Presentation is loading. Please wait.

Presentation is loading. Please wait.

Health Insurance Eligibility Verification and Authorization:

Published byGabriel Garrett Modified over 6 years ago

Similar presentations

Presentation on theme: "Health Insurance Eligibility Verification and Authorization:"— Presentation transcript:

1 Health Insurance Eligibility Verification and Authorization:
41 Madison Avenue, 25th Floor, New York, NY 10010 Health Insurance Eligibility Verification and Authorization: The GoTelecare Advantage CONTACT: Glenda Hill, MBA (775) © GoTelecare All Rights Reserved | Private & Confidential (775)

2 Are You in Healthcare Service?
41 Madison Avenue, 25th Floor, New York, NY 10010 Are you finding it difficult to get the Eligibility and Authorization verified? Burdened with Huge Volumes of Eligibility and Authorization Verification Requirements? © GoTelecare All Rights Reserved | Private & Confidential (775)

3 Welcome to Go Telecare! 41 Madison Avenue, 25th Floor, New York, NY 10010 We are a leading provider of business and knowledge process services in the US healthcare domain We deliver proprietary technologies, workflow and business processes to meet our clients’ expectations and enhance their operational capabilities With our understanding of the healthcare industry and leading technological capabilities, we are well-positioned to assist the financial growth of our clients © GoTelecare All Rights Reserved | Private & Confidential (775)

4 Rated Excellent by HPMS for overall process efficiency and accuracy
Who We Are 41 Madison Avenue, 25th Floor, New York, NY 10010 On-shore & Offshore KPO/BPO services in the US Healthcare Sector since o turnkey operations support to Medical Benefit Coverage and Insurance Claim eligibility verification and authorization State-of-the-art scalable infrastructure, technology & systems Skilled and trained staff with in-depth knowledge of process and product Structured training, feedback and coaching Our Credentials Registered under Rated Excellent by HPMS for overall process efficiency and accuracy © GoTelecare All Rights Reserved | Private & Confidential (775)

5 Our Service Portfolio Revenue Cycle Management DME / HME Billing
41 Madison Avenue, 25th Floor, New York, NY 10010 Revenue Cycle Management DME / HME Billing Orthotics/Prosthetics Billing Account Receivables Recovery & Management Hospital / Nursing Home Billing Medical Coding & Billing Contact Center Services © GoTelecare All Rights Reserved | Private & Confidential (775)

6 Our Service Portfolio 41 Madison Avenue, 25th Floor, New York, NY 10010 …and yes, we specialize in working with health insurance claims, including eligibility verification and authorization. © GoTelecare All Rights Reserved | Private & Confidential (775)

7 VERIFICATION Verification (775) 499-5499
41 Madison Avenue, 25th Floor, New York, NY 10010 VERIFICATION © GoTelecare All Rights Reserved | Private & Confidential (775)

8 Verification | Highlights
41 Madison Avenue, 25th Floor, New York, NY 10010 Full Range of Verification Services Fast 24-hour Turnaround Time Above 99.9% Accuracy Detailed Documentation 100% HIPAA Compliance © GoTelecare All Rights Reserved | Private & Confidential (775)

9 AUTHORIZATION Authorization (775) 499-5499
41 Madison Avenue, 25th Floor, New York, NY 10010 AUTHORIZATION © GoTelecare All Rights Reserved | Private & Confidential (775)

10 Authorization | Highlights
41 Madison Avenue, 25th Floor, New York, NY 10010 Diligent follow-up till resolution and closure Uniform importance given to every Patient account to get the services authorized Fast completion of authorization process Periodic follow-up to maintain authorization validity © GoTelecare All Rights Reserved | Private & Confidential (775)

11 Why Us? 41 Madison Avenue, 25th Floor, New York, NY 10010 Because when claims need to be chased, we know whom to ask, when to ask and how to ask! © GoTelecare All Rights Reserved | Private & Confidential (775)

12 …and now, for the best part!
Cost to You 41 Madison Avenue, 25th Floor, New York, NY 10010 …and now, for the best part! © GoTelecare All Rights Reserved | Private & Confidential (775)

13 …are as low as $0.80 per claim!
Our Fees… 41 Madison Avenue, 25th Floor, New York, NY 10010 …are as low as $0.80 per claim! GoTelecare vs. Other Companies Others Go Telecare © GoTelecare All Rights Reserved | Private & Confidential (775)

