Business Process Outsourcing Solutions for Health Plans

Business Process Outsourcing Solutions for Health Plans

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Today’s health plan administrative roles have exploded beyond traditional claims processing, enrollment and payment accuracy. The shift from an insurance provider to additional role as care provider demands new approaches to how you design products, deliver information and engage with consumers while meeting a myriad of new federal and state regulations.

For more than 30 years, our Business Process Outsourcing team has implemented the processes and technologies that bring about real transformation for customers of all sizes. Our end-to-end administrative services help you streamline operations, improve productivity and strengthen cash flow to stay competitive and improve member satisfaction.

We can help you with:
  • Front, middle and back office services
  • Claims and encounter processing
  • Premium billing and collections
  • Configuration services and health plan data maintenance
  • Eligibility and enrollment services
  • Appeals and grievances
  • Care, disease and wellness management
  • Analytics and business intelligence
  • Medical and care management

Components

Integrated business process and technology solutions to enable information-driven healthcare throughout the healthcare ecosystem.
front office
Front Office

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Front Office


front office
We offer a wide range of solutions to meet the administrative needs of health plans.
  • Sales call center
  • Enrollment call center
  • Direct marketing
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office
Middle Office

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Middle Office


office
Solve the cost of care issue with solutions focused towards improved services and members’ health and well-being.
  • Care management
  • Disease management
  • Utilization management
  • On-site nurse support
  • Telemedicine
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back office
Back Office

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Back Office


back office
Streamline core processes such as claims processing, billing, customer service, enrollment and more, and adopt payment integrity solutions that add value.
  • Mail room (print and fulfillment)
  • Claims processing
  • Premium billing and collection
  • Plan updates
  • Provider services
Contact Dell Services to learn more

bpo
Business Process Management Suite

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Business Process Management Suite


bpo
Manage your processes with our end-to-end service delivery and transformation tool.
  • Workflow
  • Knowledge management and learning portal
  • Client extranet/global collaboration portal
  • Reporting and dashboards
  • Automated full-time employee
  • Integration layer
  • Access layer
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automated
Automated Full-Time Equivalent

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Automated Full-Time Equivalent


automated
Get a combination of tools that work across various vertical and horizontal processes.
  • Medical coding
  • Demo entry
  • Payment posting
  • Charge entry
  • Claims processing
  • Adjudication
  • Account receivables
Contact Dell Services to learn more

Staffing Solutions
Staffing Solutions

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Staffing Solutions


Staffing Solutions
Mobilize resources on demand. Dell Services can provide highly skilled staff on a temporary or permanent basis to work under your direction. Staff can be on site within days of your request.
  • Claims staff support
  • Claims and call center audit
  • Call center staff support
  • Configuration, business analysis and project management
  • Eligibility and enrollment administration
  • System conversion support

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Call 1-800-456-3355