Healthcare BPO (Business Process Outsourcing) Services

Our healthcare BPO services offer adaptable and scalable support to meet your needs.

As a trusted BPO partner for healthcare providers, OracleCMS specializes in delivering tailored contact centre, back-office, and automation solutions designed to drive transformation within the healthcare industry. With a wealth of experience, we have been providing flexible and scalable healthcare BPO outsourcing solutions to a diverse range of organizations, including health insurance companies and health software providers.

Even before the onset of the ongoing COVID-19 crisis, the healthcare sector faced a multitude of challenges. These included mounting operational costs alongside a shortage of skilled professionals, the transformation of care models due to digital disruption, and the need to navigate complex government and data security regulations. Our healthcare BPO solutions are specifically designed to assist clients in effectively reducing costs, enhancing operational efficiency, and ultimately improving patient care.

Our dedication to healthcare solutions stems from our profound understanding of the industry’s intricacies. We are committed to helping our clients navigate these challenges and achieve their goals with our comprehensive range of services. This includes IT support, recruitment, appointment scheduling, customer service, financial and accounting support, and an array of specialized medical tasks, such as medical coding, transcription, medical records management, patient follow-ups, and medical reporting, among others.

Outsourcing Advantages for Australian Healthcare Providers

Enhanced Capabilities & Performance

In the face of increasing labour costs and a shortage of skilled resources, recruiting, hiring, training, and retaining the right talent for ensuring business sustainability and service excellence has become a significant challenge. OracleCMS has a proven track record of effectively deploying high-performing outsourced teams for healthcare contact centre and back-office operations. These teams can operate from traditional site-based facilities or work-from-home (WFH) setups. Our healthcare experts are sourced from vibrant talent pools within Australia and are proficient in functions such as billing, data entry, medical transcription, and more. By outsourcing, you can reduce overhead costs and reinvest in delivering an enhanced customer experience without compromising on quality.

Embracing Technology & Innovation

The healthcare landscape is constantly evolving due to new technologies and shifting consumer demands. Australian healthcare providers are adapting by seeking innovative solutions to improve their operations. OracleCMS offers specialized automation and intelligence teams that can revolutionize healthcare back-office processes through Robotic Process Automation (RPA). We also provide cutting-edge technology, including feature-rich contact centre software, enterprise-grade telephony systems, and a network with 99.999% availability to ensure clear ‘local call’ quality and uninterrupted service.

Prioritizing Security & Compliance

The healthcare industry in Australia is subject to strict regulations, reflecting the country’s commitment to data privacy and security. At OracleCMS, we take information security seriously. We adhere to rigorous compliance protocols designed to meet Australian requirements, ensuring the protection of your patients’ data. Our outsourcing solutions are backed by a secure and highly redundant network, equipping your healthcare operation with the tools needed to enhance non-core functions and offer 24/7 customer support, making your processes more efficient and secure.

BPO Services Tailored for Australian Healthcare Providers

Our comprehensive suite of solutions caters specifically to the needs of Australian healthcare organizations and includes, but is not limited to:

• Data Entry
• Claims Transmission and Processing
• Managing Credit Balances
• Denial Management
• Eligibility Verification and Pre-Insurance Verification
• Medical Billing and Collections
• Medical Coding
• Medical Data Entry
• Indexing of Medical Records
• Patient Follow-Up and Statements
• Payment Posting
• Provider Enrolment and Credentialing
• Generation of Reports
• Revenue Cycle Management

These services are designed to enhance the efficiency and effectiveness of healthcare operations in Australia, ensuring high-quality support for your organization.

Why Choose OracleCMS?

Industry Knowledge

Benefit from our in-depth understanding of the Australian healthcare industry, supported by a global management team with profound expertise in healthcare operations within Australia.

Abundant Resources

Our operations are highly scalable, drawing from a vast talent pool of skilled agents, data specialists, and medical transcription experts, among others. They are readily available to work either from our cutting-edge workspaces or remotely.

Cutting-Edge Technology

Experience remarkable, personalized, and round-the-clock customer interactions facilitated by our specialized automation and Artificial Intelligence (AI) support. We utilize state-of-the-art omni-channel technology to ensure your customers have the best experience.

Seamless Client Relations

We offer a risk-free transition, guided by a hands-on approach and a focus on cultural alignment. Our local Client Relationship Managers (CRMs) and PRINCE2-certified Project Managers provide the support you need for a smooth client experience.

