Omni-channel Capabilities:
- Seamless Inquiries Handling Across Multiple Channels
- Efficient Member Enrollment and Transition Management
- Comprehensive Multi-Channel Support for Enhanced Engagement
- Proactive Member Care Support with a Focus on Retention
- End-to-End Member Management Solutions for a Unified Experience
- Inbound and Outbound Sales Support to Drive Revenue
End-to-End Healthcare Management:
- Centralized View of Costs, Resource Utilization, Billing, and Revenues
- Efficient Pre-registration and Patient Onboarding Process
- Seamless Discharge Management for Smooth Transitions
- Effective Collection of Patient Balances for Improved Cash Flow
- Automated Remittance Processing for Faster Transactions
- Accurate Charge Capture to Ensure Proper Billing
- Streamlined Claim Submission and Follow-up for Faster Approvals
Comprehensive Healthcare Administration Services:
- Strategic Medical Cost Management for Improved Financial Control
- Advanced Document Management for Secure and Efficient File Handling
- Data Mining Solutions to Extract Actionable Insights for Decision Making
- Real-time Member Record Updates for Accurate Data Tracking
- Accurate Data Entry and Correction to Maintain Record Integrity
- Thorough Investigation and Resolution of Claims and Disputes
- Precise Amount Determination for Clear Billing and Reimbursement
- Comprehensive Claim Adjustments and Reporting for Transparency
- Efficient Payment Processing to Ensure Timely Transactions
- Effective Correspondence Management for Smooth Communication
- Reliable Audit Support to Ensure Compliance and Accuracy
- Overpayment Reconciliation and Recovery for Cost Optimization
Healthcare Risk and Compliance Solutions:
- Comprehensive Risk and Security Assessment to Safeguard Healthcare Data
- Expert Compliance and Consulting Services to Navigate Industry Regulations
- Implementation of Internal Audit Best Practices for Operational Integrity
- Robust Process Controls for Protecting Sensitive Patient Information