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What are the Common Healthcare BPO Services?

Michaela Bowers,, Manager, Patient Access Services,University Hospitals
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One of the most important activities in the healthcare industry is processing patient claims. Patients must have valid medical claims from their insurance companies. However, when the count exceeds the average count, maintaining the accuracy for each claim becomes extremely difficult.


 According to research, the healthcare sector is highly fragmented, making information flow extremely difficult. Furthermore, outsourcing in the healthcare sector has only recently begun. However, statistics show that the global healthcare BPO services market will be worth USD 3000 billion by the end of 2022. Medical institutions have prioritized providing high-quality patient care by outsourcing non-core business functions in recent years. Outsourcing is the ideal solution for any type of medical facility, as it increases efficiency while decreasing costs.


Common Healthcare BPO services


Medical Coding and Billing


Every day, hospitals and medical professionals deal with a large number of medical records that require complicated coding and billing. Healthcare professionals who lack the necessary knowledge and expertise may encounter significant errors and delays when processing patient records and bills. 


Here's an example of medical billing outsourcing as part of healthcare BPO, with no billing or coding hiccups.


Healthcare BPO professionals are adequately trained and equipped with the necessary information to perform their duties efficiently and accurately. This enables healthcare facilities to concentrate on core business tasks such as improved patient treatment, care, medical research, and so on.


Claims Processing


One of the most important activities in the healthcare industry is processing patient claims. Patients must have valid medical claims from their insurance companies. However, when the count exceeds the average count, maintaining the accuracy for each claim becomes extremely difficult.


As a result, outsourcing the claims processing task to a healthcare BPO for close monitoring is a better option. Skilled teams are assigned to process large volumes of medical claims. They are provided with the necessary manpower and resources to do the job.


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