Healthcare BPO

Services

Healthcare BPO

We deliver intelligent health operations that improve patient outcomes, keep costs under control and increase consumer and provider engagement.

Discover how Accura financials can transform your healthcare operations. 

Contact us today to learn more about our customized solutions that enhance patient care, improve efficiency, and ensure regulatory compliance.

Why do people choose Accura Financials?

By partnering with Accura financials, healthcare organizations can

Enhance Patient Care

Through effective engagement and support services.

Improve Operational Efficiency

By optimizing administrative processes.

Achieve Cost Savings

Through streamlined workflows and claims management.

The Complete Solutions

Our Healthcare BPO services

Claim Services

Our global claims professionals have partnered with many clients, leveraging industry expertise and advanced process optimization to drive billion in administrative and medical cost savings.
Through efficient claims management, data-driven decision-making, and streamlined workflows, we help organizations reduce costs, improve accuracy, and enhance overall operational efficiency.

Utilization Management Services

We facilitate seamless consumer and provider engagement, ensuring better health outcomes through a comprehensive suite of services, including prior authorization intake, clinical claim review, and appeals support.
By streamlining these critical processes, we help reduce administrative burdens, improve decision-making efficiency, and enhance compliance with healthcare regulations-ultimately leading to a more efficient and effective healthcare system.

Population Health Services

We provide a comprehensive range of services designed to enhance patient care and healthcare efficiency. Our offerings include health risk assessments, proactive outreach, program enrollment and referrals, patient support services, and care coordination quality reviews.
By integrating these solutions, we help healthcare organizations improve patient engagement, streamline administrative processes, and ensure high-quality care delivery while maintaining compliance and operational efficiency.

Care Value Services

Our member and provider outreach services enhance patient outcomes by delivering targeted education and support to bridge gaps in care.
Through proactive engagement and medical record services, we help ensure timely interventions, improve adherence to treatment plans, and facilitate better coordination between healthcare providers and patients-ultimately leading to higher quality care and improved health outcomes.

Membership Services

We streamline the quote-to-card process, achieving up to a 60% reduction in enrollment turnaround time while enhancing predictability through proactive management and optimized workflows.

Provider Services

We enhance data accuracy, reduce turnaround time, and minimize pended claims volume, enabling stronger provider relationships and ensuring improved compliance.

Comprehensive Healthcare

Support Services

Provider Services

We enhance both consumer and provider engagement, driving better health outcomes through:
• Prior Authorization Intake: Ensuring efficient processing of treatment approvals.
• Clinical Claim Review: Evaluating medical claims for accuracy and compliance.
• Appeals Support: Assisting with the appeals process to streamline healthcare administration.
Our approach reduces administrative burdens, improves decision-making efficiency, and maintains compliance with healthcare regulations, contributing to a more effective healthcare system.

Utilization Management Services

We offer a full suite of services designed to facilitate seamless engagement between consumers and providers, including:
• Streamlined Processes: Reducing administrative workloads and enhancing efficiency.
• Regulatory Compliance: Ensuring adherence to healthcare standards.
• Improved Health Outcomes: Supporting clinical decisions and enhancing patient care.

Population Health Services

Our population health solutions are crafted to elevate patient care and optimize healthcare efficiency:
• Health Risk Assessments: Identifying potential health concerns early.
• Proactive Outreach & Referrals: Engaging patients and connecting them with appropriate care programs.
• Patient Support Services: Offering guidance and resources to enhance care coordination.
• Care Coordination Quality Reviews: Maintaining high standards of care delivery while ensuring operational efficiency.

Membership Services

We deliver targeted education and support to bridge gaps in care and improve patient outcomes through:
• Proactive Member & Provider Outreach: Ensuring timely interventions and adherence to treatment plans.
• Medical Record Services: Facilitating better coordination between healthcare providers and patients.
• Enhanced Patient Engagement: Supporting higher quality care and improved health outcomes.

Claims Services

Our global claims professionals have partnered with 18 clients, generating over $3 billion in administrative and medical cost savings through:
• Efficient Claims Management: Streamlining processes to reduce administrative costs.
• Data-Driven Decision Making: Leveraging insights to improve accuracy and efficiency.
• Workflow Optimization: Enhancing overall operational performance.

Care Value Services

We focus on delivering value-driven care by:
• Targeted Education & Support: Providing resources to help patients adhere to treatment plans.
• Proactive Engagement Strategies: Bridging care gaps through timely outreach.
• Coordination Between Providers & Patients: Ensuring seamless communication and care continuity.