Red Sky Health
Ted Pantaleo currently serves as Vice President at Red Sky Health, focusing on Business Development for a claims reduction Machine Learning System since June 2024. In addition, as President and CEO of NQK Healthcare Solutions since March 2023, Ted Pantaleo oversees initiatives aimed at supporting Managed Care Organizations in expanding their provider networks and enhancing quality and financial performance. Previous roles include Vice President of Network and Vice President of Provider Contracting at Point32Health, Vice President of Provider Network at Gateway Health, and Principal at TRS Healthcare Consulting. Ted Pantaleo holds a Master of Public Administration in Healthcare Administration and Healthcare Leadership from Golden Gate University, earned between September 1984 and December 1986.
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Red Sky Health
Our mission is to get healthcare providers paid by automating the remediation of their health insurance claim denials. We have created Daniel - our AI platform that utilizes Machine Learning (ML) to fix denied claims by analyzing each denial, determining what is wrong, and providing recommended actions to fix the claim so it can be re-submitted for approval and payment. Our vision: An environment where every healthcare claim denial is processed in real time, efficiently and accurately, allowing providers to dedicate more time to patient care. Using the Red Sky Health program improves revenue by identifying opportunities for chronic care management. This benefits patient care, increases quality scores and generates potential for incentive payments. The use of coding recommendations improves claims accuracy ensuring no over or underbilling.