Redefining care through powerful innovation

Redefining care through powerful innovation

Delivering world-class results across the entire healthcare business process spectrum

Learning from thousands of interactions every day, Teleperformance has rich experience in the Healthcare Management Solutions be it Healthcare Payer Solutions, Healthcare Provider Solutions Healthcare Coding, Revenue Cycle Management.

We represent leading global healthcare organizations and support them to run highly agile and value-enabled operations while constantly creating exceptional patient experience.

Insights into the industry’s very interesting patterns and emerging trends help us craft solutions combining best of analytics, technology, people and force of good to deliver outstanding customer experience. Teleperformance is a leading Healthcare BPO and provides Healthcare Management Solutions, especially from India and middle-east.

At Teleperformance, we create long-term strategic partnerships and help clients turn challenges into competitive advantages, enhanced revenues and cost reductions. More importantly, we constantly engage with our partners to focus on right first-time approach.

Putting the “Care” in Healthcare: Our Tech and Solutions

Putting the ‘Care’ in Healthcare by blending Empathy with High-Tech Solutions:

  • Lean, Six Sigma, COPC, Analytics, and RPA teams to offer high-tech, high-touch solutions for entire Revenue Cycle Management, Healthcare Coding, etc.

  • Technology-enabled solutions across Healthcare Payer Solutions and Healthcare Provider Solutions to optimize costs
  • Delivering high-quality Healthcare Management Solutions to ensure superior Patient Experience for global clients, including Fortune 500 organizations
  • Decades of cumulative experience in the Healthcare BPO industry; Established Teleperformance Encore Coding Academy in Chennai to provide trained coders to cater to major clients. 

 

Using RPA (Robotics Process Automation) and BI (Business Intelligence) in Healthcare BPO and Revenue Cycle Management


Artificial Intelligence assisted faster and accurate Medical Coding; Data Management and Strategy


6-Sigma and LEAN Deployment, Analytics and Resource Optimization, Research & Modelling


Embracing Digital to help Patient Engagement and offer advanced Healthcare Management Solutions

Provider and Hospital Solutions

End-to-End Revenue Cycle Management services and Healthcare Provider Solutions

  • Patient Intake Management – New and existing enrolments, eligibility and coverage, query management, customer records management
  • Medical Coding – Diagnostic and procedural coding, verification of medical treatment
  • Billing & Collection – Billing, suspended billing, rejections and denial management, self-pay collections, payer changes and account updates
  • Cash Posting – Cash applications, reconciliation of invoices, recoups and refunds, denial posting
  • Patient Services – Statement requests, updating insurance information, patient inquiries, complaints handling, statement management, self-pay management
Provider and Hospital Solutions

Provider and Hospital Solutions

End-to-End Revenue Cycle Management services and Healthcare Provider Solutions

  • Patient Intake Management – New and existing enrolments, eligibility and coverage, query management, customer records management
  • Medical Coding – Diagnostic and procedural coding, verification of medical treatment
  • Billing & Collection – Billing, suspended billing, rejections and denial management, self-pay collections, payer changes and account updates
  • Cash Posting – Cash applications, reconciliation of invoices, recoups and refunds, denial posting
  • Patient Services – Statement requests, updating insurance information, patient inquiries, complaints handling, statement management, self-pay management
Business Impact Delivered

Business Impact Delivered

  • 100% of diagnostics coding for a hospital billing company
  • 35% reduction in turnaround time in coding process
  • 24-hour payment application Turn Around Time (TAT) improved from 64% to 96%
  • 50% improvement in first-time resolution in patient inbound calls
  • 90% Enhanced Medicare collections paid rate (an improvement of 23%)
  • 98% Customer Satisfaction for a Fortune 500 major healthcare benefits provider

Operations and Administration

  • Billing/suspended billing
  • Claims indexing
  • Claims processing
  • Claims review
  • Claims adjudication
  • Claims editing
  • Fraud and abuse detection
  • Payment adjustment
  • Receivable management
  • Correspondence
Operations & Administration

Operations and Administration

  • Billing/suspended billing
  • Claims indexing
  • Claims processing
  • Claims review
  • Claims adjudication
  • Claims editing
  • Fraud and abuse detection
  • Payment adjustment
  • Receivable management
  • Correspondence
Business Impact Delivered (1)

Business Impact Delivered

  • Plugged revenue leakages of $2.1 mn by implementing DMAIC projects in Quotes process
  • Invoice processing referrals reduced from 13% to 1.8%
  • Overall TAT reduced from 4 days to 24 hours
  • FTR improvement from 68% to 88% using Six-Sigma and Lean processes

Our Healthcare Management Solutions leverage healthcare support workers, including coders with credentials from CPC, CPC-H, CCS, and CCS-P from AAPC and AHIMA.

Our Healthcare Management Solutions leverage healthcare support workers, including coders with credentials from CPC, CPC-H, CCS, and CCS-P from AAPC and AHIMA.

Healthcare Landscape: Provider

  • 15 Mn charts coded at 96% accuracy annually for 500+ hospitals
  • $100 MN Savings Delivered through our Global Service Delivery Model
  • $1.2 BN Cash Posted annually; 1 mn Order intakes processed annually
  • 1.2 mn Transactions processed through RPA (Robotics Process Automation)
  • 9% of the Emergency Departments visits coded nationally across US
  • 20% Increase in payer collection for a national provider
  • 17% Transformation benefits delivered to healthcare clients
  • 35% Reduction in patient repeat calls
  • 25% Reduction in cost to collect for a large pharmacy network
  • 25% Reduction on time to collect for a large Provider

“Teleperformance is always easy to work with and very flexible. We can count on Teleperformance to deliver on our requirements and provide us with the best experience possible.”

Client testimonial from a major healthcare provider.

All processes are strengthened with Lean, Six Sigma, and transformation capabilities and supported by specialized tools spanning the Revenue Cycle Management cycle.

All processes are strengthened with Lean, Six Sigma, and transformation capabilities and supported by specialized tools spanning the Revenue Cycle Management cycle.

Payer Solutions

Payer Solutions

We provide Healthcare Payer Solutions to streamline processes and provide cost-effective alternatives.

• New Quotes Management – Process quote applications, pricing assessment, benefits mapping, broker/ advisor coordination, quote creations

• Policy Administration – Policy holder enrollment, dependent updates, benefit changes, query management

• Claims Assessment – Assignment of benefits (AOB) analysis,authorization adjudication, member education, co-pay / excess application

• Invoice Processing – Verify provider enrollment status,process invoice payments to doctor/member, invoice leakage audits

• Customer Service – Benefits queries, claim status queries, payment information, provider network queries

Healthcare Landscape – Payer

  • 99.73% Financial Accuracy for processed claims payment through the year
  • Delivered 90% First Time Right for all mid-term policy enrolments across the year
  • 38% Reduction in customer complaints due to incorrect processing of claims
  • Reduced claims processing TAT with 96% claims paid within 10 days
  • 100% SLA delivery in current partnerships
  • 29% Reduction in Member Complaints
  • 11.43% savings generated through Tariff Checking in Bill Audit
  • Recognized as Best Supplier and Best Account Manager’; Ranked 1st for ‘’Best Emails’’ in the annual UK top 50 Customer Service Forum

Teleperformance can help you redefine care through powerful innovation. Let our healthcare management solutions elevate your business results.

Contact us

Teleperformance can help you redefine care through powerful innovation. Let our healthcare management solutions elevate your business results.

Contact us
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