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Healthcare BPO
Outsourcing

Focus on patient care while we handle non-clinical operations. From patient support to back office, we offload administrative burden from your clinicians so they have more time for patients.


Professional healthcare BPO delivered within your systems and SLAs. Trained teams across 19 locations. 45 languages supported. 24/7 coverage.


HIPAA compliant | SOC 2 Type II | ISO 27001 | GDPR ready

Healthcare BPO Services That Drive Value

33
%
boost in FCR

Scalable patient experience

We improve patient support across voice, chat, and email to resolve more inquiries on the first contact and do it 2x faster. Our healthcare-trained teams answer questions, schedule appointments, provide clinical guidance, and escalate issues, working directly in your CRM.

25 - 30
%
fewer claim denials

Optimized revenue cycle

Our billing and RCM team helps you process claims faster, reduce denials, and keep cash flow steady. We take care of eligibility checks, prior authorizations, and AR follow-ups, with dedicated QA to catch coding and documentation errors before they reach the payer.

30 - 50
%
faster retrieval on admin tasks

Burdenless patient care

We take care of non-clinical work that distracts clinicians from patient care, including documentation, data entry, and records management. We use AI-assisted transcription backed by human oversight to reduce EHR time per visit and free up your staff’s time.

23
%
faster call handling

Peak volume scaling

We scale teams in weeks, effectively handling AEP, OEP, SEP surges and post-launch spikes. We implement AI solutions to deal with routine intake, cutting per-call time by 23% and reducing peak headcount by 13% without quality trade-offs. No last-minute hiring, no SLA breakdowns.

Unlock your hidden CX savings with Helpware

Get ROI projection for current support needs.

45
8/5 (Mon to Fri)
12/5 (Mon to Fri)
12/7 (Mon to Sun)
24/7

-40% annually

$

/monthly costs with Helpware

vs

$

/internal team costs (approx)

$0000

Your requirements fall outside our standard parameters.

Let's discuss your results

Fill in your details to schedule a consultation.

-40% annually

$

/monthly costs with Helpware

vs

$

/internal team costs (approx)

$0000

Your requirements fall outside our standard parameters.

Your savings report

-40% annually

$

/monthly costs with Helpware

vs

$

/internal team costs (approx)

$0000

Your requirements fall outside our standard parameters.

Support staff included in the package:

Shared Team Leader

Shared L&D Specalist

Shared QA Specialist

Account Executive by default

Shared Ops Delivery Manager

Admin/Finance/Legal support for the agents by default

1-2 Dedicated Team Leaders

Shared L&D Specialist

Shared to 1 Dedicated QA Specialist

Shared Ops Manager

Account Executive by default

Admin/Finance/Legal support for the agents by default

Shared Real Time Analyst

2-5 Dedicated Team Leaders

0,5 to 1,5 Dedicated L&D Specialists

1-2 Dedicated QA Specialists

Up to half of a dedicated Ops Manager

Account Executive by default

Admin/Finance/Legal support for the agents by default

1 Dedicated Real Time Analyst

Ready to get a personalized estimate for your team?

Contact us for a personalized assessment tailored to your specific needs.

*These projections are estimates for informational purposes only and do not represent a formal offer. Contact us for a personalized quote.

Thank you!

You’ll hear from us within one business day.

Focus on patient care.
We'll handle everything else.

Professional non-clinical operations—patient support, scheduling, claims, and back office—delivered inside your systems and SLAs by trained healthcare teams.

Customer support agent wearing a headset, gesturing with open hands.

Compliance by default

Compliance is built into every workflow, with SOC 2 Type II, HIPAA, ISO 27001, ISO 9001, and GDPR standards in place. Every agent is certified before their first patient interaction

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Healthcare-grade scalability

We bring together 4,000+ experts across 19 global locations, delivering healthcare customer support in 45 languages. With us, you can scale from 10 to 200 staff in as little as two weeks.

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Partnerships that last

We go beyond transactional vendor relationships to build long-term partnerships grounded in trust. We’re proud to have over 400 customers, many of whom have been with us for years.

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

Healthcare-tuned tech stack

Our team is native inside Zendesk, Salesforce, Twilio, Genesys, Intercom, Freshdesk, and Epic, Cerner, Athenahealth-adjacent workflows. No rip-and-replace.

100
%

compliance

19

global locations

5
+

years average length of client partnership

90
%

CSAT

Our Healthcare Outsourcing Solutions

We offer a wide range of healthcare BPO services, supporting your organization at every stage of its growth.

Patient & Member Experience Solutions

Patient & Member Experience Solutions

We deliver consistent patient support regardless of ticket volume. We scale our teams up and down on demand, helping you effectively deal with peak times, so SLAs hold and patient experience doesn’t slip. We bring support together with shared workflows and clear escalation paths, minimizing repeat contacts and boosting customer satisfaction.

  • Medical call center & healthcare customer support
  • Appointment scheduling & care coordination
  • Patient intake & benefits verification
  • Enrollment & growth programs

Revenue Cycle & Back-Office Operations

Revenue Cycle & Back-Office Operations

We reduce denials, accelerate claims, and tighten AR follow-up to secure a stable revenue cycle. By handling eligibility checks, prior authorizations, and billing workflows with precision, we help keep cash flow predictable and minimize rework. Built-in QA and compliance oversight catch errors before submission and keep you aligned with evolving payer requirements.

