Rising demands in technological advanced health services for an aging population are driving tremendous changes in the healthcare industry. Scientifically evolved new business models and processes are reflecting the changing novel trends that are governing the global healthcare value chain. In addition, health services are also evolving as individuals are seeking greater attention and implication in healthcare decisions that decide their wellbeing and call for easier approach. Strict stipulation related to patient privacy, security, treatment and payments are altering various processes.

With the immense knowledge of the healthcare domain and Business Process Management (BPM) expertise, we collaborate with healthcare organizations to help them maximum exploit on these unsettling trends and increase their market share. We validate healthcare companies to improve process efficiencies, deliver superior customer experience, balance costs and outperform business challenges

Sector Offerings

  • Omni-channel capabilities
  • Inquiries, Enrolment and Transitions
  • Multi-channel support
  • Member care support and Retention
  • End-to-end member management solutions
  • Inbound and Outbound sales
  • Processing
  • Data Entry
  • Document Management
  • Back Office account setup
  • Work Flow enablement
  • Adjudication and presentment
  • Mailroom and printing
  • Premium reversals/chargebacks
  • Cancellations
  • Payment Reconciliation
  • Renewal accounting
  • Plan administration
  • Beneficiary/policy holder updates
  • Reinstatement of lapsed plans
  • Revival accounting
  • Addition/deletions of riders/amendments
  • Surrenders/refunds
  • Maturity or survival benefits
  • Digital Services
  • Patient communications (including Apps)
  • Accounting
  • Automation enablement
  • Single point visibility into costs, Resources, Utilization, Billing and Revenues
  • Pre-registration
  • Discharge management
  • Collecting patient balances
  • Remittance processing
  • Charge capture
  • Claim Submission
  • Medical cost management
  • Document Management
  • Data mining
  • Member record updates
  • Data entry/corrections
  • Investigation and resolution
  • Amount determination
  • Claim adjustments/reporting
  • Payment processing
  • Correspondence management
  • Audit support
  • Overpayment reconciliation/recovery
  • Advances risk/security assessment
  • Compliance and consulting services
  • Internal Audit best practises
  • Process controls protecting vital patients information

Conneqt Advantage

Deep domain experience and talent

Clients will have access to efficient expertise at the right time as we have a dedicated team of market research professionals.

Process expertise

We provide effective methodologies to improve patient satisfaction. Industries best practices and proprietary tools are used to reduce operational costs .With intensive marketing research and study we streamline processes and technology optimization. We offer end-to-end service delivery and feasible delivery formats through our global delivery centres.

Industry Insights

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