BPO Solutions for Healthcare Industry

Outcome-based healthcare solutions from WNS Rising cost of healthcare, increased adoption of technology, prevalence of quality- and performance-based reimbursement models, evolving physician-hospital -patient dynamics are forcing the healthcare industry to recast business and care delivery processes. By leveraging BPO (business process outsourcing), healthcare companies redefine their operating model and maximize value from their business processes.

WNS’s Healthcare Business Process Outsourcingsolutions help healthcare companies ‘extend their enterprise’. Our deep domain expertise, global delivery network and strong focus on operational excellence allow healthcare companies to focus on their core business while WNS optimally delivers their business processes. As a preferred healthcare BPO provider, WNS combines industry best practices and proprietary tools and methodologies to improve patient satisfaction, reduce operational costs while streamlining processes through continuous improvements and technology optimization.

Our service offerings include

Providers

 ■  Pre-service
 ■  Transcription
 ■  Bill preparation
 ■  Receivables management
 ■  Payment posting
 ■  Debt analysis

Payers and Third Party Administrators

 ■  Claims administration
 ■  Member and provider services
 ■  Clinical support
 ■  Overpayment recovery
 ■  Fraud detection and investigation

DME Manufacturers

 ■  Order management
 ■  Billing and submissions
 ■  Fulfillment support
 ■  Collections
 ■  Patient services
 ■  Collection analytics

Enterprise Shared Services

 ■  Finance and accounting
 ■  Research and analytics
 ■  Procurement
 ■  Technology solutions
 ■  Customer care
Case Studies
case_study_information_services_smll_icn
Industry: Information Services Healthcare
Process: Business research


Delivering faster and higher quality research for an information provider to the pharmaceutical and biotech industries

Benefits delivered by the WNS team include

  • Scaled the number of companies covered for the research reports from 300 to over 2,600 over a period of three years. This has ensured deeper insights for the clients.
  • Increased speed-to-market for information requests.
  • Allowed the client's strategic resources to focus on developing new products rather than spending their time on developing research reports.


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DME_smll_icn
Industry: Durable Medical Equipment (DME)
Process: Order processing Customer service and management support Medical and insurance billing & collections

Transforming revenue cycle operations for a top specialty home medical equipment supplier, thereby increasing collections, accelerating cash flow and improving customer service while lowering costs

Benefits delivered by the WNS team

  • Increased Collections
    - WNS committed to a specific collections increase
    - WNS established an analytics-driven collections strategy
    - Process re-engineering, technology enhancement and modified
    work plans helped increase collections by four percent.
  • Improved Velocity and Visibility
    - WNS improved the order-to-bill process and developed modifications with enhanced collection velocity using Six Sigma tools and IT enhancements
    - Overall accounts receivable days reduced by 15 percent
    - WNS dashboards created significant visibility into detailed lead indicators and drivers.
    They also improved management controls and decision-making.
  • Reduced Costs
    - WNS increased staffing by 25 percent, yet the total operations cost reduced by 25 percent.
  • Retention of Key Resources
    - The client was able to retain a high percentage of the client’s management staff, post the outsourcing relationship with WNS.


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Healthcare_case_study_icn
Industry: Healthcare
Process: Claims bills payment

Increasing efficiency of claims bill payment process by 15 percent for one of UK's largest healthcare insurer

Benefits delivered by the WNS team include

  • Increased productivity gains- Separating the suspense processes from the bills processing increased productivity, resulting in better controls and rigorous quality measures while paying the bills. This translated into larger volumes being processed with improved customer service.
  • Improved accuracy- With the help of the LEAN initiative, the team increased the overall accuracy of bills being processed from a 98.50 percent to 99.50 percent thereby significantly reducing errors which result in incorrect payments or delays.
  • Exceeded savings target- WNS team exceeded the savings target by 8 percent in the first year of migration and 18 percent in the second year.


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