14 Why GoTelecare? Very Little Risk Significant Upside Potential
41 Madison Avenue, 25th Floor, New York, NY 10010 Very Little Risk Proven track record in providing healthcare BPO/KPO services Experienced in providing services to both payers and providers Experienced working with various software platforms Quick and efficient resource for special projects requiring technical and process expertise Significant Upside Potential Great understanding of the Healthcare Industry. Operation scale-up with a short notice Extremely competitive rates, greater productivity, improved quality, increased member and provider satisfaction Proven Process Performance Low denial rate  increase in revenue collection Verification & Authorization accuracy > 99.9%; TAT: 24 hours High accuracy in Eligibility Data Maintenance (in sync with CMS) Clear Communication and Quick Response Time at All Times ISO 27001:2005 & HIPAA Compliance for End-user Data Privacy and Protection © GoTelecare All Rights Reserved | Private & Confidential (775)

15 ADVANTAGES Advantage GoTelecare >>> (775) 499-5499
41 Madison Avenue, 25th Floor, New York, NY 10010 ADVANTAGES © GoTelecare All Rights Reserved | Private & Confidential (775)

16 1 2 3 4 5 Advantage GoTelecare >>> (775) 499-5499
41 Madison Avenue, 25th Floor, New York, NY 10010 1 Over 8 Years of Experience in Working as Vendors for Major Health Insurance Companies Across US Deep Knowledge of the Payer Side of the US Healthcare Spectrum 2 Consistent Performance in Delivering 97% Collection Rate to Clients Already Recovered over millions in Account Receivables and continuing… 3 The Only Medical Billing Company with Its Own State-of-the-Art Telemedicine Platform 4 The Best References in Every Segment of US Healthcare Knowledge & Business Process Outsourcing 5 The Lowest Prices* in the Market! * Only 0.80 cents per claim for Insurance Claim Verification & Authorization (Industry rate is $1.40 per claim) © GoTelecare All Rights Reserved | Private & Confidential (775)

17 A Simple Reason >>>
41 Madison Avenue, 25th Floor, New York, NY 10010 But really, why us? Because we do Six Sigma quality work, validated by excellent client references, at the lowest prices in the market! © GoTelecare All Rights Reserved | Private & Confidential (775)

18 4 Pillars of Strength >>>
41 Madison Avenue, 25th Floor, New York, NY 10010 Consistently delivering the best quality, with the highest levels of accuracy, efficiency & expertise Glowing testimonials from every client and not a single customer churn in our 8 years of operation Highest Quality Excellent References Unique Profile Cheapest Rates Huge experience in working for both Payers and Providers and the only billing company with its own Telemedicine platform The lowest rates in the market, with custom pricing options to delight clients of all sizes © GoTelecare All Rights Reserved | Private & Confidential (775)

19 Client Testimonials 41 Madison Avenue, 25th Floor, New York, NY 10010 Your productivity is very impressive for your first month. Almost everyone has an average of close to 40 accounts per day. We have gone over a few things with you and each time we talk, I am impressed with how quickly changes and improvements are put in place. I will continue to share feedback as I get it on additional improvements that can be made and appreciate your attentiveness and questions that you bring to our daily meetings. - Manager (Revenue Cycle)  of a major US healthcare company My firm has evaluated an outsourcing transaction with GoTelecare. They provide superior service at a very attractive rate and have demonstrated to us their commitment to this partnership. Their expertise across various process areas in the PDP/MAPD domain and unique cost structure puts them in an incredible position to work with plans throughout the healthcare industry Chairman & CEO of a leading US healthcare company © GoTelecare All Rights Reserved | Private & Confidential (775)

20 Let’s talk… Contact Glenda Hill, MBA (775) 499-5499 (775) 499-5499
41 Madison Avenue, 25th Floor, New York, NY 10010 Glenda Hill, MBA (775) Let’s talk… © GoTelecare All Rights Reserved | Private & Confidential (775)

Download ppt "Health Insurance Eligibility Verification and Authorization:"

Similar presentations

Resolutions Therapy Practice Quick Start Up Marketing Plan.

Resolutions Therapy Practice Quick Start Up Marketing Plan.
Medicaid Management Information System (MMIS) Replacement

Medicaid Management Information System (MMIS) Replacement
ObjectWin Confidential ObjectWin Corporate Presentation.

ObjectWin Confidential ObjectWin Corporate Presentation.
S TREFFCO C ONSULTANTS, I NC. Quality Commitment Solutions Copyright(c) 2013 All Rights Reserved.

