Discover how Concentrix enabled a global eyecare leader to enhance experiences through the integration of our voice recognition solutions.
Build a resilient healthcare system with a focus on care.
Deliver experiences your customers, members, and providers expect, with the human touch they need. With deep domain expertise in all nuances of healthcare and pharmaceutical services, Concentrix merges efficient, seamless, and scalable processes with an empathetic and knowledgeable workforce. We provide end-to-end services supported by strong horizontal technology and operational competencies.
With HITRUST CSF certification, we help ensure compliance with applicable laws and regulations, including strict standards for PCI and HIPAA compliance.
COVID-19 Testing & Vaccine Support
Accelerate your COVID-19 testing and vaccine readiness and response with a caring partner you can trust. We can help you serve your members, customers, and patients in this critical time with testing and vaccination program support. Our healthcare and pharmaceutical services can be rapidly deployed to help you handle the anticipated surge in testing and vaccine-related inquiries, schedule vaccination appointments, administer health plan benefits, process claims, and more.
Member Services
Make it effortless for members to resolve issues the first time they contact you. From simple benefits and eligibility questions to complex enrollment, claims, and provider search requests, our agents provide an empathetic, human experience for your members. Backed by innovative technology and cognitive analytics, we enable agents to support members with a 360 degree view of their needs to ensure issues are resolved with high satisfaction.
Provider Services
Focus on member health, experience, and satisfaction while we help to integrate disparate systems and processes across the value chain. Our network management and provider contact support services include:
- Provider demographics load
- Credentialing support
- Contract load
- Provider data accuracy
- Eligibility & benefits calls
- Claims calls & resolution
- Appeals & grievances
- VOC analytics
Health & Care Management
Manage health and care programs with ease with our holistic care coordination solutions. We help you deliver value based care with support for coverage review determinations, prior authorizations, patient services, clinical review, and case registration for workers’ compensation.
Sales & Revenue Generation
Enable members to make the right choices to support, ensure, and enhance healthy lifestyles. We integrate analytics and technology to help your members select the best healthcare coverage for their unique needs, providing experiences that increase sales conversion, retention, and long-term loyalty.
Claims Processing
Ensure timely and accurate claims processing by entrusting your claims process to us. Our back office functions provide support for the entire claim cycle, including mailroom services, data entry, adjudication, coordination of benefits (COB), repricing, and member/provider correspondence, as well as post-adjudication functions, including audits, overpayment data mining and recovery, adjustments, and payment integrity.
Technical & Device Support
Make it easy for members and patients to adapt to using the latest healthcare technology and medical devices with effortless support experiences. Our knowledgeable agents have the social, emotional, and problem-solving skills to handle members’ device-use questions with care and a sense of urgency, given the critical nature of these inquiries. We provide support to institutions as well.
Featured Insights
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Learn to use Patient Experience Engineering techniques to design low-effort interactions.
5 Steps to Modernize Your IVR
Download this 5 step guide to learn how to quickly modernize your IVR and deliver an exceptional customer experience.
VOC Essentials for Contact Centers
Put customer feedback to work with this turnkey solution for small to mid-size companies
Creating Exceptional Experiences in a New Digital World
Focus on designing exceptional digital experiences at every touchpoint.
Introducing SecureCX™
Discover SecureCX™, our new, next-gen biometric facial recognition WAH security solution, protects your customers and your business.
Let’s Connect
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