Healthcare Management Workflows

Healthcare Management Business Process Definitions & Templates

  • Workflow Template / Healthcare Management / Healthcare Technology Services

    Medical Claims Processing
    Medical Claims Processing involves receiving, processing and approving/denial of medical insurance claims. This process includes a case review (policy, type of injury, treatment of injuries, etc.), assessment of medical coverage, adjustments, payment request (if approved) and client notification (medical management reports, etc.). Though a number of people involved and the length of this process may be long, it is generally good practice to keep customers up to date.
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  • Workflow Template / Healthcare Management / Healthcare Technology Services

    Bill Collection (Insurance Premiums)
    The bill collection (insurance premiums) process involves the collection of outstanding insurance premiums from individual clients. This process includes discrepancy identifications, account information updates and verification, payment processing (all payments are reconciled during this process) and account cancellation (if the outstanding amount is not collected or the customer wishes to cancel the account).
    File Formats Available: PDF, Visio, PowerPoint | See More >
  • Workflow Template / Healthcare Management

    Collections Processing
    Collections processing involves the acceptance, documentation, verification and subsequent follow-up (if necessary) related to customer payment collection. This process includes checking if customers have paid for a product or service in full or if payment is late, invoice generation and verification, customer contact for payment, payment processing (manual or electric) and account reconciliations. Any descrepancies should be noted and sent to customer for review.
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  • Workflow Template / Healthcare Management

    Inventory Replenishment
    Inventory Replenishment is a process that involves the analysis of inventory levels and subsequent restocking or replenishment (if needed). Includes item requests (by phone, fax, e-mail, from stores, etc.), inventory data collection (from retail or outlet stores), SKU checks, missing component identification (ensure that items are not available in the warehouse before appropriate action is taken) and purchase order (PO) generation. If requested items are not available, analysts must cut the order to the number of units available.
    File Formats Available: PDF, Visio, PowerPoint | See More >

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