Security and Compliance

Rest assured with our global PCI certification and adherence to standards and best practices, including HIPAA, SOC 1&2, COPC, Australian Privacy Laws, Australian Financial Services Regulatory Framework, and ISO/IEC 27001:2013.

Reliable Network

Our infrastructure is built for stability, with redundant systems and onshore data storage in highly secure locations. Our purpose-built design ensures seamless handling of real-time traffic applications, voice, and video, all with a 99.999% network availability.

Empower Growth with OracleCMS’s Tailored Communication Solutions for Healthcare & Social Services

Through insightful discussions with healthcare professionals, we’ve identified effective solutions to the common challenges you encounter daily.

Do you have a 24/7 emergency contact number in place?

For healthcare and social services, maintaining constant availability is crucial. With OracleCMS, you can ensure immediate care for those in need when the health and well-being of your patients are on the line.

How do you preserve a personal touch when interacting with patients?

During times of crisis and emergencies, what individuals need most is a comforting and supportive voice on the other end of the line. At OracleCMS, we understand that redirecting individuals to voicemail, especially during emergencies, can affect their comfort level with you as their healthcare provider.

Are you frequently overwhelmed by walk-in patients at your practice?

Direct access to medical professionals, provided by OracleCMS, has been proven to reduce wait times for clinic and home visits. This approach addresses the concerns of those who may not necessarily require medical attention and can receive guidance over the phone, ultimately minimizing long wait hours.

How do you manage the delicate balance between your professional and personal life?

While your job involves safeguarding the health of others, it’s common for healthcare professionals to overlook their own well-being. OracleCMS recognizes the importance of strategies for disconnecting from work while remaining easily reachable when necessary.

Frequently Asked Questions (FAQs) – Healthcare BPO in Australia

What is Healthcare BPO, and how does it apply to Australia?

Healthcare Business Process Outsourcing (BPO) in Australia refers to the practice of outsourcing various administrative and clinical tasks in the healthcare sector to specialized third-party service providers. This includes services like medical billing, coding, claims processing, and other healthcare-related processes.

Which healthcare processes are commonly outsourced in Australia through Healthcare BPO?

In Australia, healthcare organizations frequently outsource services such as medical billing, coding, revenue cycle management, medical transcription, telehealth support, and appointment scheduling. These services help improve efficiency and reduce operational costs.

What motivates healthcare providers in Australia to outsource their processes?

Australian healthcare providers turn to BPO to streamline operations, minimize costs, and enhance focus on patient care. Outsourcing allows them to leverage specialized expertise, reduce administrative burdens, and meet regulatory compliance requirements.

Is Healthcare BPO in Australia compliant with local healthcare regulations?

Yes, reputable Healthcare BPO providers in Australia adhere to stringent healthcare regulations, including the Health Practitioner Regulation National Law (National Law) and Health Insurance Act. They prioritize data security, privacy, and compliance with local healthcare standards.

What benefits can Australian healthcare organizations gain from Healthcare BPO?

Australian healthcare providers can benefit from Healthcare BPO through cost savings, faster claims processing, improved revenue cycle management, reduced billing errors, and increased patient satisfaction. It allows in-house staff to focus on core healthcare functions.

Is Healthcare BPO cost-effective for healthcare facilities in Australia?

Yes, Healthcare BPO in Australia can be cost-effective. BPO providers often employ advanced technology and skilled professionals to enhance efficiency, reduce errors, and lower operational costs.

Which types of Australian healthcare organizations can benefit from BPO services?

Various Australian healthcare entities, including hospitals, clinics, general practitioners, specialists, pathology labs, and health insurance companies, can benefit from Healthcare BPO. Essentially, any organization involved in healthcare-related administrative tasks can explore BPO solutions.

What risks should Australian healthcare organizations be aware of when considering Healthcare BPO?

When considering Healthcare BPO in Australia, data security and privacy risks should be addressed. Partnering with a reputable BPO provider with a strong track record in healthcare and robust security measures is essential.

How can Australian healthcare organizations choose the right Healthcare BPO partner?

When selecting a Healthcare BPO partner in Australia, it’s important to consider their experience within the Australian healthcare landscape, regulatory compliance, data security, scalability, and references from existing clients. Comprehensive proposals and due diligence are crucial.

What trends are influencing the future of Healthcare BPO in Australia?

The future of Healthcare BPO in Australia is influenced by trends like the integration of telehealth support services, the use of AI and automation for data processing, and an increased focus on patient-centered care. BPO providers are also adapting to evolving healthcare regulations and digital transformation within the Australian healthcare sector.