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Our
Staff has
Expertise in the
following Processes
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Claims
Data Entry |
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Claims
Adjudication |
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Claims
Re-pricing |
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Checking
for Duplicate Claims |
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Member
Enrollment |
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Group
/ Member Billing |
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Provider
Maintenance |
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Utilization
Management |
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Other |
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Tēla
Sourcing uses proprietary training modules specifically tailored
toward the expeditious learning of those key administrative
processes employed by the US healthcare industry.
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We
have taken a holistic, phased approach in developing our training
programs:
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Phase
I :
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General
information transfer on offshore BPO (voice and computer),
what it is and the overall value. Also included is information
on American culture, accent neutralization for improved communications,
quality adherence, etc.
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Phase
II :
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This
training module is specific to the U.S. Healthcare industry.
Professionals are educated on the dynamics of the industry,
major health insurance market segments such as commercial
and Medicare; the different lines of business, including medical,
dental, COBRA, etc.; and various business processes that are
required for these lines of business such as claims administration,
enrollment, and billing.
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Phase
III :
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The
emphasis here is a comprehensive focus on the client processes
and business rules. Professionals are trained to carry out
these processes for the individual client, on their specific
healthcare information system.
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Skills
and Business Specific Training
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In
addition to the above, we have an annual training calendar,
which is generated as a basic subset of performance management,
potential identification and enhancement exercise. Training
is also based on imparting skills, knowledge and expertise
in handling new technologies and projects or lines of businesses.
Consolidated Customer Feedback and Customer Inputs are major
drivers of the training process.
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