Our technology-driven Healthcare BPO services empower organizations to optimize operational efficiency, reduce overhead costs, drive superior patient outcomes, and foster revenue growth. Partner with us to unlock your organization’s full potential in delivering exceptional healthcare services.
Suma Soft’s Healthcare Business Process Outsourcing Services offer a strategic solution for vital healthcare administrative tasks. Our expertise encompasses Finance & Accounting, Custom Support, Data Management, Budget Review, Insurance verification, and more, unlocking substantial benefits for Healthcare providers. By leveraging our proficiency in managing diverse healthcare functions, including patient scheduling and revenue cycle management, hospitals achieve streamlined operations and accurate task execution.
Outsourcing Healthcare operations to Suma Soft yields remarkable cost savings as we handle administrative responsibilities, reducing labor, infrastructure, and technology expenses. With our extensive support and capacity to handle high work volumes, Healthcare providers experience improved turnaround time, elevating service quality and enabling exceptional patient care.
Healthcare Financial Clearance Audit
Healthcare Organizations can save up to 47% on labor and operational expenses, reduce treatment scheduling delays by 35% and achieve 99% accuracy by outsourcing Healthcare operations services to Suma Soft.
Suma Soft’s Healthcare BPO services excel in verifying Medicare, Medicaid, and private insurance policies, coordinating with patients for coverage adequacy, and facilitating renewals. With dedicated teams focused on these verifications, our Healthcare BPO services enhance financial clearance turnaround time, providing swift patient assistance. Our proficient team takes care of issuing authorizations to Primary Care Providers, utilizing HDX for automatic eligibility verification, and validating information on platforms like Change Healthcare, NIA, Availity, Olive, AIM, and Evercore. We meticulously document evidence in our Healthcare Management System for seamless future reference. Entrusting critical Healthcare tasks to Suma Soft ensures timely treatment scheduling, streamlined operations, and exceptional patient care.
Healthcare Accounts Payable
Outsourcing Healthcare Account Payables enables organizations to achieve up to 43% cost savings, reducing processing time by up to 52%. It streamlines invoice processing and payment cycles, minimizes errors, and eliminates duplicate payments and discrepancies.
Within our Accounts Payable function, we provide comprehensive Healthcare Business Process Outsourcing services encompassing the following sub-functions:
Indexing/Routing of Communication
Reconciliation
Fixed Asset Register Entries
Indexing/Routing of Communication
Our skilled AP Analysts review incoming emails related to Accounts Payable, such as Invoices, EDI Invoices, Credit Memos, W-9 forms, Shipment Notifications, Packing Slips, Order Confirmations, and Account Statements. They meticulously route them to the appropriate queue for further processing and payment. In cases where multiple invoices are received in a single email, our team adeptly splits them for efficient handling.
Reconciliation
Our PA analysts perform meticulous reconciliation of outstanding invoices as per vendor requests upon receiving their Account Statements. This ensures accuracy and facilitates smooth financial transactions.
Fixed Asset Register Entries
We update the Fixed Asset Register based on invoices received for purchasing Fixed Assets. This process ensures accurate and up-to-date recording of assets within the system. We ensure timely updating of disposal status for assets as required.
By entrusting these critical sub-functions to our Healthcare BPO team, organizations can experience streamlined operations, enhanced accuracy, and improved financial management.
Accounts Receivable
Leveraging Healthcare BPO services can yield a 15-20% increase in collection rates, ensuring prompt payment recovery. Outsourcing Accounts Receivable significantly reduces DAR by 20-30%, facilitating accelerated cash flow and enhanced financial stability. Suma Soft’s Healthcare BPO maintains accuracy, minimizing errors and discrepancies in managing Accounts Receivable.
