How Healthcare Back Office Support Services Is Serving The Industry

The healthcare industry is the one of the largest and most complex industries in the world. A hospital or medical center has to manage hundreds of thousands of patient visits every month and to manage the operation smoothly a lot of work has to be done at the back-end of the operation.

This is one of the prime reasons that outsourcing back office support services has a high demand in the healthcare industry.

In USA alone, the projected industry size of outsourcing in the healthcare sector is projected to be $143.79 billion with 68% of healthcare businesses outsourcing part of operations in some form or the other.

However, not all BPO companies can provide back office support services to the healthcare industry. As in order for that a BPO firm must compliant to Health Insurance Portability and Accountability Act (HIPAA).

In this blog we try to delve into the full scope of the back office management services that HIPAA certified outsourcing companies has to offer to physicians and hospitals:

Type of Back Office Support Services In Healthcare Industry

A wide variety of back office tasks are outsourced in the healthcare industry, they include:

1) Medical Coding: This is the process of translating information of patients from their medical records into universal alphanumeric codes. Such codes include those from International Classification of Diseases (ICD) and Current Procedural Terminology (CPT) and are often done by AAPC certified coding professionals.

2) Medical Billing: This involves submitting claims to patients and their insurance companies for reimbursement of healthcare services. Professionals in this area has to gather patient information, determine services that have to be billed and submit claims. They must also track the payments and follow up on rejected claims to ensure accurate reimbursement. Lastly, They must also be highly accurate and have experience with billing systems such as Kareo, AdvancedMD, CareCloud, etc.

3) Revenue Cycle Management: Is a process whereby organizations in the healthcare industry manage financial operations that are related to billing and collecting payments for their medical services. This is often outsourced as well to HIPAA compliant BPO firms and handled by RCM professionals.

4) Insurance Verification: Insurance verification involves checking if the patient needing medical services have insurance that covers the fees of consultation, treatment, etc.

5) Medical Record Indexing: Medical records of patients include information such as notes from Insurance providers, clinical records and history, summary of admission and discharge, demographic charts, etc. This needs to be segmented and sorted to keep the records in an orderly fashion.

6) Transcription Services: Transcription services through medical scribes is one of the most outsourced work in healthcare. Virtual scribes work alongside physicians in real-time documenting patient encounters for them. They assist with tasks like charting, taking notes, and managing electronic health records, etc. Augmedix, a north-American firm with its large operation based in Bangladesh is one of the most reputed medical transcription service provider in the industry.

7) IT Services: 24/7 helpdesk IT support along with other IT services are also outsourced to back office support teams.

8) HR Services: Healthcare industry often hires HR outsourcing firms to hire staffs that help the doctors and manage the hospitals/medical centers.

9) Data Entry and Management: Lastly, data entry and management is also an integral part of the back office support services that outsourcing firms provide to the healthcare industry.

The Importance Of Business Process Outsourcing in The Healthcare Industry

As I stated previously, the healthcare sector is one of the largest industries that seek out business process outsourcing services.

Because, business entities in this sector has to deal with ton of patient data, and has a complex billing system, back office management plays a key role in ensuring that tasks are being handled by experts.

This results in efficient handling and processing of  patient's data and the billing cycle, guaranteed regulatory compliance and being able to handle greater volume of tasks error free with accuracy.

Benefits of Back Office Support Services For Physicians and The Healthcare Industry

Below are some of the benefits through outsourcing that have drastically changed the whole healthcare sector to enable it take care of patients more efficiently:

1) Remote support to physicians and doctors: Remote Scribes and live transcription services that companies such Augmedix offers have drastically changed how physicians and doctors are managing patient data.

Now they can simply be connected to remote scribes while being with a patient and simply speak his diagnostic as he treats the patient, while the scribe take notes of it, which can be accessed by the doctor later in follow up treatments.

2) Efficient Patient Flow or Cycle time: Outsourcing tasks such as claims processing, medical billing and revenue cycle management has transformed the sector into making it very efficient. It has helped hospitals and medical centers ease up their overflowing task load and has enabled the patients visit to a hospital be less cumbersome.

3) Enhanced Cybersecurity: Outsourcing IT and Cybersecurity to IT firms has lead to greater safety of patients data, which is of paramount importance in this sector.

4) Scalability and Minimized Costs: Outsourcing always has the benefit of minimizing costs for businesses, furthermore back office management teams often needs to be flexible with scalability depending on workload which is easily achieved through outsourced teams.

