Healthcare staffing

The Claims Adjudicator processes claims according to plan documents while applying company policies and procedures. The Claims Adjudicator verifies data entered from the claim form is accurate and complete to enable the claim to be processed correctly.

They verify that the data entered from the claim form is accurate and complete to enable the claim to be processed correctly by insurance payers.

Offshoring claims processing services can help improve claim payment accuracy and maintain a low backlog of work by properly identifying pricing and/or submission inconsistencies to management.

This involves researching and resolving pre-processing errors and edits to ensure that claims are filed timely. Accurate and timely processing of claim appeals means compliance with the various payor requirements.

Data Analysts are responsible in examining and deconstructing complex company data sets based on a set criterion. High-level experience in methodologies and processes for managing large-scale databases and a demonstrated experience in handling large data sets and relational databases. They can process confidential data and information according to guidelines and helping develop reports and analysis. They manage master data, including creation, updates, and deletion.

Data Analysts are capable of generating reports from single or multiple systems and troubleshooting the reporting database environment and reports and providing technical expertise in data storage structures, data mining, and data cleansing.

Patient Care Coordinators act as the first point of contact of patients. They make follow-up telephone calls to maintain accurate records and ensure that medical record account entries are up to date. They assist patients in preferred communication channels such as calls, emails, messaging and walk through the terms of service, insurance coverage, and payment options. They also assist patients on their scheduled appointments or treatments and consultations.

Patient Care Coordinators have excellent interpersonal skills, active listening and customer-care with focus on quality, problem solving, and analyzing information, and documentation skills.

The time and effort spent by front desk/in-house Healthcare staff on administrative tasks such as waiting for an answer to an eligibility question or for a pre-authorization, can be delegated to a dedicated Offshore Healthcare team.

Outsourced healthcare support staff can be offloaded administrative tasks such as patient scheduling. Healthcare support staff act as the dedicated resource to help businesses set up patient appointments and consultations.

Patient Schedulers manage the appointment calendar and status, and confirm, cancel or reschedule appointment requests based on availability.

An outsourced clinical abstractor is responsible for reviewing and analyzing medical records to extract key data and information. They review patient information, electronic health records, medical history, laboratory results, diagnoses, and treatments. Outsourced clinical abstractors are detail-oriented and have strong analytical skills and can work with healthcare providers to ensure documents are up to date and accurate. They understand patient confidentiality and comply with HIPAA regulations.

Outsourcing the services of a healthcare advisor, also known as a healthcare consultant or healthcare analyst, is responsible for providing guidance and recommendations to healthcare organizations, policymakers, and individuals in the healthcare industry. Their main objective is to improve the quality of healthcare services and help patients receive better care.

Outsourced healthcare advisors analyze large amounts of healthcare data, identify trends and technologies, and use this information to make recommendations for improving patient care. They work with policymakers to develop policies related to healthcare services and may educate healthcare professionals on these policies. Healthcare advisors evaluate the effectiveness of healthcare systems such as patient satisfaction and health outcomes and identify areas for improvement.

An outsourced Remote Information and Patient Data Security Manager is responsible for ensuring that security and integrity protocols and procedures are integrated into the healthcare organization’s patient data and operations. This involves working with a team of professionals to develop and implement security measures that protect sensitive patient information from cyber threats and data breaches.

Outsourced Remote Information and Patient Data Security Managers develop and implement security protocols that protect patient data and conduct regular risk assessments to identify potential vulnerabilities in the healthcare organization’s information systems and infrastructure and make sure that these protocols comply with regulatory requirements and industry standards such as HIPAA, GDPR, and other relevant data protection laws. Their functions also include managing security incidents.

They provide security training to healthcare staff and other stakeholders to ensure that they understand the security protocols as required.

Outsourced Telephone Triage Nurse Staff are responsible for providing remote patient care through phone consultations. They work as part of a healthcare team, typically in a hospital or clinic setting, and provide assessments and recommendations to patients over the phone.

They answer patient calls and gathering information about the patient’s symptoms, medical history, and current medications and document all information in the patient records. Their function also includes providing medical advice to patients, including instructions on how to manage their symptoms at home or whether to seek further medical attention.

The outsourced nurse staff may refer patients to appropriate healthcare providers, such as emergency services, specialist care, or a primary care physician.

The outsourced nurse staff may follow up with patients to ensure that their symptoms have improved or to check whether they have sought further medical attention. They collaborate with other healthcare team members, such as physicians, nurse practitioners, and physician assistants, to provide the best possible patient care.

Overall, the telephone triage nurse staff plays a critical role in providing remote patient care and ensuring that patients receive appropriate medical attention based on their symptoms and medical history.

Outsourced Chart Retrieval Specialists are responsible in retrieving medical records and patient information from healthcare facilities for use in insurance claims processing, medical research, and other purposes. Outsourced Chart Retrieval Specialists work under the direction of a medical records manager or healthcare administrator to locate and retrieve medical records from healthcare facilities.

Their functions include requesting medical records and patient information from healthcare facilities, including hospitals, clinics, and physician offices, tracking record requests, managing, reviewing and ensuring that requested records are received on time, while meeting legal and regulatory requirements related to the retrieval and handling of medical records, such as the Health Insurance Portability and Accountability Act (HIPAA).

Outsourced Behavioral Health Technicians work for licensed behavioral health professionals such as psychologists or social workers and provide them support in therapeutic care and assistance including daily direct client care and assistance to clients’ hygiene, meal preparation, medication, and treatment plans and monitoring client progress towards treatment goals.

