Healthcare

Healthcare is life.

For OneWorld Connections, we want to make it easier for your customers to have a better quality of life. In a highly regulatory environment OneWorld Connections helps our clients through end-to-end BPO services. OWC’s value proposition on Healthcare processes clearly articulates the strategy for revenue enhancement, reducing fixed costs and overheads for clients.

We have a seasoned management team with vast experience in providing Healthcare offshore solution to clients across Fortune 500 companies. Our solutions offer a strong value proposition for clients interested in leveraging Philippines as a strategic source for healthcare service providers. Our frontline staff for Healthcare functions can range from language graduates to specialized skill sets like Medical nurses & practitioners.

Some of the services that OWC can provide in this space:

Marketing

  • Insurance plan building
  • Plan testing
  • Product testing
  • Up-sell and cross sell of
    insurance plans and products

Pre-Adjudication

  • Data entry claims
  • Benefits coordination
  • Claims resolution
  • ECHS Claims
  • Provider detail verification

Adjudication

  • Health Maintenance Organization (HMO) – Medical, Hospital & Dental claims
  • Traditional PPO – Medical, Hospital & Dental claims
  • Claims adjudication
  • Workers compensation

Backend Support

  • Overpayment recovery
  • Medical claims management
  • Patient management
  • Provider correspondence
  • Member correspondence
  • Handling member queries
  • Help desk
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