The Accounts Receivable function is integral to the financial success of hospitals and healthcare setups. Timely reconciliation, reporting, and follow-ups for outstanding funds are critical due to the substantial costs involved. Our healthcare AR experts have extensive experience deriving accurate AR balances for Patient Accounts, Insurance Providers, and Pharma companies involved in Clinical Trials. We thoroughly review Unbilled Items, Billed Items, Advance Payments, and Deferred Revenue through meticulous Periodic Reconciliation, ensuring precise accounts receivable amount.
We excel in invoice preparation, creation, and submission of eCRFs (Electronic Case Report Forms) and proficiently handle fund application and other bookkeeping functions within the Accounts Receivable department.
Here to Help with Your Every Business Need
Budget Review for Clinical Trials
Outsourcing Healthcare operations can help Organizations achieve cost savings of up to 33% in budget review for clinical trials by optimizing resource allocation and identifying cost-effective strategies. It can reduce review time by 22-30%, allowing for faster trial initiation and implementation.
The revenue generated from Clinical Research activities holds significant importance for healthcare organizations. To ensure accurate calculation of estimated revenue for the financial year, it is crucial to prepare and maintain precise budgets for clinical trials, adhering to contractual terms with Sponsors and incorporating any contract amendments. Our team of healthcare experts comprises experienced analysts who specialize in budget preparation, making necessary corrections based on amendments, and conducting budget audits in accordance with contractual terms. With their expertise, we ensure the accuracy and integrity of clinical trial budgets, supporting healthcare organizations in optimizing their financial performance.
Healthcare Information Management
Healthcare BPO services in HIM deliver up to 34% cost savings, streamline data management, and reduce manual work. Outsourcing HIM cuts processing time by 21-43%, enabling faster data retrieval and storage. HIM-focused BPO services minimize errors and ensure compliance with regulations and data privacy standards.
The Healthcare Information Management (HIM) department ensures the proper documentation of all necessary data. This involves identifying document categories, bookmarking relevant documents, and accurately indexing and organizing them. The HIM department is also responsible for retrieving and sharing data when authorized parties submit a Request for Information (ROI). At Suma Soft, our HIM experts possess extensive proficiency in handling HIM functions, enabling us to efficiently fulfill client requests within specified timelines while maintaining the highest level of accuracy.
Pre-admission Patient Access Document Indexing
Experience up to 44% time reduction in pre-admission patient access through outsourced document indexing, enhancing processing speed and efficiency. Our Healthcare BPO services optimize resource allocation, streamline workflows, and minimize manual work, achieving up to 32% cost savings. With accuracy rates exceeding 95%, Suma Soft’s specialized Healthcare BPO Services maintain data integrity and minimize errors.
In enrolling new patients and preparing for their initial appointments, the hospital administration team is responsible for establishing patient records in the system and meticulously indexing all pertinent documents received before the visit. Suma Soft’s Healthcare BPO team of Patient Access Analysts, as part of our Healthcare BPO services, excels in indexing a wide range of documents, including pathology reports, radiology records, lab reports, clinical notes from PCPs, cardiology reports, and diagnosis details. Our analysts have proven expertise in working with various CRMs/systems associated with healthcare, such as Oncore, Cerner, Soarian, Change Healthcare, and Trace. Through their proficiency, we ensure efficient document management and streamlined workflows to deliver optimal patient care.
Elevate Patient Care and Efficiency with Suma Soft's Comprehensive Healthcare BPO Services
Administration
Healthcare Data Management
Call Center
Revenue Cycle Management
Claims Processing & Adjudication
Administration
Suma Soft’s Healthcare BPO services provide end-to-end administrative support for healthcare organizations. We streamline operations, optimize workflows, and ensure compliance. Our expert team manages appointment scheduling, records, billing, and reporting.
Healthcare Data Management
We excel in systematically organizing, storing, and retrieving healthcare data, ensuring accuracy, security, and compliance. We handle data cleansing, migration, integration, and governance.
Call Center
Our Healthcare Call Center provides seamless communication for patients and providers. Using advanced technology and quality assurance, we ensure prompt and accurate call handling, enhancing patient satisfaction.
