevention Manager you want with your current employer? We have an exciting opportunity for you to join Trident Medical Center which is part of the nation's leading provider of healthcare services, HCA Healthcare.

Benefits

Trident Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.

• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.

• Free counseling services and resources for emotional, physical and financial wellbeing

• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)

• Employee Stock Purchase Plan with 10% off HCA Healthcare stock

• Family support through fertility and family building benefits with Progyny and adoption assistance.

• Referral services for child, elder and pet care, home and auto repair, event planning and more

• Consumer discounts through Abenity and Consumer Discounts

• Retirement readiness, rollover assistance services and preferred banking partnerships

• Education assistance (tuition, student loan, certification support, dependent scholarships)

• Colleague recognition program

• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)

• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards)

Note: Eligibility for benefits may vary by location.

Our teams are a committed, caring group of colleagues. Do you want to work as a Division Denial Prevention Manager where your passion for creating positive patient interactions are valued? If you are dedicated to caring for the well-being of others, this could be your next opportunity. We want your knowledge and expertise!

Job Summary and Qualifications

The Division Denial Prevention Manager will provide leadership in developing and executing strategic initiatives related to denial management and root cause analysis and resolution for final denial write off. This position will also facilitate standardization of processes and policies, to promote improved outcomes, maximize resource utilization, improve organizational efficiencies and assure company and regulatory requirements.

What qualifications you will need:· Bachelor’s degree required in Healthcare or equivalent work experience.

Bachelor's Degree required in Healthcare or equivalent work experience

Denial/Appeal management experience required

Strong knowledge of utilization review, Interqual and/or medical necessity, federal plan administration, NCs and LCDs, DRG and CPT coding experience required

HCA South Atlantic Division is headquartered in beautiful, historic Charleston, SC, and includes 11 hospitals with over 3,200 inpatient beds and 150+ physician practices across the three states of South Carolina, Georgia and Florida. Our team is dedicated to providing compassionate and quality care in our communities serving nearly 1.5 million patients each year.

Our facilities adhere to standards of practice outlined by the most well-respected healthcare quality agencies, including the Join Commission, Leapfrog and National Quality Foundation, ensuring the best care for our patients and families. Along with our hospital-based ERs, we operate numerous community-based ERs. These free-standing ERs place care close to home, where our community needs us most. We are also proud to offer several elite Trauma programs that take care of our most critically ill and injured patients. Our services also include 8 certified Stroke Centers, one Children’s hospital, 8 Neonatal Intensive Care units and the largest burn center in the United States, the John M. Still Burn Center in Augusta, GA.

Above all else, we are committed to the care and improvement of human life.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr.

HCA Healthcare Co-Founder

If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Division Denial Prevention Manager opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.