Enhancing Healthcare Efficiency: A Success Story with Backoffice Pro

The Brief

• Client Profile: A leading medical billing and consulting firm based in Minnesota, established in 2009.
• Company Size: Over 100 diverse medical accounts.
• Industry Domain: Medical Billing and Consulting.
• Challenge Faced: The client needed to implement a streamlined eligibility verification process, ensure accurate claims processing, and reduce payment delays.
• Project Objective: To develop an efficient eligibility verification process, enhance claims processing accuracy, and minimize payment delays.

The Solution

Backoffice Pro introduced a strategic plan to address the client's challenges:

• Deployed a dedicated verification team integrated with the client’s staff.
• Streamlined verification documents and established a pre-appointment protocol with a 48-hour lead time.
• Implemented real-time walk-in patient verification, 1 hour before appointments, and expedited insurance authorization and referrals.
• Ensured quick resolution of insurance issues to maintain operational efficiency and client satisfaction.

The Outcomes

The results of our collaboration were significant:

• Empowered pre-registration staff with streamlined insurance verification, reducing costs and expanding roles.
• Achieved a 50% reduction in coverage query fees, saving $60,000 annually.
• Decreased coverage denials from 8% to 2%, aligning with industry best practices.
• Enhanced industry-leading admissions and financial clearance practices.
• Reduced eligibility FTEs by 80%, from 5 to 1, leveraging Backoffice Pro's seamless services.

Choose Backoffice Pro

Backoffice Pro is a trusted partner in optimizing healthcare operations. With our comprehensive solutions and global expertise, we help you improve operational processes and enhance efficiency. Contact us today to elevate your healthcare services and boost productivity.