Simplify, automate and streamline your operational processes
As healthcare providers, you need new ways to help trim costs and offer more efficient services to patients. You also need better solutions to help manage the operational dynamics among physicians, hospitals and patients efficiently. That’s where Cognizant can help you achieve your business goals.
Why top health providers and payers partner with us
Health providers and payers know that they can rely on our ability to integrate technology, processes and analytics across multiple products. With our industry-specific solutions, which include commercial and government programs, we can help you streamline business processes and ensure compliance with NCQA (National Committee for Quality Assurance) and URAC (Utilization Review Accreditation Commission) guidelines.
Optimize domestic operations by streamlining processes, expanding member and patient care services, increasing revenue and trimming costs by using Cognizant Insurance BPS solutions. Our wide range of services includes automated customer care, enrollment and claims processing. Cognizant can help you reduce costs by integrating IT-enabled process efficiency with URAC-accredited client-centric operations.
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Services We Offer
Cognizant’s Healthcare BPS practice delivers value for payers, providers, intermediaries and pharmacies around the globe. Employing a proven successful framework based on four key value levers—efficiency, effectiveness, virtualization and innovation—we offer services that include:
Payers are shifting priorities to handle healthcare reform’s mandated medical loss ratios, guaranteed coverage, and other hits to profitability. Let us help reduce your costs—and free you to focus on revenue generation–by providing a wide range of business functions. Our “Quote to Card” services include benefits configuration, member enrollment, premium billing and reconciliation, related member-related services, and more.
We help physicians, hospitals and other providers offset reduced reimbursements from payers and pay-for-performance restrictions for multiple treatments. Our processes span coding, billing, accounts receivable, revenue recovery, pre-authorization and more. To further boost efficiencies and reduce operational costs, we’ll regularly present you with innovative solutions that leverage our consulting, optimization processes and managed services.
As payers and providers alike feel the squeeze of the changing healthcare industry, we help intermediaries improve processes and efficiencies. Let us help you overcome pressure on bottom-line profitability, and focus more on new revenue-generating opportunities such as customer acquisition. We develop specific outsourcing solutions for each of the wide range of intermediary healthcare services.
Using process improvement tools and automation, we help pharmacies transform their operations. Our pharmacy experience spans enrollment, benefit coding, eligibility and pharmacist verification, claims processing, customer service, mail-order processing, and drug utilization review.
Figure 1 - Cognizant’s global project footprint