Solutions tailored for each client’s specific need.
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 oneeasy 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.
Empowering you to spend more time on patient treatment.
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!