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A key to any successful health-plan operation is a smooth-running back office. The ability to maintain consistent and efficient processing of claims, enrollment, credentialing and business rules configuration is critical to the bottom line. However, efficiently maintaining these operations can be difficult. Retention and staffing issues, changes to provider contracts, fluctuating transaction volumes, product changes, and compliance with regulatory requirements all can impact efficiency.
With TriZetto's Business Process Outsourcing (BPO) Services, health plans can turn over responsibility for a wide range of tasks to TriZetto, while focusing on strategic activities that provide a competitive advantage. TriZetto possesses unmatched expertise in the Facets®, NetworX Suite™ and PDM solutions as well as HIPAA-compliant processes and state-of-the art service centers and data centers. TriZetto can help you maintain efficiencies through ongoing, project and overflow staffing. From claims to enrollment to billing to configuration, TriZetto BPO Services can enable your payer organization to:
- Manage fluctuating transaction volumes cost-effectively and efficiently
- Reduce claims backlog
- Ensure consistent inventory levels
- Launch new products to customers quickly
TriZetto BPO Services are available in three different delivery models:
- Overflow: Augment your staff on an as-needed basis.
- Retainer: Utilize full- or part-time staff for projects.
- Fully Outsourced: Ongoing service, full management of technology and services.
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For more detailed information, please call 1-800-569-1222 or click on the link below.
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