The Healthcare industry faces significant near-term challenges including increased revenue and margin pressure and specifically greater costs associated with administration. PrideBPO’s team of outsourcing professionals partners with clients to reach results-oriented resolutions.

Revenue Cycle Management

PrideBPO’s end-to-end revenue cycle management solutions can help reduce the burden of administration, accelerate the cash collection cycle, and improve payer performance, allowing the provider more capacity to focus on its primary stakeholders.

Insurance Eligibility Verification

Our eligibility and benefit verification process can reduce delayed payments, rework, and claims denials. Providers enjoy increased productivity and furthermore, the efficiency gains ultimately lead to increased customer satisfaction.

Medical Coding

PrideBPO employs a team of certified medical coding specialists who are well-versed in ICD-9, CPT coding, and HCPS across various specialties.

Denial Management

Our team reviews and analyzes claims denials to identify trends and facilitate proactive resolutions.