Healthcare Claims Administration

For healthcare payers, we provide best-practice workflows, technology and support for efficient healthcare claim processing thereby delivering improved customer experience resulting in growth and increased revenue.

Helping US Healthcare Payers enhance customer experience

With the rising number of insured individuals comes a torrent of eligibility determinations and claims, as well as new regulations that govern them. Providing a consistent, high-quality service is key to increased member loyalty, satisfaction, and ultimately growth and revenues.

Firstsource provides the best-practice workflows, technology, expertise and support healthcare payers’ need to keep up with ongoing operational and administrative demands, and deliver an unmatched customer experience.

We combine world-class personal support with highly trained, industry-knowledgeable professionals and leading-edge technology to deliver a comprehensive set of proven services and solutions for healthcare payers.

Stay Ahead

We deliver excellence across the service continuum

  • Claims Processing and Adjudication – Streamlines your claims operations by addressing inefficiencies across the lifecycle, from submission and verification to adjudication and final payment
  • Digital Mailroom and Document Services – Automates manually intensive tasks and enables data-driven decisions using advanced technologies, helping you improve efficiency, service and quality
  • Enterprise Claims in the Cloud (BPaaS) – Integrates claims services with secure cloud technology to deliver greater agility, cost savings, accuracy and security of back-office administrative tasks
  • Member Enrollment, Billing and Eligibility – Serves your new and existing members with enrollment, renewals, plan changes, claim status, and day-to-day inquiries on benefits, coverage and products
  • Omni-Channel Contact Center – Enables your members to connect 24/7 with providers and their health plans when and how they prefer—via email, phone, web chat, and social media
  • Provider Data Management and Credentialing – Combines secure data management, automation and skilled personnel to alleviate the pain and penalties associated with inaccurate or out-of-date provider data
  • Quality Assurance – Optimizes the efficiency and accuracy of your critical processes, platforms and resources across claims, provider data management, customer service, member enrollment and billing
  • Telehealth Support – Provides the first line of technical set-up, support, patient engagement and familiarisation to successfully deliver and scale a modern telehealth program

Why Firstsource?

"Leader" in the IAOP Outsourcing 100 List for 2017

This prestigious designation is granted only to the best and most disruptive BPO companies

Trusted by FTSE 100 & Fortune 500 companies

We believe in long term partnerships - over half of our clients have been with us for 7 years or longer

18,000+ people in 38 global delivery centers

We deliver 24/7 customer support aided by advanced analytics, RPA and cutting-edge technology

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Related Pages

Telehealth Support

Firstsource offers end to end telehealth support services, enabling healthcare payers and providers to reduce cost and improve patient outcome.

Member Enrollment, Billing and Eligibility

Firstsource's member enrollment, billing and eligibility support services enable healthcare payers to deliver high-quality services while remaining profitable and competitive.

Digital Mailroom and Document Services

Firstsource enables healthcare payers save as much as 40% - 60% in mailroom operating cost through its digital mailroom automation and document services using technologies like RPA and artificial intelligence.