We have over a decade of experience in providing high-end, best-in-class patient access and revenue cycle solutions with our teams operating as a virtual extension of our partners’ organizations.
Access & Revenue Cycle Solutions
We have vast experience in patient registration and scheduling across multiple specialties and primary care. Our approach to scheduling is driven by getting the right patient, in front of the right clinician, at the right time, and where they turn up to the appointment with all the necessary tests completed and with insurance eligibility verified. Our onboarding and continuity teams include several scheduling optimization experts who can guide and recommend your organization on scheduling template optimization and enhanced scheduling protocols including Decision Trees.
Our team of trained Referral Representatives are responsible for Referral Management with a focus on processing incoming, internal, and outgoing referrals – for patients whose health plans require a Physician Referral from their primary care physician before seeing a specialist or another doctor within the same network. Managing these referrals well helps build relationships with primary care and referring physicians in the community so it’s critical that it is handled timely, efficiently, and in a patient-centric way. Our referral management program can include both inbound and outbound contact management and are designed to increase patient ‘keepage’ and network integrity.
Optimizing Revenue Cycle flow and payment success we partner with several healthcare organizations through various stages of insurance verification including providing staff augmentation solutions to support inhouse revenue cycle teams across Pre Certification and Prior Authorization stages. Our solutions in these areas include resources available across timezones allowing extended and agile processing hours.
Our clients are constantly seeking ways to add value and enhance their patients journeys and healthcare experience. As the access point to services our teams help patients navigate along the journey both pre service and post visit. Dedicated teams can be appointed to manage patient interactions across traditional inbound and outbound channels but also through WebChat, SMS and Self Service Channels. Back office tasks including work queue and inbasket management services can also be provided reducing the burden on inhouse teams.
Weabout your operations.
Operating 24/7 and equipped with the latest technology; patients, providers and caregivers can contact your organization at a time and on a platform that works for them through an empathetic service delivery model that seamless access to care and first contact resolution. Our operations are security certified (ISO 27001) ensuring infrastructure remains data secure and HIPAA compliant. All providing an elevated patient and provider experience and allowing healthcare organizations to focus on their core competencies.
In today’s competitive healthcare landscape, organizations face numerous challenges, ranging from labor shortages and increasing overhead costs to the need for delivering consumer-focused solutions.
For many healthcare organizations, the option of outsourcing your revenue cycle functions to a third-party partner is becoming more and more attractive. The complex tasks of dealing with payors and preventing denials can cause challenges for healthcare providers that can distract from their core goals of patient care.
The concept of smartsourcing is described as a partnership model whereby value is delivered through the leveraging of resources, knowledge, technology, and that both parties have something to gain and indeed lose within a long-term relationship. This appears to be a worthwhile and highly impactful business model disruption as it pertains to Patient Access, Revenue Cycle and Contact Center operations.