From Medicare Risk Adjustment to Virtual Medical Assistants, our healthcare BPO services reduce operational costs by up to 40% while improving patient outcomes. Trusted by 200+ organisations nationwide.
Every service delivered by trained, HIPAA-compliant professionals with deep expertise in U.S. healthcare operations.
Comprehensive back-office support that keeps your administrative operations running without interruption.
Full-cycle healthcare process outsourcing covering patient registration, eligibility verification, prior authorisation, and billing follow-up. Our bilingual teams integrate seamlessly with your existing workflows.
End-to-end logistics process management for healthcare supply chains — order processing, vendor management, shipment tracking, and reconciliation. Reduce fulfilment errors and improve supply chain visibility.
Dedicated eCommerce operational support for medical supply companies — product listing management, customer service, order fulfilment coordination, and return processing.
Accurate, timely order management for healthcare organisations — from order receipt through delivery confirmation. We manage the entire order lifecycle to ensure zero-error fulfilment.
Specialised clinical data services that maximise risk score accuracy and improve quality measure performance.
Our 98% MRA accuracy rate comes from certified coders who conduct thorough chart reviews, gap closure, and prospective coding to ensure proper CMS reimbursement for every health plan.
Improve STAR ratings and quality measure performance with our dedicated HEDIS teams. Medical record retrieval, abstraction, supplemental data submission, and custom analytics dashboards.
On-demand virtual professionals who integrate into your team from day one — no training overhead, no benefit costs.
Bilingual virtual medical assistants trained in clinical workflows — EHR documentation, patient scheduling, referral management, and care coordination. Dedicated VMAs working in your timezone.
Bilingual virtual agents handling patient check-in, insurance verification, consent forms, and check-out — all via HIPAA-secure video and phone technology. Replace costly on-site front desk staff.
Inbound and outbound call center staffed by healthcare-trained agents. Appointment reminders, patient satisfaction surveys, chronic care management outreach, and 24/7 patient support.
Maximise collections and reduce denials with end-to-end RCM and financial management solutions.
End-to-end RCM — from charge capture and coding through claims submission, payment posting, and AR follow-up. Reduce days in AR and increase clean claim rates to 95%+.
Comprehensive claims management — accurate claim preparation, timely submission, payer follow-up, denial management, and appeals. We maintain a 95%+ clean claim rate across all payer types.
Healthcare-specific finance and accounting support — accounts payable and receivable, general ledger management, financial reporting, and audit preparation. Accurate books, always.
From kickoff to full integration in as little as two weeks — zero disruption to your existing operations.
30-minute consultation to understand your workflows, pain points, volume, and goals. Zero commitment required.
Tailored service package with clear KPIs, SLAs, and transparent pricing aligned to your specific needs.
Your dedicated team learns your systems and workflows. BAA signed, HIPAA training completed, access provisioned.
Full deployment with weekly reporting and monthly performance reviews. Continuous improvement built in.
Join 200+ organisations that have reduced operational costs by 40% with Total Medical Solutions' healthcare BPO services. Get your free consultation today.