Pioneering Payment Precision
Take control with our solutions, reclaim capital, restore integrity, and transform your financial future.
The Premiere Independent Healthcare Payment Integrity Company in the US
Performant Healthcare Solutions® technology-enabled audit, eligibility, recovery and data analytics solutions are designed to help health plans identify improper payments and recoup or save capital lost due to errant billing practices. Our holistic approach to solving waste in the healthcare industry leverages experienced healthcare experts and sophisticated analytics technology to offer health plans a suite of payment integrity solutions to control costs.
We have a proven track record of offering highly scalable solutions that maximize results.
Healthcare Payer Savings
Health Plan Lives
Managed Medicaid Plans in 45 States
Audit Advantage®
Unparallelled clinical and audit expertise supported by segment specialists, state-of-the-art predictive analytics, and top-tier customer service.
From regional and Blues plans to large national health plans and government agencies, Performant delivers scalable, tailored solutions aligned to each client’s specific goals.
Data Mining Advantage™
Innovative technology designed to help health plans perform through data management and analytics and implement best practices to improve cost containment.
Our fully customizable approach, bolstered by a robust library of concepts and proprietary data processing audit workflow platform, identifies and fixes breaks in adjudication systems.
MSP Advantage®
Performant deploys a highly trained team of outreach professionals for manual validation of low-quality data matches and to coordinate with the MA plan, CMS, and other coverage providers.
Our solution includes dedicated lockbox services offering complete end-to-end processing and accounting and integrates optical character recognition (OCR) to scan and digitize documents received by mail, maintaining a detailed account record.
TPL Advantage®
While regulations support other forms of coverage as primary before Medicaid, there is no single source from which MCOs can easily obtain information on other forms of coverage. Identifying this information can lead to substantial savings for MCOs.
Our solution includes dedicated lockbox services offering complete end-to-end processing and accounting and integrates optical character recognition (OCR) to scan and digitize documents received by mail, maintaining a detailed account record.
Recovery Advantage®
Performant Healthcare Solutions® foundation is built on delivering solutions that quickly and efficiently recover funds due to our clients (e.g., overpayments, debts, aged recoveries). With more than 40 years of recovery experience, we have a proven track record of managing accounts, some of which are in the billions of dollars.
Performant is the leading recovery audit vendor with true recovery/collections experience and an established collections infrastructure.
Careers
As a part of our team, you’ll contribute to a vital mission that supports organizations operating in complex, highly regulated environments. We offer a dynamic work environment powered by innovative analytics and workflow technology, along with professional services that empower our clients to recover and mitigate future payment discrepancies.
Become part of a dedicated team that values collaboration, integrity, and innovation. Your next adventure awaits at Performant!
- Health, Dental and Vision Insurance
- Retirement Savings
- Paid Holidays and PTO
- Paid Parental Leave
- Wellness Programs
