The Overview

Client Profile: A leading Minnesota-based medical billing and consulting firm providing specialized services to over 100 diverse medical accounts.
Industry Domain: Medical Billing and Revenue Cycle Management.
Challenge Faced: Implementing a streamlined eligibility verification process to enhance operational efficiency, ensure precise claims processing, and mitigate payment delays.
Project Objective: To establish a seamless insurance eligibility verification process, improving claims accuracy and ensuring timely payments without delays.

The Solution

Verification Process Optimization by Backoffice Pro: Comprehensive approach to enhance the client's insurance eligibility and benefits verification process, including a dedicated verification team and streamlined protocols.
Outsourcing Advantages with Backoffice Pro: Highlighting outsourcing as a strategic alternative to improve verification accuracy and operational efficiency through Backoffice Pro's expertise.
Enhanced Scalability and Compliance: Ensuring that the client's operations can scale efficiently while maintaining compliance with healthcare regulations.

Cost Efficiency: Achieved a 50% reduction in coverage query fees, saving $60,000 annually by partnering with Backoffice Pro.
Improved Accuracy: Significantly reduced coverage denials from 8% to 2%, aligning with best practices in the industry.
Operational Efficiency: Enabled leading admissions and financial clearance practices, reducing eligibility FTEs by 80%, cutting staff from 5 to 1.