Learn how our Managed Operations model provides the perfect middle ground between outsourcing and incorporating.

talk expert
Talk to
an Expert

Explore the opportunities with us.

Contact Us

Lowering Transaction Costs for Medical Claims Processing

by: Cary Weltken

Tuesday, March 15, 2016 | Company News |

Improve Cost Efficiency with Medical Claims Processing

Processing medical claims involves following a very strict workflow process to ensure that a claim is entered into the system properly and the payer has all the required information to pay the claim. But the process doesn’t stop once the claim is entered. There are still payment follow-up, denials management, and possibly collections that have to be addressed.

Because your company already has the claims processes in place, it gives you the ability to partner with MicroSourcing to create a remote claims processing team in the Philippines.  

MicroSourcing works with several well-known healthcare companies and we have enabled them to establish their own claims processing operations in the Philippines through our unique Managed Operations delivery model. MicroSourcing provides all the assets, resources, and operations support functions in our facilities in the Philippines.  

Clients deploy their processes, tools, and quality standards, and retain operational control and can fully customize how operations are established and managed on a daily basis. By exactly replicating your current medical claims processes, your team in the Philippines can meet the same production and quality standards of your existing team. We can ensure 100% HIPAA compliance.

Your MicroSourcing operation will allow you to significantly reduce your claims transaction costs by as much as 70%.

Medical Claims Processing - Revenue Cycle Management

MicroSourcing’s customers leverage their teams to provide end-to-end medical claims processing as part of their revenue cycle management services. MicroSourcing understands that different skills and experience are required for the different stages of the claims processing and we recruit college educated resources with the skills and experience you specify.

  • Initial claims entry - including follow up to gather any missing information
  • Claims status updates and follow-up
  • Payment Posting
  • Claims Denial Management
  • Collections - both insurance company and patient

MicroSourcing's Managed Operations - How it Works

  • We will hire and employ your own dedicated team of medical coders or Revenue Cycle Management resources in the Philippines.
  • We will provide the dedicated work space with access control and all the assets in our facility.
  • We will provide all management and support services.
  • Together, we will manage daily operations but you can retain full and direct control.
  • You can directly employ the staff if you want to.

Contact us and explore your opportunities with MicroSourcing. I can also be reached at our San Francisco office at 707-773-3325.

Your Processes + Our Resources = Outsourcing Success


Post a Comment

Security Image:

 function captcharefresh button


Email Address: (will not be published) (required)