Healthcare

Help your company thrive in today’s healthcare landscape.

Are you prepared for the consumerization of healthcare?

Keeping your bottom line healthy requires navigating through a complex, constantly changing and highly-regulated healthcare system—all while delivering exceptional service. As the leading solutions provider to more than 400 healthcare payer, provider, Pharmacy Benefits Manager and pharmaceutical clients, we can help you achieve financial fitness while staying compliant and compassionate with your members.

Industry experience and insights.

  • Alorica serves 400+ healthcare payer, provider, Pharmacy Benefits Manager and pharmaceutical clients
  • Our Leadership team includes a Healthcare Compliance Officer, Pharmacist in Charge (PIC) and Board of Directors with PBM Technician Certification Academy
  • We offer seamless scalability of licensed and unlicensed agents, both in-center and at-home, for first-class service regardless of changing contact volumes

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Data-driven insights eliminate pain points and enhance patient experiences

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Burstable and scalable staffing solutions let us deploy across 150 locations and thousands of Work-at-Home agents

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Industry leader in preventing, detecting and correcting healthcare compliance issues

Results you can measure.

  • Maintained over 99% accuracy handling Medicare coverage determinations for 2.5 million Medicare patients (annually)
  • Sustained 99.8% accuracy for pharmacy clerks and technicians processing ~150,000 prescriptions per month
  • Upheld compliance requirements, including CMS, URAC, HIPAA-HITECH, PCI, ISO 27000, NIST 800

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Putting the customer at the center of it all.

  • Award-winning Customer Experience Transformation (CxT) consultants help you identify and proactively solve member/patient pain points
  • Alorica acts as an offsite extension for healthcare provider business offices for patient eligibility services—in-person at hospitals and clinics or in-center from traditional channels
  • Financial care offers data-driven Revenue Cycle Management (RCM) using intelligent automation for greater visibility and control
  • Healthcare payer and Pharmacy Benefits Manager (PBM) services help you meet your goals and improve member and provider experiences

Put Your Heart In It

A leading provider of Pharmacy Benefit Management (PBM) services sought to continue providing their members with exceptional support during times of high seasonal enrollment.

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increase in prescription sales conversions
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increase in member satisfaction scores
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increase in provider scores

Prescription for Success

A leading Pharmacy Benefits Manager (PBM) sought a solution that would address increased volume and a growing need for Prior Authorization support.

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Pharmacy Technicians and Registered Pharmacists recruited and trained within two months
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average quality compliance scores achieved
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sites supporting the PBM client

Exceptional quality yields increased conversions.

One of the nation’s largest health insurance companies needed a comprehensive Medicare enrollment solution to improve sales hiring and training of seasonal and steady state agents. Together, we developed a licensing onboard strategy, refined sales training and implemented a workflow between IVR automation, pre-qualification and sales.

25%

Higher weekly sales than any other provider

136%

Greater call volume

14%

More cross-sell revenue than other providers

Healthcare Solutions

Let's get started.

Your business has unique customer management needs. See the difference a personalized solution can mean to your customer retention, satisfaction, and bottom line.