Outsourcing Healthcare Services to the Philippines

Across the globe, healthcare establishments continually seek innovative methods to maximize resource utilization while minimizing costs. The burgeoning need for healthcare outsourcing, particularly in the U.S., stems primarily from the escalating expenses of healthcare services. Despite budgetary restrictions, healthcare facilities, irrespective of their size, must provide exceptional patient care services. This fiscal pressure often results in compromising the amenities available to healthcare providers, impeding the delivery of quality services.

Simultaneously, healthcare professionals grapple with an array of tasks that need to be accomplished daily. The global healthcare outsourcing market, predicted to attain $449.6 billion by 2023, offers a pragmatic solution to these challenges. They comprehensively offer tailored solutions to achieve strategic advantages, especially for scaling healthcare providers.

A Spectrum of Outsourced Healthcare Services

Outsourcing a wide array of healthcare services has proven to be an effective strategy for healthcare providers aiming to streamline their operations. By delegating these intricate and time-consuming tasks to experts in the field, healthcare institutions can ensure accuracy, compliance, and efficiency. These outsourced services can significantly alleviate the administrative burden, from handling patient interactions and insurance processes to leveraging advanced technologies for data-driven decisions.

• Patient Service Support: Handles patient inquiries and scheduling, ensuring a smooth and convenient patient experience.
• Claims Processing: Manages the submission and tracking of claims with insurance companies to expedite reimbursement for services provided.
• Medical Coding: Converts healthcare diagnosis, procedures, and medical services into universal medical alphanumeric codes, facilitating accurate tracking and billing.
• Medical Billing: Takes charge of billing patients and insurance companies, managing accounts receivable to ensure timely payments.
• Benefits & Utilization Review: Reviews patient cases and assesses the necessity and efficiency of medical treatments, enhancing care quality and reducing unnecessary costs.
• Prior Authorization: Manages the process of obtaining approval from health insurance companies before providing certain treatments or services to ensure coverage.
• Care Coordination: Ensures seamless communication and cooperation among various healthcare providers involved in a patient’s care, enhancing the quality of care and patient satisfaction.
• Research: Conducts medical and healthcare research to contribute to advancements in treatment, care, and healthcare policies.
• Big Data & AI: Leverages big data analytics and artificial intelligence to drive data-driven decision-making, predictive analysis, and patient care personalization.

Exploring the Benefits of Outsourcing Healthcare Functions to the Philippines

Outsourcing healthcare services to the Philippines allows organizations to focus on their primary responsibilities while delegating secondary tasks to specialized providers. This strategy offers a pathway for improved budget control and prudent capital investment planning. By employing Philippine-based healthcare BPO services, healthcare organizations can amplify operational efficiencies and productivity, propelling toward their strategic goals with reduced hassle and enhanced resource utilization.

1. Enhancing Patient Satisfaction With Automation and BI

Healthcare BPO services in the Philippines, bolstered by automation tools and Business Intelligence (BI) technologies under the PPTS framework, significantly streamline internal processes and boost the patient experience. Through the use of conversational AI in healthcare call center services and RPA technology, administrative procedures such as appointment confirmations and reporting are automated, bypassing lengthy phone calls, wait times, and errors. Furthermore, BI technology offers valuable insights into patient behaviors and preferences, which enables the delivery of personalized, error-free care, ultimately leading to improved patient outcomes.

2. Cost Reduction Through Outsourcing

Outsourcing patient support services to a healthcare BPO can lead to significant cost savings for healthcare providers. For instance, considering the role of a patient concierge, the in-house FTE cost stands at $4,300 per month. By contrast, outsourcing this role to a healthcare BPO like Infinit-O can result in up to a 60% cost saving on this role alone. Similar levels of cost savings can be observed across various other roles. Consequently, outsourcing not only offers a cost-efficient solution but also enables providers to allocate resources more effectively.

3. Boosting Operational Efficiency

Healthcare providers face the dual challenge of delivering high-quality care while managing costs and regulatory complexities. Outsourcing patient support services to specialized healthcare BPO companies can alleviate this burden, leading to improved operational efficiency. With the administrative tasks expertly handled by the BPO service provider, healthcare professionals can concentrate on their primary role – patient care.

4. Flexible Service Solutions

Outsourcing offers a high degree of flexibility, providing customized solutions tailored to meet the specific needs of healthcare providers. This flexibility allows healthcare organizations to scale their operations up or down as needed, which is particularly beneficial for rapidly growing practices or those facing financial constraints.

5. Leveraging Cutting-edge PPTS Framework

Healthcare BPO services companies bring their extensive expertise to manage specialized tasks such as medical billing, coding, and claims processing. Their deep understanding of the healthcare industry, combined with their robust PPTS framework, ensures tasks are managed efficiently and accurately, keeping providers compliant and focused on delivering high-quality care.

6. Accuracy Assurance in Outsourcing

One of the critical advantages of outsourcing is enhanced accuracy in administrative tasks. BPO healthcare services are staffed with trained professionals adept at their respective roles, significantly minimizing errors in data entry, billing, coding, and other processes.

7. Increased Client and Data Security Through Certifications and Compliance

BPO services for healthcare in the Philippines often hold several certifications that testify to their commitment to quality and security. These include HIPAA for patient data protection, ISO 9001 and ISO 27001 for quality management and information security management, respectively, IBPAP for industry best practices, and Sarbanes-Oxley for financial reporting and auditing standards. These certifications provide reassurance to healthcare providers about the BPO service provider’s adherence to industry standards and best practices.

In a nutshell, the rising trend of outsourcing healthcare services to the Philippines presents a win-win situation for both healthcare providers and patients. It enables healthcare organizations to optimize their resources, save costs, and concentrate on providing high-quality patient care while patients benefit from enhanced customer service and overall patient experience.

Infinit-O partners with the world’s fastest-growing technology, financial, and healthcare services companies that want to scale and advance their brands. Demonstrated by our world-class Net Promoter Score of 71, we deliver the highest quality outsourcing services using our unique data-driven approach – combining powerful technology and high-performance teams within our highly-engaged and agile culture. Our expertise includes CX, engineering, data science & analytics, sales & marketing, and back office services. 
Ready to elevate your healthcare services? Reach out to us today for tailored solutions designed to meet your unique needs!