Insurance Claims Process Management / Healthcare IT Company

Insurance Claims Process Management / Healthcare IT Company

Insurance Claims Process Management / Healthcare IT Company

Nadia Swofford
(Business Development)

July 6, 2020   |   5 min read

The Client Company

Our client is a rapidly growing, venture capital-backed healthcare IT business that raised over $50 million in funding.  They provide flu vaccinations to over 1 million students across the United States’ public schools each Fall.  Their digital health platform helps schools maintain compliance and manage chronic diseases.

Client’s Challenges

As our client experienced the rapid and exponential growth common of venture capital-backed companies, they were faced with a challenging bottleneck.  Each student that enrolled in their program had to be verified for insurance coverage, and the insurance qualification and claims process began to be far too much work for the company to handle internally.  A 10 person team of seasonal employees was able to work through 100,000 students per year in the company’s early stages, but it became increasingly difficult to manage and find reliable seasonal labor.

assivo's solution

Assivo worked with our client to develop a detailed process for insurance qualification and claims submission, along with a schedule for each of the 1,000+ schools that they served. Assivo flexed its team size up and down to meet the needs of each school, and ensure that all insurance qualification and claims submission activity was completed accurately and on-time. Assivo’s team saved the client ~60% of their in-house operating costs, turned fixed costs into variable, and boosted the accuracy and predictability of the insurance qualification and claims process, leading to materially higher collection rates. Assivo started off this client relationship with a 25 person team to service 250,000 students per year, and scaled with the company’s growth to a 100+ person team servicing 1,000,000+ students per year.

About Assivo

Assivo provides progressive and technology-enabled business process outsourcing solutions to SMBs, middle market companies, startups, and emerging growth companies across a wide variety of industries. This segment of the market is often underserved by large/legacy outsourcing firms, yet disappointed with the quality of service that they receive from small and mid-size providers.

We utilize modern technology, automation, and talented offshore teams to accelerate our clients’ business objectives in a cost-effective manner without sacrificing quality.

Our primary service offerings are: Data Entry & Processing, Research & Data Collection, Lead Generation & CRM Management, Data Cleansing & Data Enrichment, Data & Content Moderation, and Back Office Processing & Support.

Assivo was founded in 2016 by Karan Vaswani and is headquartered in Chicago, with state-of-the-art operations in India.

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