We know that not every health plan has all the resources, staffing and infrastructure to take on the day-to-day challenges of launching and managing a Medicare Advantage plan. That’s where RAM’s Medicare BPaaS services come in. Our HEALTHsuite Advantage™ Solution takes the hassles out of plan administration; while our BPaaS services help you implement the real-world processes that require a dedicated team and hands-on management.
Whether you are interested in interim or long-term operational assistance, our Medicare BPaaS team can provide a wealth of BPO services leveraging our Medicare Advantage-in-a-Box platform to meet your organization’s specific needs. We can even stand up your entire Medicare Advantage plan if that is your preference. We’ll take on as much or as little as you decide, while you focus on meeting your organization’s mission-critical business objectives.
Ask our sales team to provide you with our BPO services catalog. Your organization can pick and choose the services your plan is interested in outsourcing.
Following are some of the key operational areas to choose from:
- Plan / PBP Configuration and Management
- Enrollment and Eligibility Management
- Premium Billing and Payment Processing
- Provider Data Management & Demographics
- Provider Contracting and Reimbursement
- Claims and Encounter Processing
- Customer Service / Member and Provider Call Center Management
- Mailroom and Fulfillment Services
- And more…
We can also guide your organization through the complexities of the CMS application process and subsequent steps to becoming a licensed Medicare Advantage Plan!