Enabling Broadened Offerings, Improved CSAT for Providers
In this post-reform era, individual and family enrollment has seen a significant increase. The right lifecycle focus includes dedicating resources to the efficiency of network management, claims accuracy, and medical cost management, to lower costs, improve provider and member satisfaction, and make healthcare more accessible. HGS Provider Lifecycle Management Services comprise solutions that focus on provider engagement and back-office processes, as well as complementary services.
We currently employ 1,100 clinical staff members, many of whom carry US RN licenses offering Utilization Management, Case Management, and Care Coordination. Our member support staff works to improve end-user experience, provider denial management, explanation of benefits, and handling of customer queries. Over our history, HGS has become the partner of choice for five of the top ten insurance payers within the United States. Our clients count on us for our domain expertise and customer care focus.
How We Do It
HGS Provider Lifecycle Services include:
Along with our Provider Lifecycle Services, HGS also offers more provider services: financial clearance, coding accuracy, cash recoveries, and denial reversals. We support clients during specific times of need such as pressures on cash flow, including patient accounting system conversions, process transformation and redesign efforts, staff turnover, and talent recruitment challenges.
HGS provider lifecycle services offer benefits such as: