Florida Hospitals Say HMOs Playing Games With Claims

The Florida Hospital Association says more than 37 percent of unpaid claims that HMOs owe hospitals are more than four months old, and the association is considering a class-action suit to speed things up.

In Broward County, the problem is worse, according to the association: almost half of unpaid claims are 120 days or older. Hospitals in the county spent more than $1 million last year on collection agencies to try to get HMOs on the ball.

Some Florida HMOs admit to tardiness, but fire back that the accusations are partly just so much blather — that if more claims were filled out correctly, there would be fewer delays.

Career Opportunities

HAP, a subsidiary of Henry Ford Health System, is a nonprofit health plan providing coverage to individuals, companies and organizations. This executive develops strategies to meet membership and revenue targets through products, pricing, market segmentation and advertising.  Aligns business among Business Development, Commercial Sales, Medicare and Public Sector Programs and Product Development. Seeks to enhance and be responsible for business development and expansion through the development of an effective product portfolio, strong interpersonal relationships and service excellence.

Apply via email to jfedder1@hfhs.org or online at http://p.rfer.us/HENRYFORDlXqAJA

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