RP Sanjiv Goenka Group
Health Plans and Healthcare Services
Leader in Healthcare Payer Operations
Everest PEAK Matrix®
Health Plans and Healthcare Services
Leader in Payer Digital Transformation Services
Rising Star in Payer BPaaS Services
ISG Provider LensTM
Healthcare Digital Services 2021
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Health Plans and Healthcare Services

Leader in Payer Digital Transformation Services
Rising Star in Payer BPaaS Services

ISG Provider LensTM
Healthcare Digital Services 2021

BPO Solutions for Health Plans

We make it easy for you to impact every healthcare moment – big or small – across the zig-zagging customer journey. Our Healthcare Payer BPO services combine our domain expertise, process transformation culture, and proven workflow efficiencies with next-gen technologies such as Conversational AI, Robotic Process Automation (RPA) and Analytics to redefine excellence. Leading healthcare organizations trust us to drive innovation as well as their top-line revenues and bottom-line profitability.

Outcomes delivered

$1.2 M savings with 27% productivity improvement in Accumulators Reconciliation

$2 M savings by eliminating 19% of duplicate claim volume

Slashed unwanted provider inquiry by 20%, improving member and provider experience

Annualized savings of over
$1 M through reduction of un-processable transactions by over 50%

Savings of $4.8 M due to improved financial accuracy and reduced under/over payment

30 min TAT for Order to Cash process, accelerating sales for suppliers and faster order fulfilment for hospitals

‘60 minutes’ response time for treatment administration up from 15% to 54%

Provider satisfaction scores up from 89% to 95%

Healthcare Analytics

Whether you are looking to contain costs or improve patient engagement and quality of care, analytics plays a vital role in achieving the objectives. Our proven Healthcare Analytics Solutions help you harness vast amounts of data flowing through your organization, enabling insights-driven operations, enhancing efficiencies, and creating clinical and business value.

Intelligent Automation for Health Plans

The pandemic is further straining Health Plans and healthcare delivery systems already under pressure from exploding administrative costs, growing staff burnout, and evolving member and provider expectations. Upend traditional healthcare delivery with our Intelligent Automation solutions that integrate Robotic Process Automation (RPA) with Artificial Intelligence (AI) to drive unparalleled operational efficiencies, productivity and patient care.

DECC for Healthcare

Impress and delight your members with personalized and contextual services on a channel of their choice using our next-gen Digitally Empowered Contact Center (DECC). It combines the best of what humans and technology have to offer to deliver the moments that matter across the member lifecycle – eligibility, onboarding, engagement and retention.

Stay ahead with Firstsource

22 Health Plans & Healthcare Services

including 7 of the Top 15

60+ Million

Transactions annually via sympraxis

600+ Million

Pages digitized annually with 350 sort types, including 40 Million claims

The time to prep for a historic redetermination surge is NOW

Enhance member experience and retention through proactive digital engagement

HFS Highlight: Firstsource’s newest partnerships target the patient experience for healthcare clients

whitepaper

Stay ahead with Firstsource

7 of the top 15

Health Plans & Health Services companies

60+ Million

Transactions annually via sympraxis

600+ Million

Pages digitized annually with 350 sort types, including 40 Million claims

Explore insights

Digital Mailrooms: The heartbeat of modern Health Plan operations

Firstsource delivers $20M in annual savings for a PE-backed healthcare organization

Getting Ready for a Historic Medicaid Redetermination Cycle

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    Eddie Monteiro

    Eddie is currently Chief Operating Officer at Educational Testing Service (ETS), where he sets and drives the transformation agenda across the company and has responsibility for all technology and operations functions in addition to the College Board, K-12, and teacher licensure businesses. He previously ran business and technology services at Pearson, where he built a global team to enable scalable delivery of enterprise functions. Prior to that, while at IBM, he held several executive leadership roles in the US, Mexico and Brazil across a diverse set of industries and clients.
    Geetha Krishnan

    Geetha Krishnan

    Geetha Krishnan consults with the Indian Institute for Human Settlements in Bangalore as Senior Advisor and Head of Digital Blended Learning, where he spearheads their online learning and continuing education portfolio. Over 25 years, Geetha has played senior roles in diverse sectors such as academia, online learning, and advertising. In his last role as Director – Centre for Executive Education at the Indian School of Business (ISB), Geetha was head of the profit center comprising more than 50 open enrollment and long duration programs and spearheaded ISB’s foray into online learning by enabling their partnership with Coursera.
    Susan Aldridge

    Susan Aldridge

    Dr. Aldridge is an Executive Higher Education Consultant to university presidents and ministers of education regarding business models and technology-enhanced education. She recently retired from Drexel University after serving six years as president of Drexel University Online overseeing more than 125 online programs. During her six-year tenure as President of University of Maryland Global Campus (UMGC), she doubled the university’s enrollment to 97,000 – to become the largest public American university. She also served as Vice Chancellor for Troy University’s Global Campus managing online programs and satellite campuses in 12 countries and 17 states.

    Alan Greenberg

    Alan Greenberg

    Previously Director Apple Education EMEA and APAC, Alan led the team that built Education Podcasting and iTunes U. He has worked on the development of Apple Education mobile strategy, iOS Education APPs, and developed the SEED CSR project in China, a collaboration between Apple, Foxconn, and Pearson. Executive Board of WideCells Group Plc, Group CBDO, and EVP & Founder of Wideacademy; his working contributions include multiple technology engagements providing domain expertise across digital, mobile, brand, scale-up, international business development, and venture capital.

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