Healthcare Payers 2017-06-23T19:41:54+00:00

Healthcare – Payers

Healthcare Payers Industry OverviewScerIS 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