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Post by shiyabul on Aug 20, 2024 3:45:58 GMT -5
Members typically call to find out about their copays and claims while providers call to discuss the claims of multiple patients. While insurance companies compete for both providers and members, the potential magnitude of loss due to poor CXs on a provider account is usually much greater than on a member account. A proactive outbound calling campaign to providers could help an insurance company mitigate this risk and improve its provider retention rate. For if a hospital system has a problem with an insurance https://lastdatabase.com/ company, they may decide to discontinue their relationship. For example, when a hospital that does , MRIs per month calls to find out why an insurance company rejected % of its claims, not only must the insurance company’s contact center associates have good answers but the experience of getting to the answers must be well-orchestrated too. Otherwise, the insurance company will risk losing the hospital as a client, resulting in the loss of many members. A well-crafted outbound calling campaign might then proactively deliver tips for providers on improving claims acceptance rates through proper coding, the avoidance of common errors, etc. If a provider wants to discuss five different claims, they expect the associate to find the time for what could be a lengthy call and they don’t want to feel rushed due to AHT concerns.
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