Offshore BPO Services - Business Process Outsourcing for Healthcare Providers - Medical Billing and Offshore Claims Processing

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Business Process Outsourcing - Healthcare Providers - Eligibility & Benefit Verification


	Physician Billing
	Hospital Billing
	Coding Services

Healthcare Providers

Revenue Cycle Management

	Medical Coding
	Charge Capture
	Payment Posting
	Account Receivables Follow-Up
	Revenue Recovery

Accounts Receivables Management

Eligibility & Benefit Verification

	Security Policy
	Key Differentiators
	BPO Process Transition

Services : BPO : Healthcare Providers

Eligibility & Benefit Verification

In the absence of proper eligibility and benefit verification countless downstream problems are created; delayed payments, rework, decreased patient satisfaction, increased errors, and nonpayment. To avoid these problems, GeBBS provides a remotely hosted Centralized Eligibility Unit for Hospitals and Faculty Practice Plans. The solution consists of GeBBS deploying staff, technology, management and expertise with the objective of delivering high quality cost effective patient insurance eligibility and related services.

GeBBS’ Eligibility Verification Services has the potential to:

	Improve A/R cycles (reduce A/R days)
	Increase cash collections by reducing write-offs and denials

Eligibility and Benefits Verification

	Receive Schedules from the Hospital via EDI, email or fax
	Verify coverage on all Primary and Secondary (if applicable) Payers by utilizing sites like WebMD, Payer Web Sites, Automated Voice Responses and phone calls to Payers
	Contact patient for information if necessary
	Provide the client with the results which include eligibility and benefits information such as member ID, group ID, coverage end and start dates, co-pay information and much more

Related Services (Optional)

	Obtain Pre- Authorization Number
	Obtain referral from PCP
	Enter/update Patient demographics
	Remind patient of POS collection requirements
	Inform client if there is an issue with coverage or Authorization
	Medicaid Enrollment


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GeBBS workflow application
for revenue cycle management services


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