Member Enrollment, Billing and Eligibility

Firstsource Healthcare offers complete member enrollment, billing and eligibility support services for leading Health Plans, enabling them to deliver high quality services and improve profitability
Stay Ahead

Improve member loyalty, service quality, and overall profitability

  • High-quality member servicing related to enrollment, renewals, plan changes, claim status, and day-to-day inquiries
  • Supplemental staff to manage high-traffic periods and after-hours or weekend coverage
  • Secure, automated billing and revenue collection
  • Medicare/Medicaid screening, follow-up and conversion
  • Retrospective billing and reconciliation of reimbursements
  • Management of discrepancies between capitation rates and actual provider costs
"Outsourcing has provided us with staff that have an exceptional understanding of inventory management, the detailed work involved, and meeting client needs by responding quickly and professionally to their issues and questions.""
Leading US healthcare payer
Serving customers across multiple states
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Why Firstsource Healthcare?

Partner of choice for leading Health Plans and Healthcare Services

Our clients include 12 of the top 20 Health Plans nationwide

Data-driven approach & cutting-edge technology

Our solutions are backed by Robotic Process Automation, advanced analytics and more

We service over 50 million covered lives

With our 20+ years' experience in the field, you'll know your customers are in good hands

Related Pages

Omnichannel Contact Center

Firstsource Healthcare's omnichannel contact center helps deliver the experience your customers demand in this multi-channel world and enables you to take your member and provider engagement to the next level.

Claims Processing and Adjudication Services

Firstsource Healthcare's end to end claims processing and adjudication services help leading Health Plans reduce turnaround time (TAT), increase processing quality and accuracy and reduce backlogs.

Telehealth Tech Support

Firstsource Healthcare's comprehensive telehealth support services includes tech support, remote device support as well as patient coaching - enabling success for your telehealth program.