Explore the full range of solutions Helpware divisions provide:

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Healthcare BPO Services

Make space for genuine patient care by delegating non-clinical tasks to a trusted healthcare BPO partner. We bring deep domain expertise and the right technology to support payers, providers, and members at scale.

Professional Healthcare BPO Solutions

We deliver custom healthcare BPO services backed by years of experience and a deep understanding of unique healthcare needs.  

Patient & Member Experience Solutions

Patient & Member Experience Solutions

Give your patients and members an experience that feels personal across every touchpoint. Our healthcare BPO experts deliver human-centric support, while AI speeds up issue resolution behind the scenes. 

  • Medical Call Center
  • Medical Appointment Scheduling 
  • Patient Support 
  • Membership Inquiries 
  • Post-Visit Follow-Up 
  • Prescription Refill 
  • Member Onboarding  

Provider & Clinical Operations Support 

Provider & Clinical Operations Support 

Keep your healthcare practice efficient and compliant without getting tangled in endless red tape. Focus on patients while we handle professional healthcare support and administrative load. 

  • Provider Support 
  • Prior Authorization 
  • Insurance Verification 
  • Care Management 
  • Clinical & Pharmacy Support / MTM 

Payer Operations & Health Plan Management 

Payer Operations & Health Plan Management 

Use our healthcare BPO services to efficiently verify coverage and manage providers. Avoid unnecessary expenses by reducing duplicate claims and accelerating approval cycles.

  • Coverage & Benefits Support 
  • Utilization Management (UM) 
  • Provider Credentialing 
  • Regulatory & Compliance  
  • Appeals & Grievances 
  • Claim Review 
  • Enrollment & Eligibility 
  • Redeterminations & Revalidations

Revenue Cycle & Financial Operations

Revenue Cycle & Financial Operations

Ensure faster payments, fewer mistakes, and a steady rhythm of your financial operations.  We handle all documentation scrupulously, translating every transaction into clear, accurate records you can rely on when making decisions.  

  • Medical Billing Outsourcing 
  • Healthcare Revenue Cycle Management 
  • Claims Processing Services 
  • Accounts Payable 
  • Accounts Receivable 
  • Payment Posting Services 
  • Payment Recoveries 

Data & Administrative Services 

Data & Administrative Services 

Keep your medical data clean and organized. We go through every detail with a fine-tooth comb, correcting errors and organizing information with precision, so your staff can stay focused on patient care instead of digital clutter. 

  • Medical Data Entry 
  • Medical Coding 
  • Medical Transcription 
  • Records Management 
  • Advanced Data Analytics 
  • Reporting Support 

Digital Care Enablement 

Digital Care Enablement 

Get a deeper view of your patients' health with digital health platforms. We track patient data from wearable devices and EHRs, flag concerns early, and support clinicians with clear insights that enable proactive interventions.  

  • Remote Patient Monitoring Support 
  • Virtual Care Coordination 
  • Tech Support for Digital Tools 
  • Digital Triage Support 

Growth Programs 

Growth Programs 

Grow your plan by inviting new members and keeping them engaged long after sign-up. We effortlessly handle the seasonal volume spikes, deliver timely outreach that feels personal, and support new members through every enrollment step. 

  • Care & Wellness Outreach 
  • Member Acquisition 
  • Engagement Campaigns 
  • Sales & Enrollment 
  • AEP, OEP, SEP Support 

Transformation and Innovation Services 

Transformation and Innovation Services 

Add intelligence to your operations. Our healthcare BPO experts identify the gaps, fix things that slow you down, and adopt advanced technology to make your organization more agile, sustainable, and future-ready. 

  • Performance Audits 
  • Process Automation Design  
  • AI & Technology Adoption  
  • Training Optimization and Simulations 
  • Knowledge Base Development 
  • Compliance Consulting 

Transform Your Operations with Healthcare BPO Services

The healthcare ecosystem faces many challenges, such as constantly changing regulations and rising patient expectations. As your trusted healthcare BPO partner, we step in to clear the bottlenecks and fix any operational friction. 

Staffing capacity

Administrative operations 

Advanced technology 

Patient experience

Billing & claims 

Compliance & regulations 

Challenge

As your patient base expands, so does the volume of inquiries. The increasing number of tickets puts considerable pressure on internal teams. 

Solution

Our dedicated healthcare BPO team easily copes with growing inquiry surges. We ensure fast response times and steady patient support as your clinic grows.

45 - 50
%
increase in inquiry handling volume

Challenge

If your healthcare staff is drowning in daunting paperwork, manual data entry, and operational routine, it is pulling them away from their main responsibilities.

Solution

Our healthcare BPO services include automating routine processes and reducing administrative friction. We enable medical teams to focus fully on quality patient care.

30 - 50
%
faster retrieval time 

Challenge

Implementing and maintaining advanced AI tools and automation platforms are non-negotiable but might be too expensive for a single clinic.