  • Medical billing & claims processing
  • Accounts receivable & payment posting
  • Medical coding & documentation QA
  • Data entry & records management

Clinical & Administrative Operations

Clinical & Administrative Operations

We handle documentation, medical coding, prior authorization, and other burnout-inducing administrative work. Every process is approached with compliance in mind: our certified teams track regulatory changes and keep your company audit-ready. This way, your clinicians spend more time with patients, not on systems, forms, or after-hours charting.

  • Clinical admin & documentation support
  • Provider credentialing & licensing
  • Prior authorization & utilization management
  • Telehealth support & remote patient monitoring

Who We Work With

Health systems & multi-location providers

We help hospital networks, ambulatory surgery centers, and multi-location healthcare providers run back-office operations smoothly. From patient access to eligibility and revenue cycle work, we handle the heavy lifting inside your systems so your staff isn’t distracted from patient care.

Telehealth & virtual care platforms

We support behavioral health, chronic care, primary care, and specialty telehealth providers as they scale across states. Our crisis-trained teams handle multi-state credentialing and ramp quickly when demand spikes, helping Series B–C companies stay efficient under investor pressure.

Payers & health plans

Helping payers manage coverage, benefits, and claims at scale. We offer coverage and benefits support, utilization management, provider credentialing, claim review, and appeals. Get exactly the capacity you need and scale without adding permanent headcount.

RCM & medical billing companies

Extend your client services with dedicated billing operations teams. We handle ICD-10 and CPT coding, denial management, AR follow-up, and payment posting, scaling under your brand, within your workflows, and aligned with your QA framework.

Digital health & healthtech

Remote patient monitoring, AI-assisted clinical tools, health navigation platforms, and employer wellness programs. We handle patient support, platform technical triage, and back-office operations so product teams can stay on product.

Medical device & diagnostics companies

We support medical device manufacturers, diagnostic labs, and connected care companies with the operations capacity needed to scale. From order support and billing coordination to customer service and field scheduling, our teams keep workflows moving.

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Helpware CX in Action

Helpware CX helped a leading employer health-platform company build a unified, scalable healthcare customer support model to eliminate operational barriers and ensure a cohesive support experience.

As a result of our work, in just 90 days, average handling time dropped by 44%, new agents got up to speed 43% faster, first-contact resolution jumped by 33%, SLA compliance improved by 23%, and customer satisfaction rose by 17%.

AI efficiency + human touch = perfect mix

Accuracy and empathy are non-negotiable in healthcare. Our medical outsource services strike the right balance between AI precision and the human touch. While AI effectively deals with high-volume routine work, our trained experts step in when reassurance and compassion matter most.

What AI does

AI-assisted appointment scheduling

Automates appointment scheduling, sends reminders and follow-ups, predicts no shows, optimizes provider calendars.

AI quality assurance

Monitors every call and chat interaction in real time, flags compliance risks, identifies accuracy gaps, and benchmarks agent performance.

AI-powered documentation

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

Intent prediction & smart routing

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

ai people

What our people do

Complex workflow resolution

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

De-escalation & emotional support

Manage high-stress, sensitive, or urgent calls with empathy and compassion. People step in when reassurance and emotional support 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

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

Hand off the non-clinical load. Give clinicians and CFOs the relief they need

FAQ

Is Helpware HIPAA compliant?

Absolutely! Our healthcare BPO services would be impossible without HIPAA compliance. We maintain HIPAA compliance across every workflow, system, and location. We also uphold SOC 2 Type II, ISO 27001, ISO 9001, and GDPR standards.

Which healthcare sub-segments do you actually serve?

Our team serves health systems and multi-location providers, telehealth and virtual care platforms, Medicare Advantage and commercial payers, RCM and medical billing companies, as well as digital health and healthtech platforms. We don’t offer direct clinical care delivery—we handle the operational layer around it.

How fast can you ramp a team?

This depends heavily on your needs and objectives. If we’re talking about standard workflows, we can ramp up from 10 to 200 staff in as little as two weeks. For more complex clinical administration or multi-state credentialing workflows, ramp time is typically 3–4 weeks. For peak season ramps (AEP, OEP, SEP), we plan 90–120 days ahead of the surge.

Do we need to change our tech stack to work with you?

No, you don’t. Our team is proficient with a wide range of healthcare-related technology solutions, so we can work inside your existing CRMs, EHRs, and ticketing platforms. We have hands-on experience with Zendesk, Salesforce, Epic, Cerner, Athenahealth, and other technologies. No rip-and-replace and no project migrations required.

What’s your engagement model: managed service or staff augmentation?

We offer both, so you can choose whichever option suits you best. Managed services work best for ongoing operational ownership with SLAs and governance. Staff augmentation is highly suitable for teams that aim to extend their internal capacity. Most clients start with a 30–60-day pilot before scaling.

What’s your pricing like?

The cost of our healthcare outsourcing services is determined by volume, complexity, workflow type, and location. To receive an estimate for your project, you can schedule a 30-minute review call with us to discuss your needs. Feel free to click the “Contact us” button in the upper right corner.