Company: Protego Health empowers billing teams with AI-driven tools to prevent and appeal denied medical claims.
About us: Our founder started Protego in 2023, inspired by his brother’s experience with unfair denials over eight surgeries for Ulcerative Colitis that left him with $1 million in bills.
There are $750 billion in annually denied medical claims in the U.S.. While health insurance companies utilize algorithms and system edits to deny claims (Lawsuits: Cigna, Humana & United, physician practices rely on labor to reclaim this revenue. While over half of denied claims are reversible, nearly two-thirds go uncontested due to limited resources and the high cost of appeals - sometimes up to 100 times more than issuing the denial.
Our platform leverages AI to ingest and cross reference claims, clinical data, payment criteria (coding guidelines and individual payer policies), and historical cases. By synthesizing this information, we can flag preventable denials in real-time and generate claim-specific appeals post-denial.
The Role:
We are seeking a highly skilled and versatile Full-Stack Lead to contribute to the development of our SaaS healthcare application. You will lead dev in backend (Python), frontend (React), DevOps (AWS), and AI-driven tasks leveraging LLMs.
This role requires significant ownership, helping to shape the architecture and delivery of our cutting-edge product. This position reports directly to the CTO.
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