PeopleSupport: High Performance Outsourcing for the Global Enterprise

PeopleSupport is an award winning Business Process Outsourcing (BPO) provider offering a multitude of capabilities for Health and Life Insurance companies that require specific domain knowledge and expertise.

PeopleSupport Focuses on Key Areas within the Health and Life Insurance Industries:

From our world-class service delivery centers in the Philippines and Costa Rica, PeopleSupport offers high performance services with deep industry domain knowledge and expertise. A majority of PeopleSupportâ€™s services are performed in the Philippines, where PeopleSupport is one of the largest outsourcing companies, employing 8,000 college-educated fluent English speaking professionals.

Voice-based Support Functions

Medical, Health, Life, Dental and Vision
Eligibility & Benefit calls
Benefit Determination
Membership calls – change of address, change of phone numbers, etc.
Payment by Phone Support
Plan Specific Q&A
Beneficiary Determination
Provider Locator Support
Claims Status
Claims Q&A
Ask a Nurse – Medical Support Hotline
Multi-lingual Support (Very Scalable)
Medicaid and Medicare Support
Case Management Calls

Back Office Support Functions

Transactional Services
Application Assistance
Document/Fax Management
Work Flow Management
Beneficiary Changes
Policy Changes – name, address, phone, PCP, etc.
Data Entry
ERP Entry and Support
Internal or External Technical Support
Account inquiries
Web Support and Chat
A/R & Collections
Transcription and Captioning

Provider Side Inbound Customer Care and BPO Services

Voice-based Support Functions

Medical, Health, Life, Dental and Vision
Eligibility & Benefit calls
Insurance Verification Calls
Benefit Determination
Claims Status
Claims Q&A
Pre-certification
Prior Authorizations
Utilization Management
Medical Records Inquiry
Pharmacy Benefit Mgmt. (PBM)
Provider Authorization Support
After Hours Support

Back Office Support Functions

Transactional Services
Document/Fax Management
Utilization Management
Fraud Research
Claims Adjudication
Workflow Management
A/R & Collections
Transcription and Captioning
Data Entry
ERP Entry and Support
Internal or External Technical Support
Member inquiries
Web Support and Chat

Members and Providers Outbound Customer Care and BPO Services

Voice-based Support Functions

Member Acquisition Activities
Member Retention Calls
Provider Audits
Loyalty Activities
Cross-sell, up sell activities
Satisfaction Surveys
Patient/Member Follow up
Medical Records Inquiry
After Hours (answering service) Surveys

Back Office Support Functions

Literature distribution
Data entry
Client Analytics & Reporting
Campaign Response Tracking
Client Activation
Data Capture and Consolidation

Claim Services

Voice-based Support Functions

Claims Q&A
Claims Status
Research Requests
Historical Q&A
Custom Requests

Back Office Support Functions

Charge Offs
Data Image and Capturing
Smart Claims Editing
Claims Review and Negotiation
Claims Auditing Services
Claim and Fraud Research
Inbound and Outbound Fax Mgmt
HIPAA Standards Mgmt
Data conversion to ANSI or proprietary format
Editing: Eligibility, Provider I.D., Coding integrity
Data Verification, Eligibility, Provider ID

Captive Services

Very flexible and customizable
Shared space available
Locked down – dedicated space available
Fully, partially or non-staffed space
Build to suit support