Healthcare administration shouldn’t be a burden.
We listen first. Then we act.
Your challenges aren’t just workflows—they’re patients needing care, providers needing support, and systems needing precision.
Let’s simplify the work so you can focus on what matters.
Your Partner for Healthcare Administrative Excellence
We don’t take over. We tune in.
Research Shows:
- High Administrative Costs:
- 30–40% of healthcare spending goes to administrative tasks (Journal of the American Medical Association).
- Member Dissatisfaction:
- 72% of members cite long call wait times as their top frustration (JD Power).
- Claims Denials:
- 15–20% of claims are denied initially, costing $20B annually in rework (Change Healthcare).
SLA Commitments:
- Call Wait Times: Reduce average hold times to <2 minutes (vs. industry average of 8–10 mins).
- Claims Triage Accuracy: Resolve 90% of tier-1 claims inquiries without escalation.
- Errors: Reduce data-entry mistakes by 50% through dual-review workflows.
Balancing member satisfaction, provider collaboration, and compliance is exhausting. We handle the operational friction so you can focus on care quality.
| Common Challenges | How We Help |
|---|---|
| High call volumes drowning your team. | Trained specialists handle 80%+ of tier-1 inquiries, reducing wait times by 40%. |
| Claims documentation errors causing denials. | We triage claims, flag missing info, and guide members/providers to submit correctly. |
| Enrollment backlogs delaying coverage. | Verify data, process sign-ups, and maintain audit-ready records in real time. |
| Portal frustrations driving member complaints. | Resolve login issues and policy access glitches with plain-language support. |
Core Services
Customer Service & Call Support
Our team handles inbound and outbound calls for policy inquiries, benefits clarification, and claims status updates. We resolve tier-1 issues while escalating complex cases to your internal experts with detailed notes.
- Member Satisfaction: 85%+ first-call resolution rate, reducing repeat inquiries by 30% (Source: JD Power Call Center Benchmarking, 2023). Reduced Hold Times: Average call resolution in <2 minutes (industry average: 8–10 mins).
- Reduced Hold Times: Average call resolution in <2 minutes (industry average: 8–10 mins).
Claims Processing Assistance
We triage claims-related inquiries, guide members on documentation requirements, and flag errors (e.g., missing modifiers, incorrect ICD-10 codes) before submission.
- Error Prevention: Reduce denials by 25% through pre-submission audits (Change Healthcare Denials Report.
- Efficiency: Resolve 80% of tier-1 claims inquiries without escalation.
Member Enrollment & Data Management
Verify eligibility, process enrollments, update member records, and maintain your databases.
- Accuracy: 99.9% data integrity through dual-review workflows and real-time validation.
- Speed: Process enrollments in 48–72 hours (vs. 5–7-day industry average).
Technical Support & Help Desk ( Tier 2 Support – Requires training on your platform )
What We Do: Troubleshoot portal logins, policy access, and mobile app glitches—in plain language.
Appointment Scheduling for Health Programs
Coordinate preventive care enrollments (e.g., annual checkups, vaccinations) and wellness program sign-ups.
the passion trying & skill can make a top-performing company
Frequently Asked Questions
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