Faster way to get providers in-network with payers.
Every healthcare provider in the US must be enrolled with payer networks (e.g. commercial insurance, Medicaid, etc.) to bill for services. However, the payer enrollment process is fragmented and time-consuming: each payer in every state has a unique process. This process is currently entirely manual and the complexity often leads to errors, causing months of delays and lost billings for providers.
Ply Health standardizes and automates payer enrollment. Providers fill out a single form and our AI-powered connectors submit the correct forms and manage the cases until completion. In half a year, we’ve done over 3,000 enrollments for our customers and helped some of our customers halve their enrollment timelines, earning them hundreds of thousands of dollars more in revenue per provider.
Skills:
Next.JS, TypeScript, Tailwind, LLMs
We’re growing rapidly each month and are hiring a founding engineer to build features and automation to meet customer demand. Our vision is for all of this paperwork to be entirely automated by computers and to become the de facto network infrastructure between providers and payers.
As the founding engineer, you’ll have a hand in all of our systems: customer-facing web app, AI automation, and internal tooling/infrastructure. You’ll also have a significant voice in deciding engineering strategy, best practices, and culture for the whole company going forward.
Providers need to get in network with insurance companies, but the process is time-consuming and an administrative headache. We ingest provider information and use AI to automate submissions, saving providers months of waiting.
We provide standardized questionnaires to collect all required provider information and documents. Our customers are then able to request a new network enrollment in just a few clicks instead of spending hours navigating insurance websites to find the correct forms.
On the backend, we’re automating each part of the enrollment process. We also have an experienced ops team as humans-in-the-loop to make sure everything is processed correctly. This ensures that enrollments are completed quickly and accurately, our customers’ two most important KPIs.