Reputable Healthcare Outsourcing Companies

There are many outsourcing companies that specialize in providing back office support services to the healthcare industries, below are some of our top picks.

This is list by no means extensive and these five companies are of course not the only ones that provide quality services. But they are among the top companies that are leading in the healthcare outsourcing sector.

Augmedix: Augmedix is a healthcare technology company that provides ambient AI-powered medical documentation solutions to alleviate the administrative burden on clinicians.

By transforming natural clinician-patient conversations into structured medical notes, they enables healthcare providers to focus more on patient care.​

Their solutions are designed to integrate seamlessly with various Electronic Health Record (EHR) systems, supporting over 30 medical specialties and ensuring compliance with HIPAA and HITRUST standards. 

By leveraging advanced AI technologies, including partnerships with platforms like Google Cloud's MedLM, they continue to enhance its services to meet the evolving needs of the healthcare industry.​

• Accenture: Accenture offers a comprehensive suite of healthcare Business Process Outsourcing (BPO) services designed to enhance operational efficiency, improve patient outcomes, and reduce costs for healthcare organizations.

Their services cater to a wide range of stakeholders, including payers, providers, and government agencies.​

Their approach integrates advanced technologies and analytics to deliver intelligent health operations, aiming to transform healthcare organizations by improving efficiency and patient care quality.

• Cognizant: Cognizant delivers a broad range of healthcare BPO solutions tailored to the needs of hospitals and medical centers.

Their services are designed to optimize operations, enhance member and patient experiences, and drive cost efficiencies — all backed by deep industry expertise and cutting-edge technology.

• TTEC (TeleTech): TTEC (formerly TeleTech) offers a comprehensive suite of healthcare outsourcing services designed to enhance patient and member experiences, streamline operations, and improve health outcomes.

• Emapta: Emapta is a global outsourcing and offshore staffing company that helps businesses build dedicated remote teams tailored to their operational needs.

With a presence in the Philippines, Colombia, Macedonia, Sri Lanka, and Malaysia, Emapta offers flexible, scalable, and transparent outsourcing solutions across various industries.

Services that they provide in the healthcare industry include: Medical billing specialists, claims processors, medical transcriptionists ,etc.

How to Find a Reputable And Reliable Outsourcing Partner

When a business entity in the healthcare sector decides to outsource, it is very important that they are able to chose a reliable and reputable outsourcing partner.

This requires careful consideration of many factors, some of which are listed below:

1) HIPAA Compliance: The first and foremost thing that a healthcare facility needs to check is if the outsourcing company is HIPAA compliant.

2) ISO Certification: Having a ISO certification in quality management and data security is also a must when looking for an outsourcing company.

3) Showcase of Expertise and Trust: An experienced healthcare outsourcing company should be able to show its good reputation through verified client reviews such as in its Clutch business profile or elsewhere.

4) Language requirement: Specific language supports such as for Spanish, French or Arabic will require the BPO firm to have offices in countries where such language proficient employees are readily available.

5) Showcase of Capability Per Requirement: Healthcare back office management includes a wide variety of tasks, and a healthcare facility might only be outsourcing specific ones. The BPO firm should be able to showcase its capability in the area the healthcare organization is looking for.

6) Responsiveness: The initial meetings and communication with an outsourcing company often shows its professionalism and responsiveness. How professional an outsourcing company is towards its business prospect definitely shows the quality level of the overall organization.

7) Time zone: Although isn't that much important as even if you outsource to Bangladesh or India, the outsourcing partner would have 24/7 support. But this still can be something to think about when hiring an outsourcing firm.

Conclusion

As the healthcare industry continues to evolve, so too does the need for streamlined, secure, and scalable operations behind the scenes.

Back office support services are no longer just a convenience they're a vital component in managing the ever-growing demands of patient care, data accuracy, and regulatory compliance.

By outsourcing essential tasks like medical billing, coding, transcription, and IT support to HIPAA-compliant and ISO-certified partners, healthcare providers can focus more on clinical excellence while ensuring their operational foundation remains strong and efficient.

It’s a strategy that not only reduces overhead but also enhances patient satisfaction, supports faster turnaround times, and boosts the overall performance of healthcare facilities.

Choosing the right outsourcing partner means finding a team that’s not just skilled, but also trustworthy, responsive, and aligned with your mission.

With the right support, healthcare organizations can confidently embrace the future—delivering better care, powered by smarter operations.

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