Health Operations Services

Cognosante Health Operations Services provides ISO-certified, high quality contact center and operational services for state and federal governments, focusing on healthcare programs. 

We combine expertise and history in national healthcare programs and systems – including MMIS, Medicaid, Eligibility, HIM, HIE, FWA, and standards – with extensive operations experience

The Cognosante approach  balances hands-on customer service and consumer-driven self-service options, resulting in the best value to our clients and the best experience for their their customers.

Cognosante’s customer service, eligibility and enrollment, and back office solutions support customer goals to increase program efficiencies, improve customer service experience, and lower cost. 

Everything was fantastic. CSR was very helpful and knew exactly what I needed.

It was the best service from a government agency in a long time.

Expertise

Cognosante is the only solutions provider focusing solely on state and federal clients in the health sector.  Our 25+ years of experience results in a team with significant knowledge and expertise of:

  • Medicaid and CHIP customer service, enrollment, and eligibility
  • Medicare services for both providers and consumers
  • Health Insurance Marketplace subsidies and enrollment processes
  • Health IT systems
  • Clinical health programs

Out of all customer services I talk with, [Cognosante is] the most polite and easy to understand.

You are more friendly than I’ve ever had. You turned my bad day into a good day… thank you!

Experience

  • Customer Service Operations

    • General information Contact Centers
    • Health Systems Help Desk Support
    • Health and health program Hotlines
  • Eligibility and Enrollment services

    • Consumer eligibility and enrollment
    • Provider enrollment support
    • In-person enrollment assistance
  • Back Office Operations 

    1. Application Processing
    2. Complex Issue Resolution
    3. Inbound / Outbound Mail