Healthcare – Payers
ScerIS understands the complexity of running a payer organization in a time when the healthcare reform outcome is uncertain. Operational process changes and solutions implemented today to effect change must remain flexible while streamlining operations, reducing costs and ensuring regulatory compliance. Accommodating this need for flexibility, ScerIS solutions are easily modified to effectively serve payer organizations in this ever changing landscape.
ScerIS solutions help to improve workforce productivity while supporting the dynamic and changing healthcare payer environment. From provider credential review and authorization all the way to enrollment, claims processing and payment, policy packaging, premium billing and collections, ScerIS automation and “work management” technologies help to eliminate manual work including data entry and reconciliation efforts. Much of this automation provides for an improvement in handling paper and yet other aspects of ScerIS’s solutions eliminate paper all together.
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