Patient Access & Revenue Cycle

RelateCare has extensive experience partnering with health systems of all sizes to improve answer rates, service levels, patient experience, appointment booking metrics, and reduce cost per call.

RelateCare specializes in seamlessly integrating as an extension of in-house clinics or centralized access centers, managing inbound calls for new patient registration and scheduling across a broad spectrum of specialties and primary care. We also handle general inquiry calls related to medication refills, directions, lab result updates, and day-to-day access queries.

Our approach ensures the right patient is seen by the right clinician at the right time, with necessary tests completed and insurance eligibility verified prior to the appointment.

RelateCare’s Referral Management outsourced solution is designed to collaborate seamlessly with our healthcare system partners’ in-house teams, effectively reducing administrative burdens and ensuring strict adherence to industry benchmarks for referral coordination.

Our team efficiently manages referral worklists to ensure the timely review of internal, incoming, and outgoing referrals.

RelateCare employs a streamlined approach, leveraging technical pathways to engage patients and make every effort to schedule appointments promptly and update the patient’s health record accordingly.

RelateCare ensure that all referrals are accurately processed, tracked, and followed up on in a timely manner. Our goal is to reduce referral bottlenecks, improve patient access to care, and prevent delays in treatment. Above all, we aim to enhance communication and coordination between primary care physicians, specialists, and other healthcare providers, ultimately improving patient care and outcomes.

RelateCare’s Prior Authorization Management solution is designed to support health systems in streamlining the prior authorization process, reducing candidates for bill, minimizing denials, and ensuring timely submission and follow-up. By optimizing these workflows, RelateCare helps healthcare organizations improve revenue cycle efficiency and enhance patient access to care.

Our Smartsourced Prior Authorization Specialists work and augment internal teams, providing scalable support to manage authorization requests efficiently. These specialists can be assigned a range of functions, including:

• Submission & Follow-Up: Handling prior authorization requests across multiple insurance providers via electronic portals, fax, or direct phone communication.

• Denial Prevention & Resolution: Proactively identifying potential issues that could lead to denials and ensuring swift resolution of outstanding requests.

• Workflow Optimization: Enhancing internal processes through data-driven insights to improve turnaround times and reduce administrative burdens.

With RelateCare’s expertise, health systems can reduce administrative complexity, accelerate approvals, and improve financial outcomes—all while maintaining compliance with payer requirements.

Healthcare organizations are continually seeking innovative ways to enhance the patient journey and improve the overall care experience.

RelateCare partners with healthcare organizations to develop and implement customized smartsourced solutions that address evolving needs, including:

• Marketing campaign support
• Scalable surge support during payor negotiations
• MyChart technical helpdesk assistance
• Care gap closure programs
• Annual wellness visits outreach and scheduling
• New patient acquisition registration
• Medication authorization programs
• Price estimate contact handling
• Comprehensive customer service solutions

Our teams manage patient interactions across traditional inbound and outbound channels, as well as digital touchpoints such as Webchat, SMS, and self-service platforms.

Additionally, RelateCare can provide back-office/administrative support, including work queue and in-basket management, reducing administrative burdens on in-house teams and allowing them to focus on other tasks such as patient facing care and engagement