Financial
and
Operating Benefits
- Attainment of health plans' standards of performance
- 83% improvement in processing time on incomplete claims
- 27% increase in claims completed with no increase in staffing levels
- 50% savings on materials costs of filing claims
- 50% reduction in training time and associated training costs for new processors from 12 weeks to 6 weeks
- 80% reduction in specialized processing units - Consolidated 4 specialized processing units into the regular claims flow
- 33% increase in calls handled per Customer Service Rep
- 26% reduction in abandoned calls
- 67% reduction in correspondence turnaround time
- 25 - 30 % improvement in authorization processing turnaround
- 93% improvement in turnaround time on system updates
- 60% reduction in time spent routing mail
- 8 FTEs re-deployed to new analysis unit - no additional cost
- Improved employee skills and management performance
- 1.9%
of total fiscal budget saved through labor cost reduction in the first
year
- Centralization of admissions and authorizations
- Consolidated provider and customer service saving 4 FTE's
- Improved tracking of authorizations
- Redesigned wage and incentive plan
- Reduction in amount of nurses' time spent on clerical functions
- Consolidated 9 reports into a daily Key Indicator Report
- Implemented streamlined and consistent practices and procedures
- Improved internal communications
- Improved staffing and scheduling to meet customer demand
- Developed employee skill assessment, training and evaluation tools
For
more information email
Mr. Brennan Malanaphy
Vice President, Business Development
e-mail: Email Brennan