Healthcare

We provide holistic healthcare solutions for better outcomes

Patient and member experience, increasing costs, aging populations, collections, coding, wait times, and pace of innovation are just some of the challenges faced by the healthcare industry today. Our AI Workplace Safety solutions can protect your team and your patients, while our Cognitive Contact Center solutions can ensure they receive the best care possible for their entire journey back to health.

When your customers demand answers

We help you deliver.

Business problems

Solutions

Business problems

Design a digital CX and journey that is human

Business problems

Brand awareness

Business problems

Brand reputation

Business problems

Providing omni-channel member experience

Solutions

  • Voice click-to-chat with licensed agents
  • Chat analytics for proactive chat invites

Business problems

Secure portal for plan shopping

Business problems

Solutions

Business problems

Telesales with licensed professionals

Solutions

  • Telesales

Business problems

Back-office

Solutions

  • Back-office new member fulfillment

Business problems

Member portals

Solutions

  • Self-service member portals​​​​​​​

Business problems

Solutions

Business problems

Customer satisfaction

Solutions

  • Member and provider calls
  • Medicare, Medicaid, and commercial client support services​​​​​​​

Business problems

Member engagement

Solutions

  • Member engagement

Business problems

Social determinants of health

Business problems

Solutions

Business problems

Provider directory upkeep

Solutions

  • Provider directory management

Business problems

Appointment scheduling

Business problems

Utilization review

Solutions

  • UM, collaboration on Model of Care

Business problems

Solutions

Business problems

Claims status

Solutions

  • Phone support for claims status
  • Coding

Business problems

Claims denials

Solutions

  • Back-end insurance claims resolution
  • Clinical denials and root cause analytics

Business problems

Revenue cycle management

Solutions

  • Front-end patient access services
  • Mid-cycle charge integrity, medical coding, billing
  • Remittance posting

Business problems

Billing support services

Solutions

  • Medical coding, medical cost management, prior authorization

Business problems

Solutions

Business problems

Case and utilization management

Business problems

Health risk assessments

Solutions

  • Health risk assessments

Business problems

Social determinants of health

Solutions

  • Verifying and delivering a care plan with analytics

Business problems

Identifying most impactful members

Business problems

Nursing staff overwhelmed

Deploying smart automation to re-engineer leading payer’s collections, enrollment, and eligibility

Learn how this healthcare client uses a bot to ensure operational efficiencies and refocus its financial forecast.

Related case studies

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Book a strategy consultation

To learn more about how HGS Digital’s innovative CX strategies can enhance your healthcare organization please complete the fields below.