Helping Healthcare Payers Deliver Exceptional Customer Care

A BPO Partner Who Understands Healthcare and Moves at the Speed of Change

Today’s health insurance industry requires agile business service partners that can operate efficiently in highly regulated industries.

The healthcare payer industry sets a high bar for outsourced business service providers and expects an unwavering focus on data security, executional excellence and precision.

For almost 20 years Solix has delivered business services to some of the most demanding sectors of the economy. We are committed to helping progressive organizations accelerate large scale program deployment while supporting our clients with highly responsive relationship management and program reporting. From medical billing and coding to support during busy open enrollment periods, Solix is built to support the diverse needs of the health insurance industry.

Solix works hard to support the operational and business challenges of health insurance payers as they work tirelessly to support patient populations that rely on them to maintaining their well being. We understand the delicate balance that must be maintained between customer satisfaction and the need to manage costs and program efficiency.

We Understand the Needs of Healthcare Payers

We understand the needs and business challenges of healthcare payers.

From data security to compassionate outsourced customer care, Solix focuses on the details that are so critical to healthcare payers. Our passion for precise program management and focus on detail is why we are a leading provider of Business Process Outsourced (BPO) services to a broad range of industries.

For decades we’ve worked with a broad range of companies to help them with complex program deployment, management and reporting. Solix provides healthcare payer organizations with a broad range of support.

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  • Program Design — Collaborative support developing + deploying customer focused programs
  • Case Management — Precise eligibility and application processing/determination services
  • Customer Care — Omni-channel equipped contact centers providing superior customer service across multiple platforms
  • Technology — Highly customizable technology platform enabling integrated support programming
  • Data Security — Highly redundant security protocols to satisfy the most demanding industry standards
  • Growth Programming — Business intelligence tools + outbound customer acquisition assistance capabilities

Industry Insights and Experience

Our broad multi-industry experience has afforded us the opportunity to help leading organizations reduce fixed internal cost, scale their operational support, and improve program efficiencies. We understand the importance of detail-intensive compliance monitoring and personal consumer data security essential to the healthcare industry.

We deliver precise program management, high levels of program efficiency, and compliance with state, local, and federal regulations.

We drive measurable BPO impact through:

  • 800+ US based associates
  • 300+ Contact Center Agents
  • Bi-lingual customer care program support
  • 2 million customer calls managed/year with 99% measured accuracy
  • 97% documented customer satisfaction scores
  • 20 million plus applications reviewed
  • Technology top support 5 minute eligibility determinations
  • Rigorous compliance standards and SOC audits

The Solix Difference

Our research and experience with health insurance industry reveals payer frustration with poor BPO implementation, insufficient data security, and a tendency to over promise…and under-deliver. At Solix we work hard to exceed client expectation and continuously create new ways to improve program execution while driving increased operating efficiency.

Operating at the speed of change in healthcare and insurance services demands business outsourcing providers that provide end-to-end support. Solix assists healthcare payers with a range of mission critical capabilities including:

  • Holistic Capabilities – Complete program design, deployment, and real time performance reporting
  • Regulatory Expertise – Procedures to ensure state and federal legal compliance
  • Financial Management – Extensive billing and collections expertise
  • Program Oversight – Monitoring and real time program reporting
  • Customer Support – US based contact centers providing inbound + outbound support
  • Waste, Fraud, and Abuse Management – extensive experience with compliance programming

Let Us Deliver for You

Let Solix show you how we can help you implement complex, patient focused support programs while delivering improved financial metrics for your organization. When efficiency, attention to detail, and patient satisfaction are key…count on Solix.

To learn more about our Healthcare support services:

Laser Focused on Key Support Areas

We help healthcare payer organizations manage large-scale, complex processes through detail focused outsourced business services:

Program Design
Collaborative support developing and deploying large scale consumer programs

Claims Processing
Precise eligibility and application processing and determination services

Customer Care
Omni-channel contact centers for multiple platform communication

Medical Coding Assistance
Case management and medical claims coding + process management

Provider Credentialing
Medical provider enrollment and credentialing services

Open Enrollment Support
Multi-lingual contact centers providing support during peak demand periods

Featured Resources

The healthcare landscape is perennially shifting – higher costs, tighter margins, increased competitive pressures, and a growing need for consumers to be better educated and more proactive about how best to interact with the healthcare services ecosystem. Need a scalable ”on demand” solution to meet these growing challenges? Welcome to ez-CARE.

DOWNLOAD OUR EZ-CARE EBOOK!

ez-CARE: Managing Healthcare Member Benefits in a Changing World

Success Stories

A leading national healthcare benefit provider needed help managing inbound customer inquiries regarding benefit plans, especially during busy open enrollment seasons. They also needed highly trained, licensed agents and automated solutions to support outbound initiatives aimed at growing revenue and retaining their existing customer base in a highly competitive market.

See Our Success Story

Improving Healthcare Plans Customer Satisfaction

Ready to drive customer engagement?

Contact Solix Today!