From encountering claim denials and underpayments to managing revenue cycles, and following up on bad debts, managing administrative operations can be quite a challenge for hospitals. Inefficient back-office processes can often lead to costly errors, delayed billing cycles, and constant administrative burdens, significantly impacting the revenue cycle. Hospitals need to streamline operations and maximize financial performance in order to deliver the exceptional care their patients deserve.
With 24+ years of expertise in healthcare BPO Services, Suma Soft’s wide range of Healthcare Back-Office Support Services are designed to eliminate those administrative burdens and empower organizations to focus on what matters most – their patients! Our skilled team of professionals are equipped to handle whole healthcare back-office support operations, ensuring accuracy, efficiency, and cost-effective solutions.
Suma Soft’s healthcare back office support not only helps increase the productivity of business operations but also helps with cost improvement. With robust strategies, our healthcare back-office support services offer flexibility for businesses to handle varying workloads efficiently to address your diverse needs:
Patient Data Entry
Healthcare back office support services ensure accurate and efficient patient demographic and insurance information record keeping, leading to smooth billing and claims processing.
Insurance Eligibility Verification
Our healthcare back office support services team verifies patient insurance coverage and eligibility upfront, leading to reduced claim denials and maximized first-pass billing success.
Medical Coding Services
Our healthcare back office support services convert medical diagnoses and procedures into standardized codes for accurate claim submissions and maximizing reimbursements.
Medical Billing Services
Our medical billing service team prepares and submits accurate and complete medical bills to insurance companies that help streamline the billing process and accelerate cash flow.
Claim Processing Services
Our healthcare back office support services efficiently manage the entire claims processing from start to end - initial submission, follow-ups, and appeals, maximizing reimbursements and minimizing delays.
Medical Account Receivables Management
Our experienced medical receivables service team focuses on collecting outstanding patient balances, reducing bad debt, and ensuring a healthy cash flow for your business.
Revenue Cycle Management
Gain control of your entire revenue cycle by optimizing billing procedures, improving collections, and maximizing revenue with our end-to-end healthcare back-office support services.
Denial Management Services
Are denied claims draining your resources? Our healthcare back office support service team analyzes denial reasons, effectively appeals denials, and recovers lost revenue.
Payment Posting Services
Get a clear and updated financial picture as our healthcare back office support services ensure accurate and timely posting of patient payments and insurance remittances.
Accounts Receivable (AR) Management
Our healthcare back office support service team manages end-to-end AR, from invoicing, follow-up, and collections to ensuring a healthy cash flow.
Our structured and secure back-office support process ensures accuracy, efficiency, and patient data privacy, which helps enhance patient satisfaction.
Eligibility Verification
Our healthcare back office support services conduct patient insurance eligibility verification before initiating services, thus preventing wasted time and effort on claims that will be denied.
Patient Demography Collection
Our healthcare back office support service team ensures accurate record-keeping and streamlined billing processes by carefully gathering and organizing key patient information regularly.
Accurate Medical Coding
Our team of certified coders adhere to the latest coding standards for accurate and optimal reimbursement.
Charge Posting
Our healthcare back office support service team assigns accurate charges to patient accounts according to assigned medical codes, ensuring proper billing practices.
Electronic Claims Submission
Our healthcare back office support services review and verify claims carefully before electronic submission to insurance companies, per payer guidelines, for faster processing.
Payment Posting
Get a clear financial picture through an accurate billing system that consists of incoming payments from insurers that are securely matched with corresponding charges and accurately posted to your system.
AR Follow-up & Denial Management
Our healthcare back office support services remain dedicated to resolving unpaid balances and denied claims through follow-up with insurers, negotiating settlements, and appeals denials.
Detailed Reporting
Organizations can gain valuable insights into their financial performance through comprehensive reports that contain detailed summaries of billing activity, patient statements, and critical metrics for data-driven decision-making.
Leveraging skilled and talented healthcare back-office service experts along with the latest tools and technologies and state-of-the-art infrastructure, Suma Soft offers quality services within a quick time. We offer efficient, cost-effective, reliable, and quick healthcare back-office support services that help organizations achieve optimal efficiency and financial success:
Flexible Pricing
Every organization has unique financial needs, and hence, our flexible pricing models ensure that businesses pay only for the services they need without compromising on quality.
Data Security
Patient data is our top priority, and we adhere to strict security protocols, including ISO/IEC 27001:2022 ISMS certification, to safeguard sensitive information and ensure compliance with HIPAA regulations.
Quick and Efficient Service
Our healthcare back-office support service team is committed to delivering fast and efficient back-office support, reducing turnaround times and operational interruptions.
Advanced Infrastructure
Our state-of-the-art technology and infrastructure ensure seamless operations and reliable support.
Experienced Experts
Our healthcare back office support service team comprises experts with years of experience in the complex healthcare billing and reimbursement processes.
Personalized Support
Our healthcare back office support services include a dedicated project manager who understands your needs and provides customized support throughout the lifecycle of your project.
Scalability and Flexibility
Our healthcare back office support services can easily align with changing requirements, ensuring ongoing support as your organization grows and evolves.
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