Healthcare Experts on call 24/7/365

With unrestricted access to our healthcare subject matter experts, you can be confident that the latest industry best practices are used in each step of your custom solution delivery model.

From responding to inquiries to designing social determinants of health strategies, our healthcare teams will help you engage and retain members, enhance patient satisfaction, and simplify processes to reduce administrative costs and operational logjams.

We also manage back-office administrative solutions like claim and third-party billing inquiries, quarterly attestation, revenue cycle management and data entry, so your team can focus on what it does best. We’ll work closely with you to enhance the value of your member, provider and administrative operations.

Customer service expert

65%

Increase in efficiency for bilingual member/patient support

20%

Boost in prescription adherence

-5 Days

Reduction in wait time for referral appointments

60%

Lower data management costs

Nurse taking care of elderly people
Businesses we serve:

Managed care payers

  • Medicare Parts C and D
  • Medicaid
  • Dual eligible special needs plans (D-SNPs)

Healthcare providers

  • Independent Physician Associations (IPAs)
  • Medical groups
  • Hospitals

Healthcare partners

  • Managed services organizations (MSOs)
  • Third-party administrators (TPAs)
  • Pharmaceutical benefit managers
  • Healthcare technology firms
  • Telemedicine

Did You Know? 

Managed care plan sponsors who use offshore bilingual agents can boost satisfaction, increase enrollments and achieve significantly lower operating costs.

Inbound and outbound

Healthcare customer experience solutions

Member customer service

  • Primary care physician (PCP) search
  • Appointment-scheduling, premiums/billing support
  • Case management and treatment plan follow-ups
  • Targeted adherence outreach

Provider customer service

  • Claims and member eligibility
  • Physician portal tools and support
  • Patient intake
  • Physician enrollment, credentialing and onboarding

Revenue cycle management support

  • Third-party billing inquiries
  • Patient registration
  • A/R collection services
  • Denial management
Cropped shot of a handsome mature male doctor talking to a female patient in the hospital corridor

Healthcare Back-Office & Extended-Office Solutions

Provider data management

  • Charge capture and coding
  • Claims processing
  • Nurse case management
  • Provider directory information and integrity (CA SB 137)
  • Medical billing

Member data management

  • Identity audit and verification
  • Member contact information audit and updates
  • Member demographic information aggregation

Medical remote staffing

  • Recruiting for U.S.-licensed nurses, pharmacists, pharmacy technicians, telehealth staff
  • Scalable and flexible staffing onshore, nearshore and offshore
Pill packaging machinery