Healthcare business process outsourcing services are profitable for medical organizations that are looking to enhance efficiency, reduce costs, and improve patient care. By delegating non-core operations to a reliable BPO service provider like us, you can free up your resources to focus on core operations.
At SunTec India, a HIPAA-certified medical BPO company, we help healthcare organizations handle non-clinical and non-core activities like,
We have assisted healthcare organizations globally in optimizing their core operations and non-core tasks. We leverage our advanced infrastructure, streamlined processes, and skilled team to cater to our clients' tailored requirements, thus enhancing efficiency.
As a trusted healthcare BPO company with 20+ years of experience, advanced resources, and skilled professionals, we are equipped to meet every requirement with ease and efficiency. Here are our primary medical process outsourcing service offerings.
Our data entry experts meticulously and accurately input critical healthcare data such as patient demographics, medical history, diagnosis & treatment details, lab results, and billing and insurance information from diverse sources into electronic systems. We employ data cleansing, validation, and enrichment techniques to ensure complete, accurate, and up-to-date datasets.
CPT (current procedural terminology) and ICD 9 (international classification of diseases) are medical coding systems used to identify diseases and related healthcare procedures. Our medical coding team ensures appropriate CPT and ICD-9 coding from scratch, or data matching and validation (if you provide already coded documents with integrity issues).
Our team organizes your medical records into an accessible format to ensure easy retrieval. We make your database more user-friendly by arranging the data as needed (as per chronology, alphabet, number, or any other sorting parameter preferred), thus simplifying navigation with an appropriate index.
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 from various records such as claim forms, medical records, etc., and input them into clients' systems. We verify the accuracy and completeness of claims data, ensuring it adheres to industry standards and guidelines. Additionally, we can review and evaluate claims based on predetermined rules and policies to help you determine their payment eligibility.
We provide data support for denied claims. We update the data in a central log and gather the necessary information to identify the root cause of claim denials, including erroneous data or partial documentation. Once we identify and resolve the issues, we ensure filing 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.
We 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.
We provide dedicated virtual assistants for remote task management, such as scheduling and managing appointments, answering patient questions, processing insurance claims, transcribing medical records, supporting medical research, providing administrative support, assisting with customer service, managing marketing and social media, and handling data entry.
In addition to our core healthcare BPO services, here are some additional outsourcing solutions we offer to meet specific business requirements:
Discuss your project requirements with our experts
Evaluate our services through a sample task
We help you choose a suitable pricing option based on project size and complexity
Sign a confidentiality agreement (NDA) before project initiation
Securely share your data with our team
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A skilled, agile workforce at scale
Standardized processes at CMMI-3 level
ISO, NDA, firewalls, and encryption enabled
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 20 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.
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We borrow motivation from the difference we make in the lives of businesses and people! Here's what our 8530+ clients in the US, UK, and Europe have reported.
Increased process efficiency
Quality control cost savings
Quick market adaptation
Competitive advantage
