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 Health Services come in. Our BPaaS offering takes the hassles out of plan administration; helping 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, the RAM Health Services team provides a wealth of BPO services leveraging our HEALTHsuite Advantage 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.
RAM’s BPaaS model exceeds client expectations by:
a) Leveraging our own premier government-centric technology suite;
b) Onboarding proven leaders and operations staff from market leading BPaaS organizations experienced in Government Programs;
c) Layering compliance atop our BPaaS delivery which is unparalleled in this market; and lastly
d) Extending RAM’s long-standing family approach to preserving each plans values and commitment to their members and providers.
Following are some of the key operational areas where RAM Health Services can help:
- 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!
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.