Where to Find Claims Processing Experts

For healthcare providers, managing complex interactions with medical insurance companies can sometimes take away the focus on providing excellent patient experience. This is why having experts handle these kinds of transactions is important not only to ensure efficiency in operations but to prevent common errors and noncompliance to regulations.

Claims processing in particular is a tedious and complicated task that involves reviewing claim submissions, obtaining and verifying information, corresponding with insurance agents and beneficiaries, and processing claim payments. With their knowledge and expertise, claim processors can manage these responsibilities well, eliminate backlogs and tighten turnaround times.

One of the best ways to have them in your team is through outsourcing. A dedicated outsourced team of claims processing experts who have an intimate experience with revenue cycle management will create customized solutions for your company and adapt to your processes while improving them when they can. When you outsource your claims processing experts, you can also enjoy the following benefits:

Streamlined and more efficient claims processing

Adding an outsourced claims processing team in your operations means you have a dedicated set of people that can help you handle a high volume of transactions and reduce processing time with the use of automated and streamlined processes. In turn, this maximizes your team’s output and the rest of your staff can focus on delivering the best care to your patients and other tasks that can help in the improvement of your company.

Improved patient satisfaction

Outsourcing providers have the experience, expertise and resources when it comes to managing challenges that come with claims processing and you can use these to your advantage to improve your customer service. With an outsourced team devoted to handling claims processing, turnaround time will be faster and claims are handled with greater accuracy. Each client will also be given closer attention regarding their concerns and queries by your claim processors – all of these resulting in greater patient satisfaction.

Lowered operations costs

By outsourcing your claims processors, you are able to cut the expenses that come with hiring in-house talent including benefits, salary, and training without compromising the quality of service. There’s also no need to invest in the necessary technology and infrastructure for the role since the right outsourcing provider has the resources and tools to help streamline and automate the claims processes.

When looking for a trusted outsourcing company, partner with the one that can help you build a dedicated claims processing team that has:

Access to world-class talent
A+ recruitment process that can hire and on-board new teams within 30-45 days
A high Net Promoter Score of at least 60

Net Promoter Score (NPS) helps businesses gauge the quality of the customer service offered by outsourcing companies. Organisations can use NPS to assess which outsourcing service is best to partner with because this score shows loyalty trends and growth revenue outputs.

In a way, NPS represents the primary way customers survey their experience because it means that their clients are happy which results in customer loyalty and retention, making this a critical trait an outsourcing company should have. When used correctly, NPS (of at least 60%) can tell you how well the BPO is performing, how often they resolve issues, and if their clients are satisfied with their experience.

The right partner will guarantee you: