Business Process Outsourcing

Business Process Outsourcing

Fully integrated business process outsourcing

Fully integrated business process outsourcing

New regulations and the complexities of healthcare reform dictate that state Medicaid and Marketplace programs must adapt quickly to support deeply integrated populations across U.S. Department of Health and Human Services (HHS) programs.

Cognosante’s deep understanding, unrivaled experience, and fully integrated suite of Business Process Outsourcing (BPO) services make us an ideal partner for Federal agencies and states looking for unique, scalable solutions. Our customizable offerings help state and Federal agencies quickly and cost effectively staff and manage critical programs without sacrificing performance.

Capabilities include:

  • Multichannel contact centers and help desks
  • General information contact centers
  • Health systems help desk support
  • Health and health program helplines
  • Overflow centers designed to quickly and efficiently adapt to variations in staffing needs
  • Contact center staff training
  • eSante EnGage360™, a consumer-focused solution that tailors traditional Customer Relationship Management (CRM) to support health systems and healthcare consumers.
  • Ongoing Member Support and Service Coordination
    • Document management (including inbound/outbound mail)
    • Efficient claims processing utilizing software-assisted data validation
    • Dispute and appeals processing
    • Complex issue resolution
    • In-person coverage assistance

Our dynamic staffing models have supported volumes 50 times the original expectation, exceeding 100,000 calls and 25,000 paper applications per month.

Case studies

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