Payor – Outsourced Services

HEOPS provides operational outsourcing in key areas for national health plans, regional health plans, third party administrators, and other payor organizations.

Specifically, HEOPS provides assistance in key areas seamlessly under the Client’s brand as an extension of the organization, HEOPS simply supplies the hands on assistance in the following areas: (hyperlink the services below)

• Call Center Staffing
• Expedited network Development
• Mediation
• Provider file Clean Up
• Provider Relations Overflow
• Single Case Agreements
• RFA/RFP Services.

How it Works.

HEOPS contracts with payors to provide selected services. According to ISO 9001 protocols HEOPS develops Business Rules, conducts training and creates a support team to provide quality services for Client on an outsourced basis. Services may be provided on a project or permanent outsource basis.

Benefits.

• Assistance during peak period.
• Outsourced - additional staffing without salary, wage and benefit (SWB) impact.
• Trained staff that is able to resolve provider issues according to business rules developed in concert with your organization.
• Immediate productivity impact without the delay of hiring and training personnel.

Launch in less than 24 hours:

Utilizing state of the art VOIP technology and time tested best practices; HEOPS has the ability to initiate Provider Relations Overflow within 24 hours or less.

Quality:

HEOPS is involved in the ISO 9001 certification process and maintains high production and service standards so that you can rest assured that brand integrity is maintained.

Discover how HEOPS can assist your team in achieving operational and strategic goals.