A key to any successful health-plan operation is a smooth-running back office. The ability to maintain consistent and efficient processing of claims, enrollment, credentialing and business rules configuration is critical to the bottom line. However, efficiently maintaining these operations can be difficult. Retention and staffing issues, changes to provider contracts, fluctuating transaction volumes, product changes, and compliance with regulatory requirements all can impact efficiency.
With Call4Peace's Business Process Outsourcing (BPO) Services, health plans can turn over responsibility for a wide range of tasks to Call4Peace, while focusing on strategic activities that provide a competitive advantage. Call4Peace can help you maintain efficiencies through ongoing, project and overflow staffing. From claims to enrollment to billing to configuration, Call4Peace BPO Services can enable your payer organization to:
• Manage fluctuating transaction volumes cost-effectively and efficiently
• Reduce claims backlog
• Ensure consistent inventory levels
• Launch new products to customers quickly
Call4Peace BPO Services are available in three different delivery models:
• Overflow: Augment your staff on an as-needed basis.
• Retainer: Utilize full- or part-time staff for projects.
• Fully Outsourced: Ongoing service, full management of technology and services.
