Healthcare Payers
As a multi-decade veteran in the healthcare support field, SPi Global understands that healthcare payers are constantly challenged to adjust to various new rulings in a very limited span of time. With this in mind, SPi Global’s experienced medical claim analysts deliver comprehensive claim processing and related services that are always on-point, in terms of both the ever-evolving healthcare industry and your organization’s individual requirements.
We will provide a dedicated team of analysts that serves as your virtual claims department, handling the entire process end-to-end, or covering selected functions – in either case, at a fraction of the cost of in-house staff. Partnered with us, you’ll never risk losing control of essential business functions such as:
Claims Processing
SPi Global’s approach to claims processing allows quicker turnaround times without compromising the quality and security of information, providing you with a high-performing claims process that your customers—and your finances—will appreciate.
Eligibility Verification
Outsourcing insurance eligibility verification can significantly reduce a healthcare payer’s workload. Our professionals can efficiently manage every aspect of insurance eligibility verification, using SPi Global’s insurance eligibility verification solution to rapidly and accurately authenticate effective dates, benefits, plan exclusions, and other information pertinent to the patient screening process.
Member Services
Whether it’s through email, voice, or live web chat, we can assist you in adding value every time your patients make contact with our friendly customer service representatives. An inquiry on benefits, a question about reimbursement status – even a well-handled complaint can become not just a positive experience, but an opportunity to build lasting customer loyalty.
SPi Global’s suite of outsourced call center services for patient care will enable you to augment your customer care expertise, focus on other critical activities, and enjoy significant cost savings.
Finance & Accounting
Back-office processes like finance and accounting require significant investment in human resources, as well as a detailed understanding of the many regulations that influence the overall performance of the enterprise. With over 30 years’ experience handling such matters in the healthcare field – yet an acute awareness that each company’s finance and accounting outsourcing needs are unique, SPi Global has both the expertise and the adaptability to make sure our solutions achieve your business objectives.
Medical Coding
SPi Global can provide you with medical coding and charge capture services, to assist in keeping patient data organized, complete, and accurate. Our consistent coding accuracy rate of 95% prevents possible financial losses, from claims denied due to incorrect coding. Our services include ICD-9-CM Coding and CPT & HCPCS Level II Coding, and we are gearing up this early, as well, with training sessions and assessments for the impending adoption of ICD-10-CM, slated for October 1, 2015.