Healthcare Industry Admin Outsourcing

Procurement and Supply Chain Management:

• Oversee the billing process, including claims submission, coding, and reimbursement tracking, to ensure financial viability within the UK healthcare system.
• Accurately code medical procedures and diagnoses according to NHS guidelines to optimise reimbursement and minimise claim denials.
• Monitor accounts receivable and managing revenue cycles to maintain steady cash flow for healthcare providers.

Health Information Management (HIM):

• Organise and maintain electronic health records (EHRs) in compliance with NHS standards and regulations.
• Implement data security measures to protect patient health information and comply with GDPR and NHS data protection regulations.
• Facilitate interoperability among NHS systems and healthcare providers to enable seamless exchange of patient data.
• Manage document imaging and scanning processes to digitize and archive medical records efficiently.
• Provide training and support to healthcare staff on HIM best practices and NHS EHR usage.
• Participate in NHS quality improvement initiatives to enhance HIM processes and patient care outcomes.

Credentialing and Provider Enrolment:

• Manage the credentialing process for healthcare providers to ensure compliance with NHS and regulatory requirements.
• Verify provider qualifications, licenses, and registrations to maintain credentialing standards set by the NHS and professional bodies.
• Facilitate enrollment in NHS provider networks and services to ensure eligibility for reimbursement.
• Monitor provider credentialing status and expirations to maintain accurate records and prevent gaps in coverage.
• Liaise with NHS England and other relevant authorities to resolve credentialing issues and inquiries.
• Maintain comprehensive records of provider credentials and enrollment status for NHS audits and reporting.