Member Enrollment, Billing and Eligibility

Firstsource's member enrollment, billing and eligibility support services enable healthcare payers to deliver high-quality services while remaining profitable and competitive.

Reach higher standards for service quality and business profitability

As regulatory and consumer demands rapidly evolve in the healthcare industry, payers need to provide more agile and seamless member enrollment, billing and eligibility support in order to deliver high-quality service while remaining profitable and competitive.

Firstsource provides solutions, expert agents, and leading-edge technology to help payers reduce the cost, risk and complexity of accurately and quickly processing transactions related to member enrollment, billing and determining eligibility for government programs. In addition, our trained, experienced staff are knowledgeable of the intricacies of Medicare and Medicaid, establishing your company as a source of information, guidance and support.

Stay Ahead

Firstsource’s Member Enrollment, Billing and Eligibility services provide...

With a laser focus on helping payers improve member loyalty, service quality, and overall profitability, we ofer:

  • 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

Why Firstsource?

"Leader" in the IAOP Outsourcing 100 List for 2017

This prestigious designation is granted only to the best and most disruptive BPO companies

Trusted by FTSE 100 & Fortune 500 companies

We believe in long term partnerships - over half of our clients have been with us for 7 years or longer

18,000+ people in 38 global delivery centers

We deliver 24/7 customer support aided by advanced analytics, RPA and cutting-edge technology

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