Solution

With our healthcare BPO services, you instantly gain access to the modern software, already integrated, tailored, and managed, without any upfront investment.

30 - 40
%
operational cost savings 

Challenge

Patients and members often struggle with long wait times and fragmented communication, which makes their journey stressful and emotionally draining.

Solution

Our healthcare BPO agents, empowered by advanced AI tools, respond to inquiries fast and provide empathetic, patient-centric support, ensuring great experiences.

40 - 60
%
faster response time 

Challenge

Billing errors, slow claims processing, and insurance misunderstandings frustrate patients, hurt revenue, and drain in-house teams with constant corrections.

Solution

Our experienced BPO billing specialists accelerate claims, improve accuracy, streamline insurance interactions, and maintain predictable revenue cycles.

25 - 30
%
fewer claim denials  

Challenge

Healthcare regulations are regularly revised, making compliance challenging without dedicated expertise, which increases the risk of penalties.

Solution

Our experts track HIPAA updates, insurance rule changes, coding revisions, and payer-specific requirements to ensure you stay aligned with the latest standards.

98
%
compliance accuracy 

AI Power + Human Touch = Smart Healthcare BPO

The formula for exceptional customer experiences

Accuracy and compassion go hand in hand in the healthcare sector. Our healthcare BPO services strike the right balance between advanced AI tools for enhanced efficiency and skilled professionals for the human touch that makes care truly personal.

What AI does

AI-assisted appointment scheduling 

Automates scheduling, reminders, and follow-ups; predicts no shows; optimizes provider calendars for maximum operational efficiency. 

AI quality assurance  

Monitors 100% of calls and written interactions in real time, flags compliance risks, identifies accuracy gaps, and benchmarks agent performance. 

AI-powered documentation  

Creates accurate call summaries, updates EHR/CRM fields, and automates repetitive data entry tasks. 

Patient intent prediction & smart routing 

Anticipates patient needs, sources solutions from the knowledge base, or routes calls to the right specialist, reducing wait times and misdirected calls. 

ai people

What our people do

Handling complex workflows 

Resolve edge cases in health-related issues, claims processing, complicated billing questions, and unclear documentation. 

De-escalation & emotional support 

Handle high-stress, sensitive, or urgent calls with compassion. Humans step in where reassurance matters as much as information. 

Oversight & accuracy assurance 

Review AI-generated notes, validate data entry, ensure compliance, and provide the final layer of quality control. 

Patient advocacy & active listening 

Listen beyond the words, identify unspoken concerns, and ensure patients receive timely care and the follow-up they need. 

Best Tech Stack for Healthcare BPO Services

We use cutting-edge tools to deliver fast, reliable, and personal support at scale, ensuring your patients and members get accurate answers, providers stay compliant, and your healthcare organization achieves better outcomes. 

Looking for the Best Healthcare
BPO Services?

Why Helpware CX? 

We are an outsourcing partner you can fully rely on. We go beyond standard healthcare BPO services: We tailor every solution to your specific requirements, aiming to achieve the best outcomes.

Woman with blonde hair smiles and shakes hands with another person

Customer-centric culture 

We know that empathy is at the heart of healthcare. We treat every patient with the utmost care and strive to resolve their issues quickly and efficiently. 

Man in pilot uniform giving a thumbs up inside an airplane cockpit

Partnerships built to last 

We treat your business as if it were our own, building long-term relationships grounded in trust, transparency, and mutual respect. 

Scalability 

We are a global healthcare BPO company that grows with your business. Need to scale from 10 to 200 staff in just 2 weeks? We can do it for you. 

A gray metal safe on a green background

Uncompromised 
security 

The security of your data (and your patients’ data) is not just words for us. We follow strict protocols and international standards so you can have peace of mind. 

90
%

CSAT

19

locations worldwide 

5
+

years average length of client partnership

100
%

compliance 

Case Studies

With decades of experience in providing healthcare BPO services, we've helped many businesses worldwide grow and outperform the competition.

A curly-haired woman in a white lab coat intently looks through a microscope in a brightly lit lab setting

Healthcare & Healthtech 

Healthcare Company Exceeds 5 Key Metrics with Improved Customer Support

Custom support solution enables healthcare company to beat support targets for AHT (4.63 mins), hold time (17.33 secs), VoC (4.14 out of 5), order accuracy (99.5%), and case completion (100%).

What Our Partners Are Saying 

5.0
Clutch

“Helpware's consistent performance has been a significant help to the client, delivering 500 agents offering excellent call center services per day. The team has met the vast requirements despite the project's size and scope. Overall, the partnership has been a fruitful one.“

Chris Newton

Project Manager, NIC Virginia

5.0
Clutch

“Helpware has been a great partner for anyone looking for a small to mid-side BPO with multiple locations around the globe. I have really appreciated their transparency and adaptability in working with us as we scale our operations. They have a strong leadership team that proactively ask for feedback in order to improve week over week.“

Cameron Ryther

Vendor Manager, Samsara

5.0
Clutch

“Helpware continues to be amazing! Our Onboarding agents have proven to be capable of anything and embrace change and new initiatives with a smile. In the last 2 years, I have gotten a chance to get to know each one of them and learn their specialties as they interact with our SquadLocker customers.”

