Healthcare – Payers

At ScerIS, we recognize the challenges of managing healthcare insurer organizations, especially when healthcare service agreements and reimbursement rates are continuously evolving. It’s essential that any changes made in operational processes or solutions introduced today are flexible. They should help in simplifying operations, reducing costs, and ensuring that all regulatory guidelines are met, even as these guidelines change over time. Our solutions at ScerIS are designed to be easily adjusted to meet the needs of insurer/payer organizations, helping you adapt smoothly to the ever-changing and challenging landscape of provider/payer relationships.

Our solutions are geared towards boosting workforce productivity while adapting to the dynamic healthcare payer environment. Covering a broad range from provider credential review and authorization to enrollment, claims processing and payment, policy packaging, premium billing, and collections, ScerIS’s automation and “work management” technologies aim to eliminate manual work, such as data entry and reconciliation efforts. A significant part of this automation improves the way paper is handled, while other aspects of ScerIS solutions work towards eliminating paper usage altogether, ushering in a more digital and efficient operational mode.

Embark on a journey towards operational excellence with ScerIS, navigating the complex healthcare insurer/payer environment together, ensuring adaptability, efficiency, and compliance at every turn. Elevate your payer organization to new heights of operational prowess amidst the healthcare reform narrative with solutions by ScerIS.

Industries

  • Health Insurance

  • Dental Insurance

  • Workers Compensation Insurance

  • Third-Party Administrators (TPA)

  • Managed Service Organizations (MSO)

  • Administrative Services Organizations (ASO)

Solutions Targeting:

  • Claims Processing

  • Adjudication Management

  • Referral Management

  • Enrollment Processing

  • Policy Packaging and Presentation

  • Contract Management

  • Customer Service

  • Utilization Management

  • Payment (EOB) Rendering and Presentation

  • Premium Billing and Collections

  • Coordination of Benefits

  • Compliance and Risk Management

  • Accounts Payable

  • Expense Account Management

  • Accounts Receivable

  • Purchasing

  • Payroll / Time & Attendance