Solutions tailored for each client’s specific need.

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Patients served annually
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Claims filed annually
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VOBs annually

Verification of Benefits

Verification of benefits

A thorough and timely approach to verifying benefits that result in increased admissions and insight
into claims payments.

Appeals Process

Appeals Process

Detailed and extensive appeal thesis written by a licensed clinician. We exhaust all levels of the appeals process including the external appeal to the plan regulator.

Analytics & Reporting

Analytics & Reporting

Custom-built KPI reporting for each client’s unique needs. Know the health of your business in one
easy to navigate dashboard.

Utilization Review

Utilization Review

Licensed clinicians manage preauthorization, concurrent authorization, and peer-to-peer
appeals.

Claims &Tracking

Claims &Tracking

A team of dedicated billing professionals works diligently to submit and track claims throughout the entire adjudication process.

Quality Assurance

Quality Assurance

A dedicated team of analysts reviews each claim as they adjudicate to ensure accurate payment and posting.

Relationship Management

Relationship Management

Our Relationship Management Department is divided into teams.  This team approach allows for greater responsiveness to our facilities’ and their patients’ questions and concerns.

Reporting

Reporting

Live real-time reporting portal available to facilities 24/7/365.  Reporting allows for insight into the utilization management and billing process for each client and SJ as a whole.

Billing/ Collections

Billing/Collections

SJHIA provides all the tools you need for managing patient billing and collections so you can speed up the collection process and improve the patient experience.

WOULD YOU BENEFIT FROM OUTSOURCING YOUR CLAIMS AND BILLING PROCESS TO SJ HEALTH INSURANCE ADVOCATES?

Many of our clients believed that they were able to efficiently handle their claims management and billing internally. Let us show you why our solution is better.

Schedule A Discovery Call
About Us

Empowering you to spend more time on patient treatment.

Personalized and professional approach to our client relationships.

Efficient and proactive throughout the entire relationship.

We focus on health insurance matters, while you focus on treatment.

Compassionate, experienced, licensed behavioral health professionals on every case, every time.

Full reporting access 24/7 via our customized billing and utilization management platform.

Our industry-leading experience and technology are some of the most valuable assets we offer.

Our knowledge helps you increase efficiencies and transparency and reduce or even eliminate denials. Contact us and see how we can change your bottom line!

SCHEDULE A DISCOVERY CALL TODAY!

Call (973) 740-0023
Contact Us