25+ Years Experience
ISO Certified for Data Quality & Security
CMMI Level 3
HIPAA Compliant
Expertise 1500+ Full-time Experts
25+ Years Experience
ISO Certified for Data Quality & Security
CMMI Level 3
HIPAA Compliant
Expertise 1500+ Full-time Experts
Individual practices, hospitals, outpatient facilities, and insurance providers quickly become burdened with handling patient care and administrative tasks simultaneously. However, any lapse in non-clinical activities like medical billing, coding, revenue cycle management, or medical record indexing can cause severe disturbances and disrupt revenue flow.
Delegating such non-core operations to a reliable BPO service provider enables you to refocus on patient outcomes effectively. Our HIPAA-compliant healthcare business process outsourcing services help large healthcare institutions, independent clinics, pharmacies, health insurance companies, mental health facilities, and other organizations -
As a healthcare BPO company with 25+ years of experience and skilled subject matter experts (SMEs), we are equipped to meet every requirement with ease and efficiency. Here are our primary medical process outsourcing service offerings.
Our medical data entry experts input accurate data, such as patient demographics, medical history, diagnosis and treatment details, lab results, and billing and insurance information from diverse sources, into electronic health records. We employ data cleansing, validation, and enrichment techniques to ensure complete, accurate, and up-to-date information.
Healthcare reimbursements happen quickly with accurately coded documents. We ensure appropriate medical coding using standard medical coding systems like CPT (current procedural terminology) and ICD 9 (international classification of diseases). Our team also manages data matching and validation if your documents are coded incorrectly or have any data integrity issues.
Streamline the organization and retrieval of patient records with our medical record indexing service. We make your database more accessible by arranging the data as needed (as per chronology, alphabet, number, or any other sorting parameter preferred) and make it easier to navigate databases and retrieve records.
We assist healthcare providers in efficiently managing invoices for their services. We verify invoice details, match them with corresponding service records, enter details in the accounts payable system, and resolve discrepancies. Our invoice processing services facilitate timely payment processing, streamline financial operations, and ensure compliance with regulatory requirements.
We capture claim details, record them in the healthcare firm's database, and evaluate the claims based on the firm's and insurance payer's guidelines. For hospitals, our team verifies claims before submitting them. For healthcare insurance firms, we verify the accuracy and completeness of claims data to help them pass/deny the claim quickly.
View MoreInsurance Claim Processing ServiceReduce the time to deal with denied medical claims. We help with effective claim denial management by identifying the root cause of denials, including erroneous data or partial documentation. Once we identify and resolve the issues, we file claims according to the payer's required format and guidelines for optimal reimbursement.
Our medical data experts accurately record and update payments received from insurance companies and patients in clients' systems. We precisely enter payment data from diverse sources (printed and scanned documents, electronic records, etc.) and verify details with corresponding invoices to avoid discrepancies, ensuring timely and accurate financial tracking and reporting.
View MorePayment Posting ServiceWe securely enter charges for patients' medical services, procedures, and treatments into the clients' billing system. Our team ensures that the charges are accurately recorded on time to reduce claim rejections, minimize errors, and streamline financial operations for healthcare providers.
View MoreCharge Entry ServiceOur clients can hire a dedicated team or an independent virtual assistant. For organizations with a large number of tasks but average data volume, a VA is more suitable for sharing the load. They act as the extension of your team, handling remote tasks such as scheduling and managing appointments, answering patient questions, transcribing medical records, processing data for medical research, providing administrative support, and managing social media.
Get a round-the-clock inquiry addressal system for your firm's patients, payers, vendors, and suppliers. We offer email support to handle patient queries, reach out to insurance payers, handle vendor issues, and offer outgoing support wherever needed. If you have an AI chatbot integrated into your website or mobile application, our team will act as the humans-in-the-loop, taking over escalated issues wherever the chatbot fails to offer satisfactory responses.
Your data security is our priority
ISO
Certified
HIPAA compliance
GDPR adherence
Regular security audits
Encrypted data transmission
Secure cloud storage
Streamlined revenue cycles and efficient account receivable (A/R) management significantly reduce payment collection time, resulting in faster revenue realization, smoother cash flow, and greater financial stability for the healthcare firm. Considering that, SunTec India offers a consolidated set of services for medical revenue cycle management. This includes patient registration, insurance eligibility verification, medical record indexing, medical billing and coding, charge entry, claim compilation and submission, claim denial management, A/R follow-up, and all related backend activities.
We borrow motivation from the difference we make in the lives of healthcare firms worldwide! Here's what our 8530+ clients in the US, UK, and Europe have reported.
Healthcare process outsourcing is the act of hiring a third-party service provider by medical organizations to outsource their non-critical activities such as data management, invoice processing, claim management, etc. By outsourcing healthcare BPO services, organizations can streamline their operations, improve their efficiency and save operational costs on hiring and training additional staff to handle these tasks.
We have over 25 years of experience in various areas of healthcare business process outsourcing, such as medical coding, medical billing, claims processing, medical data entry, and claims denial management.
We follow a multi-level quality assurance process to identify and fix errors by combining advanced data cleansing and validation techniques. We also use AI tools with a human-in-the-loop approach for utmost data accuracy and process efficiency.
You can share the relevant data with our team in multiple ways:
We sign NDA with each client to protect their confidential details along with using updated firewalls, multi-layer IP address netting, and secure VPN.
Yes. We offer denial management services for medical claims, where our team analyzes the denied claims, identifies issue areas, and fixes the same.
