Medical Claims Management Outsourcing

Outsource Your Medical Claims Management

Experience aligning the healthcare industry with cost-effective solutions. 

An efficient medical claims process is vital to seamless operations. Inaccurate claims submitted to the patient's insurance can quickly lead to delayed payments, denials, rejections, and patient dissatisfaction, affecting your cash flow and ROI. Outsourcing your medical claims management process to a seasoned service provider is an ideal way to overcome these obstacles.

Global Healthcare Resource offers professional medical claims management services backed by over 6,000 trained revenue cycle management (RCM) team members and 25 years of experience in the industry. 

Benefits of Claims Management Outsourcing

Global Healthcare Resource is one of the best medical claims processing companies worldwide. Outsourcing your claims management to an experienced service provider empowers your organization to:

• Improve claim accuracy: Our team members implement proven processes to ensure accurate patient data, eligibility verifications, and medical coding for enhanced accuracy and fewer denials. 
• Process claims faster: With our winning claims process adding more haste to your approach, your organization will likely receive payment quicker.
• Streamline your organization: Partnering with us gives you access to skilled RCM professionals who become an extension of your team and make your business more efficient.
• Benefit from advanced technology: Our systems can integrate with any existing digital platforms, making automation, communication, and information exchange a breeze.
• Ensure regulation compliance: Outsourcing through Global Healthcare Resource means your company's revenue cycle procedures will comply with all industry standards and regulations.

Top-Tier Medical Claims Services

The medical claims completion and submission process involves numerous vital components, all of which support the revenue cycle:

• Patient registration: Obtaining and capturing accurate patient and insurer data
• Insurance verification: Confirming insurance plan benefits, coverage, and potential copayments
• Medical code input: Translating all diagnoses to relevant codes according to regulations
• Charge processing: Recording the necessary charges and expected payments
• Claims submission: Checking and submitting the claim to the patient's insurance for reimbursement

Your End-to-End Solution for RCM

Global Healthcare Resource is your go-to provider for turnkey revenue cycle management services, including these integral solutions:

• Patient eligibility: We collect crucial patient information, verify insurance details before appointments, and facilitate pre-authorization, saving you time and improving reimbursement rates.
• Medical coding: Our team evaluates all patient records to ensure medical codes and diagnoses correlate and align with HCPCS, DRG, ICD-10, and CPT standards, increasing claim accuracy and success.
• Medical and physician billing: Global Healthcare Resource takes care of your daily billing tasks while maintaining cost efficiency by mitigating the need to recruit, train, and pay more team members.
• Accounts receivable management: We examine, sort, amend, and follow up on claim denials, increasing reimbursements while pinpointing the reason for denial and implementing processes to prevent future claims mistakes.

At Global Healthcare Resource, we recognize that healthcare organizations take on many different forms, so we offer flexible services. Whether you run a hospital, large practice, home health organization or hospice, we can customize our service to your business's needs. 

Expert Outsourced Medical Claims Assistance

Improve your organization's claims system and success rate with one of the world's best healthcare claims processing companies. Partner with Global Healthcare Resource and benefit from a global team accessible 24 hours a day to help your business succeed. Schedule a consultation with one of our knowledgeable team members.