They work with other healthcare professionals, such as nurses or social workers, to educate and ensure that clients receive comprehensive care and crisis intervention.

Outsourcing the services of a Healthcare Claims Processor can provide support in the processing and adjudicating insurance claims submitted by healthcare providers.

We can hire outsourced Healthcare Claims Processors with a high school diploma or GED, as well as relevant work experience in healthcare claims processing or medical billing, and proficiency of medical terminology, insurance billing codes, and healthcare reimbursement policies is highly desirable. Strong analytical skills, attention to detail, and the ability to work in a fast-paced environment are also essential. In addition, familiarity with electronic medical records (EMRs) and healthcare claims processing software is highly desirable.

We can hire you Data Curators responsible for collecting, organizing, and managing large sets of data, , including creating data sets, defining data schemas, and creating data models, and ensuring that data is accurate, complete, and accessible to authorized users.

Responsibilities of an outsourced Data Curator includes implementing data standards, collecting data from various sources, organizing it, then preparing it for analysis and review to make sure data is accurate and complete.

Outsourced Data Curators have relevant work experience in data management, data analysis, or data curation, as well as knowledge of data management best practices and tools such as SQL or Tableau and programming languages such as Python or R. They also work with researchers or analysts to understand their data needs and requirements.

Organizing and managing data of patients takes a lot of time and effort. We can outsource Health information staff to ensure the accuracy of a patient’s medical records. They are responsible in overseeing, collecting, analyzing patient information in electronic health record systems and patient record databases, while ensuring compliance with all legal and ethical requirements. They have great interpersonal skills and collaborate and work closely with other healthcare professionals, healthcare providers, insurance companies to make sure entries are up to date.

Physical therapy billing is an administrative side of physical therapy that is highly transactional function that can be outsourced.

Outsourced physical therapy billers are responsible in making sure that all claims for physical therapy services are accurately processed and paid by insurance companies. They have proficiency in medical billing coding systems insurance regulations, and healthcare reimbursement systems.

They possess strong organizational skills as their functions include verifying patient insurance coverage, submitting claims, and following up with insurance companies to ensure payment is received in a timely manner. managing patient accounts, verifying patient eligibility, and answering patient billing questions.

Essential in the healthcare industry, Medical data redaction is a process of removing or masking personally identifiable information (PII) from medical records or documents to protect the privacy and confidentiality of patients’ sensitive information. This is done to comply with regulatory requirements, such as the Health Insurance Portability and Accountability Act (HIPAA).

Outsourcing Medical Data Redaction services can help you with the medical data redaction process. Outsourced medical data redaction specialists review and analyze medical records or documents to identify any PII that needs to be redacted or masked. This may include sensitive information such as patient names, addresses, social security numbers, medical diagnosis or treatment information, and other identifying information.

We can hire you outsourced medical assistants to play a vital role in delivering quality patient care and ensuring the efficient operation of healthcare facilities.

Outsourced medical assistants provide administrative and clinical support to physicians, nurses, and other healthcare professionals. They perform a wide range of duties to help ensure the smooth operation of a medical office or clinic.

Their functions mainly are managing medical records, scheduling appointments, answering phones, and maintaining patient charts. Their functions also include assisting patients with intake, preparing them for exams or procedures, insurance claims and taking their vital signs. They also assist the physician with medical procedures, administering medications, performing basic lab tests and ensuring that medical equipment and the exam rooms are clean.

A Quality Assurance Supervisor is responsible for ensuring that healthcare facilities and staff provide high-quality care to patients. When you outsource the services of a Quality Assurance Supervisor, they can help in developing and implementing quality assurance programs that meet regulatory requirements and policies and ensure that all aspects of patient care are safe and effective. Policies, procedures, and guidelines ensure quality care delivery, and meet regulatory requirements. This includes monitoring the quality of patient care activities, including diagnostic tests, medical treatments, and other patient care activities, as well as audits and inspections of healthcare facilities and staff, to ensure that they meet established quality standards.

Outsourcing your medical billing to a business process outsourcing company, you work with medical billers and coders who have the necessary expertise and knowledge on complex insurance and billing systems, allowing for accurate medical billing services from timely claims submissions, reduced denied claims, to improved percentage of claims. Outsourcing medical billing can also help reduce the amount of time and resources spent on collections, making sure the claims processing is free from errors.

Offshoring medical coding can help improve claim payment accuracy and maintain a low backlog of work by properly identifying medical documentation, increasing clean claims.

Outsourced Dental Billers are responsible in ensuring accurate coding and billing practices, processing and submitting insurance claims for dental services, including verifying patient insurance coverage, submitting claims, and following up with insurance companies to ensure payment is received.

Outsourcing credentialing services has become a common practice in the healthcare industry, as it allows healthcare providers to streamline their credentialing processes and ensure compliance with regulatory requirements.

Outsourced Prior Authorization Specialists conduct can be assigned functions such as submitting and following-up preauthorization to various insurance companies.

Outsourced Eligibility Verification Specialists provide effective and accurate patient record transcription, verify data entered from the claim form is accurate and complete to enable the claim to be processed correctly and accurately.

Offshoring claims processing services can help improve claim payment accuracy. The outsourced staff verifies data entered from the claim form is accurate and complete to enable the claim to be processed correctly.

Outsourcing transcription services is a popular choice for many businesses and organizations that require accurate and timely conversion of audio or video recordings into written text.

Virtual Nurses are responsible for patient assessment, as well as planning of care and subsequent recovery. They are also able to work closely with health care practitioners to ensure the recovery of patients.