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Healthcare
Build Compliance-Ready, Patient-Centered Operations With CXBPO™ for Healthcare
Regulatory pressure and rising patient expectations leave no margin for error. iQor serves 40+ healthcare clients, including 7 of the top 10 health insurers, with teams deployed in 30 days.
Healthcare Companies Trust iQor to Deliver Measurable Results
40+
healthcare clients, including 7 of the top 10 health insurance companies.
96%
meeting or exceeding KPIs across claims accuracy, member satisfaction, and compliance.
30 days
from signed agreement to a fully operational, HIPAA-trained team.
A denied claim that should have been caught in pre-authorization costs your team redundant work and your patient a billing surprise. Claims errors compound across every stage of the revenue cycle, turning recoverable dollars into write-offs. And every compliance gap your team doesn't catch is one an auditor will. The longer these pressures go unaddressed, the more your organization pays in lost revenue, regulatory exposure, and patient attrition.
HIPAA-trained teams across claims, member services, and care coordination absorb the volume your in-house staff can’t sustain. Revenue cycle management and collections specialists from iQor have partnered with major healthcare payers for over a decade, recovering revenue while protecting the patient relationship.
For one healthcare provider, that expertise delivered an 80% reduction in call abandonment and a 3x increase in service levels.
Trusted by Leading Brands
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Services
Strengthen Patient and Member Outcomes With Healthcare Outsourcing Services
Every stage of the patient and member journey — from first enrollment call to final payment — demands precision that protects both your organization and the people it serves. With 70% of our business in highly complex, specialized work, iQor’s healthcare outsourcing teams bring the clinical depth and compliance rigor your operations require.
Patient & Member Support
Omnichannel support for patients and members across voice, chat, email, and SMS. From benefits inquiries to appointment scheduling, every interaction managed by specialists trained in healthcare communication and HIPAA protocols.
Claims Processing & Appeals
Claims submission, adjudication, and appeals management handled by trained specialists. Denial management, dispute resolution, and compliance auditing that protect your revenue and keep your claims pipeline moving.
Revenue Cycle Management
Full revenue cycle support from registration and pre-authorization through billing, payment processing, and A/R management. Trained health advocates and proven collection strategies that close the gap between care delivered and revenue collected.
Provider & Payer Back Office
Eligibility verification, benefits coordination, medical records management, data entry, and reporting. The operational backbone that keeps your clinical and administrative systems accurate, current, and audit-ready without pulling clinical staff off the floor.
Collections
Licensed, compliant collections teams that recover outstanding balances while maintaining the patient relationship. Proprietary collections platform, predictive sciences, and A/R lifecycle management — built for the sensitivity healthcare requires.
Health Plan Outreach & Enrollment
Targeted member outreach, health plan education, wellness program engagement, and enrollment support. Proactive campaigns that improve health risk assessment completion, drive plan adoption, and keep members informed and engaged.
Billing & Payment Services
Patient and member billing inquiries, payment processing, automated invoicing, and financial counseling. Clear, empathetic communication that reduces billing confusion, improves payment rates, and protects the patient relationships your organization depends on.
Care Coordination Support
Pre-care and post-care support including medication reminders, discharge follow-ups, telehealth setup, and ongoing condition monitoring. Proactive outreach that keeps patients connected to their care plan and reduces readmission risk.
Awards & Recognitions
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Here's What Working With Us Looks Like in Practice
Knowledgeable
Specialists trained in HIPAA protocols, payer and provider workflows, and healthcare terminology before they handle a single patient interaction. Built for healthcare, not borrowed from another vertical.
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Consistent
A dedicated operation leader who understands your compliance obligations, your member population, and your KPIs. One point of ownership with the institutional knowledge to protect what matters most.
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Visible
Real-time reporting on claims accuracy, member satisfaction, resolution times, and compliance metrics across every channel. Full transparency into how your program is performing at any given moment.
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Fast
From signed agreement to a HIPAA-trained, production-ready team in 30 days. Integrated with your systems, calibrated on your protocols, and handling live patient interactions from Day One.
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Tell Us Your Healthcare Challenge, and We’ll Show You How We’ve Solved It Before
Share your most pressing operational pain point — claims backlogs, member experience gaps, compliance staffing, RCM leakage — and we’ll connect you with the right team and a deployment plan built for your timeline.
Case Studies & Trends
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Every stage powered by AI — from first hire to higher performance.
Start with insights. Build toward outcomes. Scale what works.
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FAQ
Frequently Asked Questions