S TREFFCO C ONSULTANTS, I NC. Quality Commitment Solutions Copyright(c) 2013 All Rights Reserved.
Ideal Practice Workflow Revenue Maximization and Cost Efficiency Contact us : 2222 Morris Ave. 2nd Floor, Union, NJ-07083 Ph: (908)-384-1608

Ideal Practice Workflow Revenue Maximization and Cost Efficiency Contact us : 2222 Morris Ave. 2nd Floor, Union, NJ Ph: (908)
PROVEN HEALTHCARE SERVICE SOLUTIONS Medical Group Services.

PROVEN HEALTHCARE SERVICE SOLUTIONS Medical Group Services.
What you need to know about billing to Medicaid Beverly Remm Director of Billing Orion Healthcare Technology.

What you need to know about billing to Medicaid Beverly Remm Director of Billing Orion Healthcare Technology.
SLIDE 1 Westbrook Technologies from Fortis: A Healthcare Solution for Medical Records, Billing and HIPAA.

SLIDE 1 Westbrook Technologies from Fortis: A Healthcare Solution for Medical Records, Billing and HIPAA.
SHELLY GUFFEY MAKING THE MOST OF YOUR REVENUE CYCLE MANAGEMENT TECHNOLOGY 11.15.12.

SHELLY GUFFEY MAKING THE MOST OF YOUR REVENUE CYCLE MANAGEMENT TECHNOLOGY
ATHENANET Ruth M. Reyes March 19, 2012 3332.60 Instructional Technology Practicum.

ATHENANET Ruth M. Reyes March 19, Instructional Technology Practicum.
We make it easier for businesses of all sizes to safely accept checks transmodus offers clients automation utilizing our online processing platform for.

We make it easier for businesses of all sizes to safely accept checks transmodus offers clients automation utilizing our online processing platform for.
Turn key management solutions. Challenges and Solutions The challenges of a well run marine program include a need for quality, consistency, and efficiency.

Turn key management solutions. Challenges and Solutions The challenges of a well run marine program include a need for quality, consistency, and efficiency.
Frequently Asked Questions. No, in fact DOCTUS considers itself a strategic extension of your organization. Hence, we deliver the work the way you do.

Frequently Asked Questions. No, in fact DOCTUS considers itself a strategic extension of your organization. Hence, we deliver the work the way you do.
August 22, 2002 THE HIPAA COLLOQUIUM at Harvard University A. John Blair, III, MD Chairman and Chief Executive Officer Taconic IPA, Inc. Fishkill, NY HIPAA.

August 22, 2002 THE HIPAA COLLOQUIUM at Harvard University A. John Blair, III, MD Chairman and Chief Executive Officer Taconic IPA, Inc. Fishkill, NY HIPAA.
The future shape of business is being redefined through outsourcing.

The future shape of business is being redefined through outsourcing.
Careers in Pharmaceutical Sales Jim O’Bryan Great Lakes Regional Recruiter Field Sales Division Jim O’Bryan Great Lakes Regional Recruiter Field Sales.

Careers in Pharmaceutical Sales Jim O’Bryan Great Lakes Regional Recruiter Field Sales Division Jim O’Bryan Great Lakes Regional Recruiter Field Sales.
STAT Transcriptions May 01 2005. 1 STAT Transcriptions Profile We are Healthcare BPO with Transcription and Coding services. Who we are What Are Our Capabilities.

STAT Transcriptions May STAT Transcriptions Profile We are Healthcare BPO with Transcription and Coding services. Who we are What Are Our Capabilities.
Who We Are We enable our customers to gain unprecedented insights to optimize their customer, channel partner, vendor and employee relationships. TheMindSuite.

Who We Are We enable our customers to gain unprecedented insights to optimize their customer, channel partner, vendor and employee relationships. TheMindSuite.
RSA – Accenture Insurance Solution

RSA – Accenture Insurance Solution
Strictly private & confidential DESIGNING, BUILDING AND SUPPORTING YOUR RETIREMENT PROGRAM Respectfully Submitted by LWBJ Financial & LWBJ Global Consulting.

Strictly private & confidential DESIGNING, BUILDING AND SUPPORTING YOUR RETIREMENT PROGRAM Respectfully Submitted by LWBJ Financial & LWBJ Global Consulting.

Similar presentations

Ads by Google