Billing/Collections/Insurance Advocacy

Our thorough and timely verification process helps your facility increase admissions and gain clear insights into claims payments. We provide accurate benefit details upfront, reducing delays and ensuring patients can start treatment without financial uncertainty. With our expert team handling the details, you can focus on delivering quality care while maximizing revenue opportunities.

Our licensed clinicians craft thorough, evidence-based appeal letters to challenge claim denials and maximize reimbursements. We carefully navigate every step of the appeals process, from internal reviews to external appeals with plan regulators, ensuring the best possible outcome for your facility. With our dedicated team handling the complexities, you can focus on providing quality care without the stress of insurance disputes.

Get the insights you need with custom-built KPI reports tailored to your facility’s unique goals. Our easy-to-use dashboard provides a clear, real-time view of your financial health, helping you track performance, identify trends, and make informed decisions. With detailed reporting at your fingertips, you can stay on top of your business and focus on growth.

Our licensed clinicians handle every aspect of the utilization review process, including preauthorization, concurrent authorization, and peer-to-peer appeals. We work closely with your team to ensure timely approvals, reduce denials, and maintain compliance with payer requirements. With our proactive approach, your facility can provide uninterrupted care while optimizing reimbursement outcomes.

Our team of dedicated billing professionals ensures that every claim is submitted accurately and tracked through the entire adjudication process. We monitor each step to reduce delays, prevent denials, and maximize reimbursements. With real-time tracking and proactive follow-ups, your facility can stay informed and maintain a steady cash flow without the administrative burden.

Our dedicated team of analysts carefully reviews each claim throughout the adjudication process to ensure accuracy in payment and posting. By identifying discrepancies and addressing potential issues early, we help maximize reimbursements and minimize costly errors. With our meticulous quality checks, your facility can trust that every claim is processed correctly and efficiently.

Our Relationship Management Department is structured into dedicated teams to provide personalized support and quick responses to both facilities and their patients. This team-based approach ensures seamless communication, consistent follow-ups, and a deeper understanding of your unique needs. With a focus on transparency and reliability, we are always here to address questions and concerns, allowing your facility to focus on providing quality care.

Our live reporting portal provides facilities with 24/7/365 access to real-time data, offering valuable insights into both utilization management and the billing process. With detailed, easy-to-understand reports, you can monitor claims, track authorizations, and gain a comprehensive view of your facility's financial performance. This level of transparency ensures better decision-making and operational efficiency.

SJHIA offers comprehensive tools to manage patient billing and collections, helping your facility accelerate the payment process while enhancing the patient experience. Our efficient system ensures timely invoicing, transparent payment tracking, and simplified collections, allowing you to focus on patient care while improving cash flow and reducing administrative burdens.

SJHIA provides private pay facilities with dedicated support to help private-pay patients obtain insurance reimbursement, reducing their out-of-pocket costs. By easing the financial burden, we help remove barriers to treatment, making it easier for patients and their families to commit to care. Our services not only improve the patient experience but also increase facility admissions by minimizing financial obstacles and streamlining the reimbursement process.