Business Process Outsourcing (BPO)

KEY FEATURES

  • Appeals & Grievances
  • Claims Administration
  • Credentialing
  • Enrollment
  • Fulfillment
  • IS Reporting
  • Medical & Quality Management
  • Member Communications
  • Member Services
  • Member Maintenance
  • MRA
  • OTC
  • Premium Billing
  • Provider Maintenance
  • Provider Services
  • Provider Communication
  • Revenue Management
  • Risk Management
  • System Configuration
  • Training
  • Utilization Management
  • Mailroom Services
  • OCR and Claims Data Capture Services

BPO SOLUTIONS THAT ALLOW YOU TO FOCUS ON YOUR CORE COMPETENCIES

HealthAxis Group offers Business Process Outsourcing Solutions through our internally managed systems, and through our strategic partnerships. Our expertise in various sectors throughout the healthcare landscape will allow you to focus on your core competencies, while we effectively manage your business processes.
Our systems are continuously updated and improved to meet and exceed best practices, allowing you to avoid distractions from your primary areas of business.

WHY CHOOSE HEALTHAXIS GROUP?

  • Extensive experience in delivering outstanding service
  • Fully customizable training – Developed by working closely with clients to meet their needs
  • Comprehensive Call Center Reporting, ensuring transparency
  • The Call Center meets all CMS required metrics
Time Service Report – First six months 2013 (Medicare):
CMS Regulatory Requirements
  • Within 30 days – 95%
  • Within 60 days – 100%
Client 1
  • Within 30 days – 97.29%
  • Within 60 days – 99.96%
Client 2
  • Within 30 days – 99.74%
  • Within 60 days – 99.96%
Claims Processing Audit
  • Financial Accuracy – 99%
  • Statistical Accuracy – 100%
Data Entry Audit
  • 2%
  • Abandonment rate of less than 5%
  • Answer 80-90% of all calls in 30 seconds or less
  • Maintain an average wait time of less than 2 minutes

DATA CENTERS