Outsourcing in Healthcare

Healthcare is the biggest industry in the world. Over time, the demand for healthcare industries to provide better services increase. Healthcare providers around the world are facing a great competition in improving their services and features.

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Healthcare is the biggest industry in the world. They are responsible for maintaining people’s health and well-being. Over time, the demand for healthcare industries to provide better services increase. This comes with the rise of teleconsultation, medical apps, and the discovery of new cures for illnesses. Healthcare providers around the world are facing a great competition in improving their services and features.

These advancements can hurt the budget and resources of a company, whether small or large. Hiring additional local talents can be impractical and may limit them in offering the best services they have. This is why outsourcing in the healthcare industry is popular.

Healthcare outsourcing

Healthcare outsourcing has drastically increased and is still increasing. Experts in Market Watch expect the healthcare IT outsourcing industry to increase more than $67.5billion by 2024 due to the following factors:

  • Lack of in-house professionals
  • Operational costs
  • Integration of healthcare IT solutions
  • Improved quality of services

Outsourcing helps healthcare companies gain the following advantages:

  • Reduced critical mistakes
  • Reduced training and license cost
  • Expansion of practice offering
  • Increased productivity
  • Improves patient experience

Companies that outsource

Large healthcare companies in the US started outsourcing even before it gained popularity in the early 2000s. Some of these companies are still providing great services to their clients and have reached an international market. These companies include:

CVS Health

CVS Health is a US-based healthcare company that owns CVS pharmacy and has a chain of clinics and retail pharmacies across the United States. They outsource different aspects of their company to different countries, mostly customer services to India and IT services to the Philippines.

Blue Cross Blue Shield

Blue Cross Blue Shield, meanwhile, is an insurance company with several branches across different states. Some of these, including in North Carolina, outsource their claims processing to India-based Thryve Digital and customer service to Accenture. In 2016, they also extended their operations with Convergys for claims processing.


Cigna offers insurances, pharmaceutical services, and Medicare plans to its clients globally. Through outsourcing, they can reach their customers and extend their services to different countries. As a standard measure, they have a third-party management program to manage the welfare of their customers, members, and third-party companies and give them an equal level of service.

Outsourced services

Hospitals outsource their services so their medical professionals can focus on giving extensive care for the customers. Aside from IT services, they also hire virtual assistants to assist them in administrative roles. Here are the top services that healthcare companies outsource.

Medical billing

Aside from customer support, medical billing operations is one of the services healthcare companies outsource to countries like India and the Philippines. This helps them process and prepare their client’s billing more accurately and avoid mistakes when processing.

Transcription services

Outsourced transcriptionists are more experienced in interpreting and transcribing medical data from audio or video recordings. They can help accurately interpret data from triages, medical reports, and other medical documents that their clients need for presentations.

Claims processing

Claims processing is also a popular service to outsource to healthcare BPO companies. This can be helpful especially with companies receiving a high volume of claims every day. They can help screen the documents of each client to check their eligibility for receiving a claim.

Online reception

Healthcare companies also have to provide 24/7 extensive service, especially when an emergency happens to a customer. Online receptions and help desks are helpful with this, giving assistance and resolving customer concerns on behalf of the company.

Lead generation

To gain more sales, healthcare companies should attract potential customers, too. Outsourcing lead generation helps them to get to know their targeted audience in an area, create a campaign for them, and turn them into patrons.

Ways to outsource

There are a few ways healthcare companies can outsource their services: through hiring a freelancer or through business process outsourcing.

Freelance platforms

In hiring freelancers, companies need to make sure that the applicant is qualified to do the assigned tasks. Some roles, such as medical transcription and coding, need to be done by a licensed medical transcriptionist or professional. Most roles, meanwhile, do not require this.

Some of the popular freelance websites include:

  • Upwork. It is the leading marketplace for freelancers and employers. The latter can either browse available freelancers in the platform or post their job listings for freelancers to send proposals.
  • Fiverr. Freelancers’ services here are sold on a bucket-type method. Starting at $5, they can buy these services per hour or on a fixed rate, depending on their agreement.
  • Freelancer.com. Like Upwork, employers can either hire freelancers through posting a job ad or through browsing the system. Most of the employees hired here are software developers, web design, or digital marketing
  • FreeeUp. The system recommends a pre-vetted freelancer a few hours upon sign up. Employers can interview and hire their matched applicants to know whether they fit for the work.
  • PeoplePerHour. Freelancers here, meanwhile, are hired on an hourly basis. Usually, the system requires a deposit before employees start working. Employers, meanwhile, can manage multiple freelancers through the platform.

Outsourcing companies

BPO companies, meanwhile, provide everything required to operate an outsourced team. This includes infrastructures, office spaces, and certifications to ensure they follow proper processes. They also hire licensed and experienced professionals for the team. India and the Philippines, two of the most popular outsourcing countries, are the seat of IT and customer service. To learn more about it, check out the Top 40 BPO companies guide.

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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.