At a glance
Teams BPO supports healthcare administrative operations across intake, verification, authorization support, documentation, billing, follow-up and customer operations.
Teams BPO supports healthcare administrative operations across patient, order, revenue-cycle and support workflows. Teams are trained around healthcare terminology, work queues and service requirements, with performance managed across accuracy, turnaround and backlog.
Teams BPO supports DME and healthcare administrative operations across intake, insurance verification, authorization support, documentation, billing, follow-up and resupply workflows.
Operations that can be supported
Teams BPO can support:
- Referral and order intake
- Eligibility and benefits verification
- Prior-authorization support
- Documentation follow-up
- Order processing
- Claims and billing support
- Denial follow-up
- Accounts-receivable follow-up
Operational support
Teams BPO supports recurring healthcare administrative workflows across intake, verification, authorization support, documentation, billing, follow-up and customer operations. Teams can be organized around specific queues or broader managed processes depending on volume and coverage needs.
Managed delivery
Teams BPO recruits, trains and manages healthcare operations teams with team leadership, QA, workforce planning and performance reporting. Coverage can be aligned to business hours or extended schedules based on workload.
Measures that matter
Typical operating measures may include:
- Turnaround time
- Clean-order rate
- Authorization turnaround
- Documentation completion
- Claim status aging
- Denial rate
- Days in AR
Common reasons to outsource
Healthcare organizations use external operations teams to add capacity, manage growing work queues, improve turnaround and access experienced administrative talent.
Start with a specific workflow
Programs can begin with a defined workflow such as intake, verification, documentation follow-up or billing, then expand once delivery is stable.
Workflow & Processes
Key Performance Indicators
Turnaround time
Clean-order rate
Authorization turnaround
Documentation completion
Claim status aging
Denial rate
Days in AR
Related services and insights
Healthcare Operations Outsourcing
Managed healthcare operations across intake, verification, authorization support, documentation, billing and follow-up.
DME Order Intake Outsourcing
Managed DME order intake, completeness checks, case creation and routing into the appropriate downstream workflow with defined process controls.
DME Referral Intake Services
Managed DME referral intake, document indexing, information checks, case creation and missing-document follow-up with defined process controls, quality.
Insurance Eligibility Verification
Insurance eligibility verification support covering coverage checks, documentation, status capture and exception follow-up.
Prior Authorization Outsourcing
Managed administrative prior authorization support including intake, documentation preparation, status follow-up and escalation with defined process.