Job Objective. Under the direction of the Vice President of Revenue Cycle or designee, the Medicaid Billing Specialist ensures all traditional Medicaid and Medicaid Managed Care claims are reviewed for claim edits, claim submission, and timely follow up, as assigned. Duties and Responsibilities. Review claims before submission for missing modifiers, charges, and/or implants. Validate and make corrections on the UB04 resolving all claim edits befo...
Job Objective. Under the supervision of the Vice President of Revenue Cycle or designee, performs patient account follow-up, credit balance review and resolution, keeping the hospital's accounts receivable as accurate as possible. Duties and Responsibilities. Insurance follow-up, as assigned. Contact insurance carriers regarding outstanding balances until resolution. Resubmit claims with the appropriate remarks and/or attachments as needed. File ...
What Should I Know About Hialeah Hospital. Our 378-bed acute care hospital opened in 1951 to serve the Hialeah, Florida community. Our team is committed to honoring the trust that our patients place in us by providing compassionate, safe, high-quality care in the right place, and at the right time. Hialeah Hospital has been honored to receive a number of awards and designations for our superior health care services, including. Cardiac. American H...
Job Description. Job Description. Job Objective. . Under the direction of the Vice President of Revenue Cycle or designee, the Explanation of Benefits (EOB) Reviewer ensures all that all Commercial and Managed Care payments and adjustments are posted correctly, and that the balance is moved to the next payor or underpayment bucket accurately and timely. Duties and Responsibilities. Verify that all payments and adjustments are posted to correct in...
Job Description. Job Description. Job Objective. Under the direction of the Vice President of Revenue Cycle or designee, the General Clerk performs clerical support to the Business Office staff as needed. Duties and Responsibilities. I. Billing Support Responsibilities, as assigned. Print paper claims, medical records, and submit to the payors via US Mail, as needed. Ensures all necessary documentation required by insurance company is attached to...
What Should I Know About Hialeah Hospital. Our 378-bed acute care hospital opened in 1951 to serve the Hialeah, Florida community. Our team is committed to honoring the trust that our patients place in us by providing compassionate, safe, high-quality care in the right place, and at the right time. Hialeah Hospital has been honored to receive a number of awards and designations for our superior health care services, including. Cardiac. American H...
Job Description. Job Description. Job Summary. Performs Case Management activities to assure medical necessity of admissions and appropriateness of continued stay utilizing the Interqual Criteria guidelines. Monitors the utilization of resources of all patients reviewed. Maintains confidential communication with physicians and multi-disciplinary personnel to meet individual needs or the patients served. Functions as an independent contributor as ...
Job Description. Job Description. What Should I Know About Hialeah Hospital. Our 378-bed acute care hospital opened in 1951 to serve the Hialeah, Florida community. Our team is committed to honoring the trust that our patients place in us by providing compassionate, safe, high-quality care in the right place, and at the right time. Hialeah Hospital has been honored to receive a number of awards and designations for our superior health care servic...
Job Description. Job Description. What Should I Know About Hialeah Hospital. Our 378-bed acute care hospital opened in 1951 to serve the Hialeah, Florida community. Our team is committed to honoring the trust that our patients place in us by providing compassionate, safe, high-quality care in the right place, and at the right time. Hialeah Hospital has been honored to receive a number of awards and designations for our superior health care servic...
What Should I Know About Hialeah Hospital. Our 378-bed acute care hospital opened in 1951 to serve the Hialeah, Florida community. Our team is committed to honoring the trust that our patients place in us by providing compassionate, safe, high-quality care in the right place, and at the right time. Hialeah Hospital has been honored to receive a number of awards and designations for our superior health care services, including. Cardiac. American H...
