Healthcare Services
Healthcare Provider Services
Enhance customer satisfaction through our customer care representatives.
- Member Services
- Medical Record Retrieval
- Eligibility Verification
- New Member Development
Member Services
Using multiple channels of communication including phone (inbound or outbound), email, online chat and SMS, plan members employers, providers and third-party insurance companies can get in touch with our team. Our representatives are carefully selected, and trained to provide personable care that is sensitive and responsive to the customer and his needs.
For 24 x 7 operational support or off-hours assistance for your customers, our contact center personnel are experienced and trained to handle a wide range of concerns experienced by all parties interacting with our experienced staff.
Eligibility Verification
It is important to determine the eligibility of a patient for medical services. Sometimes eligibility is not accurately determined leading to inconsistencies in the coverage and even conflicts between the insured party and the insurance provider. Atlas’s teams of verifiers go through in-depth training, testing and client certification. They are adept in handling various healthcare policies, making them competent in reviewing the eligibility of a particular patient for medical treatment or service.
Medical Record Retrieval
Our team of Medical Record retrieval experts will contact providers, verify whether they received a copy of our request for medical records, determine the expected turnaround time, identify how they could best send the requested medical records, and ascertain that the record is posted correctly in the appropriate file.
New Member Development
NorthStar’s team will help you acquire new members by assisting you in marketing your health insurance coverage benefits. We will work with your existing contact base, or assist you in developing new contact databases. We qualify leads and set phone or face-to-face appointments for your insurance agents. We handle the on-boarding process for new members, making sure that their information is accurate, complete and up to date.
Healthcare Payer Services
Enhance customer satisfaction through our customer care representatives.
- Member Services
- Medical Record Retrieval
- Eligibility Verification
- New Member Development
Call Center Services
Patients, employers, providers, payers, and third-party insurance companies get in touch with our team through multiple channels of communication including phone (inbound or outbound), email, online chat and SMS. Our representatives, having job specific educational backgrounds in the medical field, are carefully selected, and trained to provide personable care that is sensitive and responsive to the customer and his needs.
Whether you need 24 x 7 operational support or off-hours assistance for your customers, our contact center personnel are experienced and trained to handle a wide range of concerns experienced by all parties interacting with our experienced staff.
Care Coordination
Two of the important challenges faced by the healthcare community these days are improving the quality of care and controlling costs of re-admission. In 2015, the Centers for Medicare & Medicaid Services (CMS) recognized Chronic Care Management (CCM) as a critical component of primary care that directly impacts the health of an individual. It reimburses providers for patient encounters made outside of the office where they establish, actively monitor, and update patients with multiple chronic conditions on their care plan.
Our experienced team of clinical staff will help you implement the care management plan to achieve meaningful outcomes for your patients.
Medical Coding
Atlas Ventures healthcare brings experienced and credentialed Health Information Management (HIM) professionals to solve your coding support, backlog, or completely outsourced coding needs. We guarantee accuracy with timely submissions and dependability. Our services include Hospital and Professional Coding, Onsite Coding, Remote Coding and Abstracting, Coding Audit, Coding Inpatient and Outpatient, and Dual Coding (ICD-9 / ICD-10).
Reduce your administrative burden and expenses by outsourcing the medical coding functions to our company.
Revenue Cycle Management
Healthcare providers must capture, record, and maintain all of their interactions between customers and insurance providers. This can include everything from appointment scheduling and confirmation of coverage with insurers to handling denied claims or notifying patients of outstanding invoices. It is important for healthcare providers to handle these tasks efficiently in order to maintain an effective working and administrative environment.
NorthStar can help you achieve operating efficiency by providing a holistic approach that conveniently links these processes together with Revenue Cycle Management packages, personalized to your company’s needs.