Revenue Cycle Management
Comprehensive financial solutions for healthcare organizations. Seamless revenue cycle from registration to payment reconciliation. Expertise in revenue optimization, denial management, billing/invoicing for maximum reimbursement, and improved financial performance.
Claims Processing & Adjudication
Our Healthcare BPO services manage insurance claims, ensuring accuracy and completeness. Our experts assess claim eligibility, payment amounts, and compliance with policy terms, guidelines, coverage rules, fee schedules, and medical necessity criteria.
Suma Soft's Transformative Benefits for Healthcare Organizations
Focus on Core Area
Strategic Partnerships
Scalability and Flexibility
Access to Skilled Talent
Enhanced Data Security and Privacy
Quality Assurance and Service Level Agreements (SLAs)
Business Continuity and Disaster Recovery
24/7 Support and Service Availability
Focus on Core Area
By outsourcing non-core functions, healthcare organizations can redirect their resources and attention to their primary objectives, such as delivering quality patient care and improving outcomes.
Strategic Partnerships
Outsourcing Healthcare functions fosters strategic partnerships, allowing Organizations to tap into industry knowledge, best practices, and collaborative opportunities for growth and innovation.
Scalability and Flexibility
As a Healthcare BPO partner, we scale resources up or down based on fluctuating demands encountered by Organizations.
Access to Skilled Talent
Partnering with a Healthcare BPO provider grants access to a skilled workforce with expertise in healthcare processes, technology, and regulatory compliance.
Enhanced Data Security and Privacy
We prioritize data security and compliance with industry regulations, ensuring the protection of sensitive patient information and mitigating risks.
Quality Assurance and Service Level Agreements (SLAs)
As a Healthcare BPO provider, we establish robust quality assurance measures and SLAs, ensuring consistent service delivery, adherence to timelines, and high-quality performance.
Business Continuity and Disaster Recovery
Healthcare Business Process Outsourcing offers built-in business continuity and disaster recovery plans, safeguarding critical operations during unforeseen circumstances or emergencies.
24/7 Support and Service Availability
Benefit from round-the-clock support, ensuring uninterrupted service availability and timely resolution of issues or inquiries.
Partner with Suma Soft to Streamline Healthcare BPO Operations
ISO 9001, ISO 27001, and HIPAA Certified Company
Trusted Compliance Partner
IT Center of Excellence
Technology-Driven Healthcare BPO Services
Extensive Healthcare Experience
ISO 9001, ISO 27001, and HIPAA Certified Company
Our commitment to quality, information security, and compliance ensures that your sensitive healthcare data is handled with utmost care and confidentiality.
Trusted Compliance Partner
With an in-depth understanding of US healthcare regulations, we can navigate the industry’s complexities. Our Healthcare BPO team has comprehensive knowledge of HIPAA, ACA, HITECH, and other regulations governing healthcare operations.
IT Center of Excellence
Our 550+ skilled IT engineers drive our Healthcare BPO services. Their expertise delivers tailored, innovative solutions for Healthcare BPO. From system integration to data management, and security enhancements to process automation, our engineers ensure seamless operations, efficiency, and improved outcomes in healthcare.
Technology-Driven Healthcare BPO Services
With an extensive knowledge of the technology landscape in healthcare, our expertise spans electronic health records (EHR), Healthcare Information Systems, AI & ML, Data Analytics, RPA Automation, Cloud Computing, Cybersecurity, and Telehealth solutions.
Extensive Healthcare Experience
With 20+ years of experience, we are the premier provider of Healthcare BPO services. Our commitment to quality has made us a trusted partner in the healthcare industry. We are well adept at the distinctive needs of healthcare organizations, delivering tailored BPO services that drive efficiency and success.
All Business Process Management Services
Here to Help with Your Every Business Need
We focus on the IT solutions, so you can focus on your business. See what we can do for you today!