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Healthcare BPO services in the Philippines

The Philippine healthcare BPO sector has remained a reliable source of job opportunities since its rise in the last decade. It went from $102 million to $460 million from 2010 to 2012.

The growth within this industry continues even today, providing jobs to up to 100,000 Filipinos.

Healthcare BPO services are there to support healthcare organizations in their operations. Apart from minimizing operational costs, their external service provider can help solve issues such as coding and billing hiccups.

Healthcare BPO services

BPO for healthcare has many niches within the sector. The most common is the call center solution, but there are also medical billing, coding, transcription, and insurance claims processing.

These jobs are for the back end of healthcare organizations. This allows medical professionals to focus more on their work rather than worrying about the back end of the business.

Many people find that outsourcing will enable them to amplify their business to its full extent.

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Healthcare BPO services

Top services outsourced by healthcare providers

These are some of the most common services in healthcare business process outsourcing.

Medical coding and billing

Medical coding is the process of transcribing medical diagnoses, procedures, equipment, and services into a universally recognized code.

These alphanumeric codes help make the revenue cycle management of healthcare providers easier and more efficient.

Revenue cycle management

Revenue cycle management (RCM) refers to the financial process of healthcare organizations.

This process often relies on the use of medical billing software to make patient tracking, registration, and appointment scheduling more streamlined. It includes processes ranging from medical billing to medical claims processing services.

Customer support

Customer support — or in this case — patient support services, function like their counterpart services in non-healthcare sectors. The duties of a healthcare customer support personnel may include:

  • Fielding inbound calls from patients
  • Calling insurance companies for proper medical claims of patients
  • Stand as a point of contact between patients and the healthcare services provider

Relying on third-party service providers like BPO firms lets healthcare organizations benefit from their existing customer service channels.

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Human resource services

Healthcare institutions can turn to BPO companies to provide human resource (HR) services. By hiring a BPO firm’s services, a healthcare organization can simultaneously reduce operating costs and improve the overall quality of its hiring process.

These firms often use best-in-class HR software to make hiring and other HR processes faster and more efficient. This results in faster quality hires, fewer resources spent, and improved

Top healthcare business process outsourcing solutions

Some of the top outsource healthcare BPO solutions include

  • Medical data entry services
  • Remote monitoring
  • Revenue cycle management
  • Patient enrolment & strategic planning
  • Patient care
  • Medical transcription
  • Medical Imaging
  • Device monitoring
  • Provider management
  • Care management
  • Medical billing services
  • Account management services
  • HR services
  • Data/utilisation management
  • Customer service/support lines
  • Healthcare analytics
  • Insurance claims management
  • Product Development and Business Acquisition (PDBA)
  • Research and forecasting
  • Electronic health records (EHR) platform design
  • Electronic medical records (EMR) platform design
  • Other Non-clinical Services

Why does Healthcare BPO exist?

Having healthcare specialists work on the more tedious and repetitive parts of a medical process can help a person focus more on the aspects of their job.

Further, outsourcing these roles can help in keeping costs as effective and affordable to both the healthcare companies and the patients.

Healthcare BPO companies for different functions

The projected growth of healthcare outsourcing is supposed to be around $67.5 billion by 2024.

This is because there are many factors that certified healthcare professionals do not want to have to think about during their day-to-day life at the office.

These include:

Some healthcare company like CVS Pharmacy and Blue Cross Blue Shield outsource their healthcare needs. Hospitals are also a part of this list.

They often outsource their healthcare needs to their healthcare BPO partner so that the doctors and nurses can focus on care for their patients.

As the healthcare industry is a highly regulated sector, these companies ensure they partner with industry regulations-compliant BPOs, like MVP Asia Pacific

Within the hospital sphere, there is often an assistant to help with IT administrative tasks in-office and IT people to assist with any problems in the systems in-office. Virtual assistants are also common these days, as they are available with just a phone call or chat.

Benefits of healthcare BPO services in the Philippines

With many benefits of healthcare BPO services in the Philippines, this occupation can be a perfect match for your employment or your business to find an outsourcer for their healthcare BPO needs.

Healthcare outsourcing brings several advantages, such as:

  • Lowering important errors
  • Broadening a company’s services
  • Boosting productivity
  • Creating nearly 1.3 million direct jobs for people in the Philippines

Other benefits include the following:

  • Better compliance. Healthcare organizations can ensure better compliance with industry standards and regulations.
  • Enhanced medical data security. Healthcare BPO partners in the Philippines are compliant with the Health Insurance Portability and Accountability Act (HIPAA). This enhances a provider’s medical data security and encryption.
  • Improved patient care services. All in all, healthcare outsourcing services improve an institution’s patient care services by simply automating some of their processes.
Benefits of healthcare BPO services in the Philippines

Why global companies outsource their healthcare services to the Philippines

The Philippines remains the call center capital of the world. It has been proven that Filipinos have relevant experience, expertise, and educational background.

The Philippines also has a large pool of nurses, leading them to the outsourcing business for healthcare due to the need to find a job other than the traditional hospital or doctor’s office nurse job.

By 2022, they fully expect around 700,000 additional opportunities for jobs in the medium and high levels.

This is excellent news, as many people become nurses and find that the hospital or doctor’s office is not where they want to be.

Healthcare BPO Outsourcing allows for them to find a different route with their nursing training still being used.

Healthcare BPO is a highly growing industry in the Philippines. While so many workers entering the workforce through nursing are not able to find a traditional nursing job

In such cases, healthcare BPO companies have allowed these trained nurses to use their skills in a non-traditional way while still making very good money.

With much to expect from the BPO healthcare sector, there is a lot more in store that will be developed in places like the Philippines, simply because they are one of the leading countries within the BPO world.

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Outsource Accelerator is the trusted source of independent information, advisory and expert implementation of Business Process Outsourcing (BPO).

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Outsource Accelerator offers the world’s leading aggregator marketplace for outsourcing. It specifically provides the conduit between world-leading outsourcing suppliers and the businesses – clients – across the globe.

The Outsource Accelerator website has over 5,000 articles, 450+ podcast episodes, and a comprehensive directory with 3,900+ BPO companies… all designed to make it easier for clients to learn about – and engage with – outsourcing.

About Derek Gallimore

Derek Gallimore has been in business for 20 years, outsourcing for over eight years, and has been living in Manila (the heart of global outsourcing) since 2014. Derek is the founder and CEO of Outsource Accelerator, and is regarded as a leading expert on all things outsourcing.

“Excellent service for outsourcing advice and expertise for my business.”

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