Top BPaaS for Operations Management Success

What is BPaaS?

Put simply, BPaaS allows you to outsource your business processes through a cloud-based system. This means that you can rely on BPaaS providers to handle certain aspects of your business operations. However, the real benefit to this is the opportunity to utilize advanced technology for your operational needs.

BPaaS helps organizations attain remote IT and processing services that can reduce their overall operational workload. By relying on BPaaS, your organization can ultimately focus on more core-centric business processes.

Advantage for Population Health Management

The BPaaS market is growing and organizations have a lot to gain by utilizing these services right now. According to a MarketsandMarkets' projection, the BPaaS market is expected to increase from 36.88 billion dollars in 2016 to over 68 billion by 2020. With more companies looking for BPaaS to enhance their operations, relying on this type of service early on can give your organization an edge over your competitors.

When it comes to population health management, care coordination, and managed care services, processing large sums of data is always the key challenge. But with the right BPaaS provider, organizations can finally simplify workflows related to contracting, credentialing, referral processing, capitation payments, and more.

A Solution for Operational Challenges

Developing advanced IT capabilities, dealing with rising costs, and understaffing are some of the top challenges that healthcare companies face, according to a Finoit article. Luckily, you can solve most of these challenges by relying on BPaaS.

With the right provider, independent practitioner associations (IPAs), physician-hospital organizations (PHOs), trading partner associations (TPAs), and similar organizations can enhance their operations in the following ways:

• Utilize a cloud-based platform where they can easily upload, store, and process business information
• Ensure proper provider credentialing verifications through outsourced support
• Streamline authorization and referral processes with experienced teams that follow the right guidelines
• Simplify claims adjudication and payments through well-trained staff that utilize advanced software
• Deliver client and network support through remote customer support operations

As can be seen, organizations can use BPaaS to help reduce their in-house processes and workflow requirements. When you have the right BPaaS support, your organization can instantly tackle new processes without spending too many resources.



In the healthcare industry, different organizations have a lot to gain from relying on BPaaS for their operations. For example, large data processing is essential for population health management, care coordination, and managed services.

Luckily, finding the right BPaaS provider can help your organization get the best out of outsourced services. Check out this list of the top operations and organizational management services that you need to look for.

1. Credentialing Services

When it comes to your provider network, you want to make sure that each practitioner has the right credentials for the job. However, credentialing is a time-consuming process that can take a few months to complete, not to mention a lot of paperwork. Additionally, the longer the credentialing process the more costly it’s going to be.

You need to have the qualified providers on your network as fast as possible. After all, the longer you process your providers equates to more income out the window. With the right BPaaS, you can streamline your credentialing process and enjoy the following benefits:

• Faster provider credentialing reviews
• Ensure compliance with delegation authorities
• Utilize teams that follow extensive verification steps to ensure requirements are met

2. Claims Administration

Processing hundreds of claims takes a lot of time and resources. From claim uploads, reviews, and payments, you need a whole staff for these processes. Additionally, you also need to ensure that your claims are accurately adjudicated and processed in a timely manner.

When you need a little help with claims administration, you need to make sure your BPaaS provider has the following capabilities:

• Manage experienced staff to review and process claims with ease
• Utilize advanced technology to automate and streamline claims processing
• Comprehensively tackle claims services like payments, distribution processes, and reports
• Accurately adjudicate claims and report claims information to insurance carriers
• Effectively process and resolve claim disputes

3. Referral Processing

For payer organizations, effectively processing referrals is essential for overall outcomes. After all, problems in referral workflow could ultimately affect other processes in your organization.

For the best results, you need to find support services that offer the following:

• Utilize automation technology to auto route and review referrals faster
• Ensure policy guidelines are effectively followed during referral reviews
• Offer reliable auditing tools to track and manage referral details with precision

4. Call Center and Customer Support

As your business grows, you need to make sure you’re capable of taking care of your network’s needs. After all, every provider, facility, and organization in your network will need your assistance one way or the other.

Providing help services can be challenging when you’re not fully prepared. Luckily, BPaaS providers with the following capabilities can guarantee that your network gets the right help when they need it:

• Complete customer service department that’s dedicated to your clients’ needs
• Utilize advanced ticketing systems to ensure all inquiries and concerns are processed correctly
• Equipped with tools for effective customer query tracking and quick personnel routing
• Fully capable of integrating with your in-house departmental structures and requirements

Solutions For Operations Management

Managing your growing operations doesn’t have to be as hard when you have a BPaaS provider like MedVision. As a solutions provider, MedVision’s BPaaS is specifically designed to assist healthcare organizations with their operations management. 

MedVision offers extensive BPaaS for organizations like IPAs, PHOs, TPAs, managed service organizations, accountable care organizations, and more. Here are some of MedVision’s top services that can help you manage your organization’s growing operations:

• Credentialing Services
• Claims Administration
• Referral Processing
• Call Center Operations
• Contract Negotiations
• Capitation Payments

Don’t wait until you’re up to your neck with your challenges. The solution to your operational needs is right here. 

Discover more of MedVision’s BPaaS offerings!

Related Sources:

• “BPaaS Market by Business Process (HRM, Accounting and Finance, Sales and Marketing, Customer Service and Support, Procurement and Supply Chain, Operations, and Legal and R&D), Organization Size, Vertical, and Region - Global Forecast to 2022.” MarketsandMarkets. www.marketsandmarkets.com. Accessed on December 9, 2020.
• Rita Sharma. “Top 10 Challenges Healthcare Companies Face Today.” Finoit. https://www.finoit.com/blog/top-10-healthcare-challenges/. Accessed on December 9, 2020.