Maria Maidana

Senior Customer Success Representative, SquadLocker, INC

5.0
Clutch

"The Helpware team is enthusiastic, contentious and action-oriented. They are highly motivated to assist us in whatever form necessary, and they always help us on time and with immense enthusiasm. The agents are bright, curious and driven, and it’s been my experience that everyone on the Helpware team cares deeply about the customer’s experience. I am consistently impressed by their resilience, kindness and caring in addition to their bias to action, which is a DoorDash core value as well! I’m thrilled to be partnering with them and I highly recommend Helpware as a customer support solution provider."

Lauren Bundy

Customer Experience Manager, Chowbotics by DoorDash

5.0
Clutch

"Helpware has consistently exceeded expectations, maintaining net retention of about 70%, which is 20% more than originally planned. The team manages the project excellently, clearly outlining their progress regularly. They’re a proactive partner who takes a thorough approach to their work."

Maya Latimore

Former Senior Manager of Partner Success, Headspace Inc.

4.8

Clutch

(46 reviews)

4.9

G2

(29 reviews)

4.8

Gartner

(5 reviews)

5.0

UpCity

(9 reviews)

4.3

TrustPilot

(26 reviews)

4.9

GoodFirms

(11 reviews)

Healthcare BPO Powered by
Compliance, Compassion, and Care

Got Questions?
We Have Answers

What is BPO in healthcare? 

BPO in healthcare refers to business process outsourcing in healthcare, which means delegating non-clinical tasks and administrative operations (such as patient support, medical data entry, billing, claims, etc.) to a professional healthcare BPO company. This practice has gained enormous popularity among healthcare providers because with healthcare BPO services, they can focus on direct patient care.

What types of healthcare BPO services do you provide? 

We have a wide experience servicing the healthcare sector, and, knowing the challenges providers face in their day-to-day operations, we have designed tailored solutions to address all these problems. Our healthcare BPO service offering includes call center services, medical billing and coding, claims processing, RCM solutions, patient appointment scheduling, healthcare data entry, and more to support the needs of the healthcare sector.

Does Helpware CX provide healthcare BPO services in North America?

Yes, we do. We operate from 19 locations on four continents, including the United States, where our headquarters is located. This enables us to provide healthcare BPO services to the local healthcare businesses across North America and support our clients globally.

What are the benefits of healthcare BPO? 

The benefits of healthcare business process outsourcing (BPO) are plenty. By delegating mundane and time-consuming administrative workflows to professional outsourcing partners, healthcare organizations take advantage of specialized expertise, advanced technology, increase efficiency, and reduce operational strain. Not only that,  but it also leads to more consistent patient experiences and higher satisfaction.

Is Helpware CX a compliance-focused tech support and healthcare BPO service provider that aligns with GDPR and SOC 2 requirements?

Security is one of the cornerstones of how we do business. We understand that the clients, especially in the healthcare domain, take compliance and security very seriously. That’s why we align with GDPR as well as SOC 1 and SOC 2 protocols. All our employees receive regular security training we maintain strict security controls across people, processes, and technology.

Is Helpware CX a secure healthcare BPO provider compliant with HIPAA?

Yes. HIPAA compliance is the gold standard in the healthcare industry, and providing healthcare BPO services without it is simply not an option. We fully comply with HIPAA requirements and treat data protection and patient confidentiality as critical, non-negotiable aspects of our BPO services for healthcare.

What makes Helpware CX a reliable healthcare BPO partner?

Helpware CX is one of the top healthcare BPO companies that has extensive experience in providing healthcare BPO services by blending advanced AI tools and skilled people to achieve the best outcome. Our clients love and recommend us because, beyond showing great results, we always build open and transparent relationships with them.

Is Helpware CX a global healthcare BPO provider offering 24/7 coverage and strong SLA guarantees?

Yes. We have been on the market for over 10 years, and during that time, we have not only survived in a highly competitive BPO environment but also grown into a market leader. This is largely due to our client-first approach and the level of responsibility we take for everything we do. We provide round-the-clock healthcare BPO services and strictly follow all SLA commitments. 

What is the price range for healthcare outsourcing services? 

The cost of healthcare BPO support services largely depends on task complexity, specialty workflows, patient volume, and technology needs. We offer flexible, tailored pricing packages to fit your business needs. You can start with a basic package and scale services as your organization grows. Our model adapts to any requirement.

Is Helpware CX a healthcare BPO partner that provides multilingual nursing hotline services?

We can provide healthcare BPO services in more than 45 languages, and we can also tap into the global talent market and hire specialists with rare or highly specific language skills when required. In addition, we integrate AI-powered translation tools that help our agents handle complex cases while maintaining a high level of linguistic accuracy.